Practice Management
The practice manager is responsible for the administration, organisation and management of the practice. They are responsible for the financial management of the practice, as well as ensuring the wellbeing of patients, doctors and staff.
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CIAR MUNN - PRACTICE MANAGER
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ANNA ELSON - OPERATIONS MANAGER
Doctors
All of our doctors are generalists but each has developed areas of special interest. Patients are free to choose between the doctors in the practice and you may consult different doctors for specific problems. It will be helpful, however, if you try to see the same doctor as much as possible.
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DR MARK HOWCUTT - SENIOR PARTNER
MA, BM BCh, DCH, FRCGP, PGCert Med Ed
Qualified at Oxford University in 1997. Worked at Stoke Mandeville Hospital before joining the practice in 2000 as GP trainee. He returned as a GP partner in 2002. He has special interests in child and adolescent health, respiratory disease and rheumatology. He is one of the practice’s GP trainers. He is also a Senior GP Appraiser, occasionally sits on the local Performance Advisory Group for NHS England and is a local representative on the Buckinghamshire Local Medical Committee (LMC)
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DR NICOLA WELLS - PARTNER
MB BS, FRCGP, DRCOG, DCH, Cert Med Ed
Qualified at University College, London, in 1997. Became partner at Haddenham in May 2004, having previously worked as a full-time salaried GP. She has special interests in diabetes, palliative care and women's health. She is one of the practice’s GP trainers. She also is a Lead Examiner for the Royal College of General Practitioners.
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DR KAREN WEST - PARTNER
MB ChB, MRCGP
Qualified at Manchester University in 1999. Became partner at Haddenham in July 2008. She is married with three children. Special interests are children’s health and women’s health, particularly menopause. Outside the practice, she is an LMC member and Clinical Director for Quality and Integration at the Buckinghamshire, Berkshire and Oxfordshire (BOB) Integrated Care Board (ICB).
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DR KAISER MUNIR - PARTNER
MBBS, BSc (Hons), MRCGP, DipSEM
Qualified at University College, London in 2005. Worked in London before joining the practice in 2012 as a partner. He is married and has three children. His special interests include minor surgery, cardiology, dermatology and sports medicine. He is also fluent in British Sign Language. He is responsible for our medical student training. He continues to work for the Out of Hours service.
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DR BRIONY RIXON – SALARIED GP
MBBCH, MRCGP (2013), DRCOG, DFSRH, LoC SDI, LoC IUT
Briony graduated from medical school in Cardiff (2007) and worked for 2 years in hospital jobs in Bath. She then spent a year in Australia working in A&E and ITU. Having completed her GP training in Cheltenham, she became a member of The Royal College of GPs in 2013. She has worked at the practice since 2015, and has a special interest in women’s health, gynaecology and sexual health. Briony is a trained fitter of Nexplanons and contraceptive coils.
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DR CHRISTOPHER DAVIDSON-FOX - SALARIED GP
MBChB, MRCGP
Dr. Davidson-Fox, originally from South Africa, moved to the UK in 2004. After training at Bristol Medical School, he completed foundation training in Kent and Surrey. Subsequently, Dr. Davidson-Fox gained valuable experience by working in Australia for three years in A&E and ICU settings. In August 2024, he completed his GP training in Buckinghamshire. His interests span medical education, acute medicine, and paediatrics.
GP Trainee
We are a Training Practice and so from time to time we are joined by a GP Trainee. He or she is a fully qualified doctor having already completed at several years of hospital training who may join us for an attachment of several months between hospital jobs before joining us for a final year to complete their specialist GP training. In our role as a Training Practice we are regularly inspected to ensure a high quality of care and efficient administration.
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DR VIKRAM (AAKASH) KHANNA
ANP
An Advanced Nurse Practitioner (ANP) is an experienced and highly educated Registered Nurse who
manages the complete clinical care for their patient, not solely any specific condition. Advanced practice is
a level of practice, rather than a type or speciality of practice.
ANPs are educated at Masters Level in advanced practice and are assessed as competent in this level of
practice. As a clinical leader they have the freedom and authority to act and accept the responsibility and
accountability for those actions. This level of practice is characterised by high level autonomous decision
making, including assessment, diagnosis, treatment including prescribing, of patients with complex multidimensional problems. Decisions are made using high level expert, knowledge and skills. This includes the
authority to refer, admit and discharge within appropriate clinical areas.
Working as part of the multidisciplinary team ANPs can work in or across all clinical settings, dependant
on their area of expertise.
Nurses
Nurses work to promote health, prevent disease, and help patients with illnesses. When treating a patient, they observe, assess, and record symptoms, reactions, and progress. Nurses work alongside doctors when it comes to treatment plans and exams, administering medications, and monitoring patients.
Healthcare Assistants
To support the practice nursing team in the delivery of nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population. The healthcare assistant will deliver and assist clinical staff in the provision of treatment, preventative care, health promotion and patient education.
Pharmacy Tech
Pharmacy Technicians are based in-practice and as per Health Education England pharmacy careers guidance, they support the delivery of safe, effective and efficient systems for medicines optimisation, repeat prescribing, reducing medicine waste and maximising patient outcomes
Foundation Programme Doctor
As a training practice, we are sometimes joined by foundation programme doctors for four months. He or she is a fully qualified doctor having usually completed at least one year of hospital training. Foundation doctors are not training to be GPs but attached as part of their junior doctor training. They join us to learn general skills and gain a greater understanding of the practice of medicine in different settings.
Receptionists
Our Receptionist Staff are there to help you. They have extensive knowledge of the facilities and services available. When telephoning for medical attention the receptionist may ask for a few details, this will enable them to help you in the most appropriate way or to enable the clinical staff to prioritise patients. Please be assured that the rules of confidentiality apply equally to all practice staff.
You will not need to see the doctor every time you require a repeat prescription. If you have any queries concerning your prescription, the receptionist will be more than happy to assist with any general enquires.
Notes and Computer Clerk
Is responsible for maintaining the computer systems. They also supervises the electronic scanning of letters onto the computer systems. They deal with the registration of new patients and removal of patients who have transferred out of the practice area. The computer clerk is also responsible for the upkeep and summarising of medical records.
Secretaries
The secretary deals with all hospital referrals. They also manage any requests for insurance reports. They will not chase up referrals for the patient. The patient should contact the hospital direct. You can call between 10am - 11am Monday to Friday to speak directly with our secretary.