Francesca H. Dakin
francescadakin.bsky.social
Francesca H. Dakin
@francescadakin.bsky.social
Qualitative Digital Health Researcher at Oxford University
DPhil from @OxPrimaryCare @NIHRSPCR
https://www.phc.ox.ac.uk/team/francesca-dakin
We would really appreciate support in getting this to the right people: @nihrspcr.bsky.social @gppact.bsky.social @sapc.ac.uk @oxprimarycare.bsky.social @rcgp.bsky.social
August 4, 2025 at 3:08 PM
This work builds on my doctoral research on digitalised general practice, and my paper on the equity risks of (non-AI) technologies for access and triage available at SSM here: www.sciencedirect.com/science/arti...
Access and triage in contemporary general practice: A novel theory of digital candidacy
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal…
www.sciencedirect.com
June 25, 2025 at 12:01 PM
This is linked to a recent presentation I gave for the NIHR SPCR Bitesize Impact Showcase series, available here

www.youtube.com/watch?v=JQO-...
SPCR Bitesized Showcases - Session 3
YouTube video by NIHR School for Primary Care Research
www.youtube.com
June 25, 2025 at 9:20 AM
4) Not published yet! Watch this space. (Impact on teamwork and what we can learn about how to navigate complex organisational chan here in the future.)
March 27, 2025 at 4:17 PM
3) The impact of digitalisation and integrating new ways of working on clinical and non clinical staff. Bottom line: more technology-induced stress and suffering, strained relationships, but hope for tech benefits with more coherent and considered integration efforts
bjgp.org/content/75/7...
Technostress, technosuffering, and relational strain: a multi-method qualitative study of how remote and digital work affects staff in UK general practice
Background The introduction of remote and digital forms of working in UK general practice has driven the development of new routines and working styles. Aim To explore and theorise how new forms of w...
bjgp.org
March 27, 2025 at 4:17 PM
2: The work and working conditions of reception and administrative staff, who are under increasing pressure to deliver work in often poor conditions, involving complex translational work to make the (digital) system coherent to patients (sometimes cross-culturally)
bmjleader.bmj.com/content/7/Su...
Supporting your support staff during crises: recommendations for practice leaders to develop a relational workplace
Background The workload and wellbeing of support staff in general practice has been critically understudied. This includes reception, secretarial and administrative workers who are critical in the dai...
bmjleader.bmj.com
March 27, 2025 at 4:17 PM
1: The work required of patients to articulate and communicate their candidacy for care, the role of then”digital facsimile” therein, and the importance of relational knowledge in staff in overcoming these boundaries
www.sciencedirect.com/science/arti...
Access and triage in contemporary general practice: A novel theory of digital candidacy
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal…
www.sciencedirect.com
March 27, 2025 at 4:17 PM
Thanks for engaging so completely! Yes I’m hoping to look more into both the issues you raise in future work - what happens to invisible patients & what is the impact of AI in digital access/triage (funding dependant!). Watch this space, important questions!
February 16, 2025 at 5:47 PM
Great to hear it resonates, Kyyria!
February 14, 2025 at 8:57 PM
Thanks Trish, it’s about time I moved over!
February 14, 2025 at 5:37 PM
Indeed! Wrote another paper that mentions that exact issue: www.sciencedirect.com/science/arti...

Happy to share a 2-page summary of both papers (designed for policy and practice audiences) if you’d like!
Access and triage in contemporary general practice: A novel theory of digital candidacy
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal…
www.sciencedirect.com
February 14, 2025 at 4:59 PM
Thanks Jo ❤️
February 12, 2025 at 10:01 PM