Francesca H. Dakin
francescadakin.bsky.social
Francesca H. Dakin
@francescadakin.bsky.social
Senior Digital Health Researcher at Oxford University
DPhil from @OxPrimaryCare @NIHRSPCR
https://www.phc.ox.ac.uk/team/francesca-dakin
Congratulations also to Dr Veline L'Esperance, who won the clinical category!
June 17, 2026 at 8:07 AM
Huge thank you to co-authors and supervisors: Ninna Meier, Emma Ladds, Sietse Wieringa, Joe Wherton, Sarah Rybczynska-Bunt, Aslı Kalın, Lucy Moore and @trishgreenhalgh.bsky.social

This publication was made possible by the generous support of @fshi.bsky.social through a Mildred Blaxter Fellowship
May 16, 2026 at 11:16 AM
We argue that strong working relationships are a critical infrastructure for delivering safe, sustainable, high-quality care in modern general practice; a context where workflows and structures continue to flux and change in response to further digitalisation, new roles, and policy shifts.
May 16, 2026 at 11:16 AM
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