The seventh of the surveys commissioned by the Department of Health and carried out by Ipsos Mori showed a reduction in patients recalling being offered a choice of hospital for their first outpatient appointment: 44 per cent in May, down from 48 per cent in March.
Only 29 per cent of patients who were offered a choice of hospital were also offered a copy of the Choosing Your Hospital booklet -down from 36 per cent in March.
NHS Partners Network acting general manager Graham Kendall called the figures 'disappointing'.
He said the network had worked hard to give patients a genuine choice in provider, and called for 'clear direction from the top'.
The survey also showed patients who knew before they visited their GP that they had a choice of hospitals for their first appointment had increased 1 per cent since March.