UK Health Secretary Wes Streeting has stepped down from his position, citing a breakdown in confidence in the Labour leadership led by Prime Minister Keir Starmer. His resignation follows a heavy blow to the party in last week’s local elections.
Labour suffered major losses in the 7 May local polls, relinquishing control of dozens of councils across England, Scotland, and Wales. The party’s overall number of local authorities dropped significantly, highlighting growing dissatisfaction among voters.
At the same time, rival parties made notable gains. The Reform UK, under the leadership of Nigel Farage, expanded its influence, while the Green Party of England and Wales also secured victories in areas traditionally dominated by Labour, with rising figures such as Zack Polanski playing a key role.
In his resignation letter, Streeting described the election outcome as “unprecedented,” emphasizing both the scale of the losses and the wider political consequences. Although he acknowledged there were valid reasons to remain in office, he stated that continuing without trust in the current leadership would be inconsistent with his principles.
Streeting also used his departure to reflect on his tenure, particularly highlighting efforts to stabilise and improve the National Health Service (NHS). He stressed that the true measure of leadership lies in whether meaningful improvements are left for successors.
The NHS has faced years of strain. In 2024, Andrew Street of the London School of Economics described the system as being in “intensive care” after more than a decade of Conservative rule, attributing many of its challenges to policy decisions made at Westminster.
Since Labour’s return to power in July 2024, Streeting pointed to several improvements, including faster ambulance response times for critical conditions such as heart attacks and strokes, as well as reduced waiting times in emergency departments. He also noted an increase of around 2,000 general practitioners and a reported rise in patient satisfaction.
Reacting to the resignation, Thea Stein, head of the Nuffield Trust, said Streeting had made a strong start by commissioning an independent review led by Lord Darzi, which exposed the deep-rooted challenges within the NHS. She added that while progress had been gradual, there were encouraging signs, particularly in public perception and access to GP services.
However, Stein also pointed out the difficulties of implementing large-scale reforms in a period of limited resources. She highlighted the challenge of reducing waiting lists while simultaneously shifting care away from hospitals, noting that these competing priorities made progress more complex.
She further warned that a recent trade agreement with the United States, which could increase spending on pharmaceuticals, may place additional strain on healthcare budgets and limit the government’s ability to invest in other critical services.
Streeting’s resignation could deepen divisions within Labour and potentially trigger a leadership contest. Speculation has already begun over possible challengers to Starmer, with names such as Ed Miliband and Andy Burnham being mentioned. Some reports suggest Streeting himself could emerge as a contender in any future leadership race.

