Patients have given hospitals in Birmingham, Solihull and the Black Country high marks in a new official survey designed to make the NHS more accountable.
The findings come as the health service is under intense scrutiny, following concerns about poor treatment at hospitals across the country.
But local hospitals received good reports from patients, who said they would recommend them to their closest friends and family members.
Prime Minister David Cameron launched the initiative last year, saying that the simple test would help under-performing hospitals in England to “raise their game”.
Patients are asked to fill in a form revealing how likely they would be to recommend the ward or A&E department that treated them to their friends and family if they needed similar care or treatment.
The tough scoring system used by the Government means that only patients who say they are “extremely likely” to recommend the hospital are counted as a positive response - and the hospital has points taken away for any patients who say they would not recommend it.
Queen Elizabeth Hospital in Edgbaston, Birmingham, received a “friends and family” score of 79 per cent from in-patients. Manor Hospital in Walsall received a “friends and family” score of 70 per cent while Russells Hall Hospital in Dudley received a score of 74 per cent.
Sandwell General Hospital received a score of 70 per cent and City Hospital in Birmingham received a score of 64 per cent.
Birmingham Women’s Hospital received a score of 82 per cent.
The three hospitals run by Heart of England NHS Foundation Trust received slightly lower scores but a majority of patients in each hospital still said they were “extremely likely” to recommend the hospital.