A situation within the NHS has escalated into a toxic debate around the roles and responsibilities of Physician Associates (PAs) and Anaesthesia Associates (AAs), leading to claims of bullying and miscommunication among healthcare staff. Health Secretary Wes Streeting has ordered a review as concerns mount over patient safety and the future of these roles. The British Medical Association (BMA) argues that PAs and AAs are being overstepped in their duties, risking patient care. However, representatives of PAs and AAs counter that the controversy stems from protecting professional interests rather than genuine safety concerns.