A contentious conflict involving Physician Associates (PAs) and Anaesthesia Associates (AAs) is undermining teamwork within the NHS. Reports of bullying and isolation have emerged as doctors express concerns about the blurred lines in professional roles with PAs taking on tasks traditionally reserved for physicians. The British Medical Association calls for a review and pause on PA recruitment, citing potential risks to patient safety following high-profile cases of malpractice. A review led by Prof. Gillian Leng aims to examine these issues amid rising tensions among healthcare professionals.