Dr Paresh Dawda is the Principal and Director at Presantia Health and Next Practice in the Australian Capital Territory. Dr Dawda’s interest is in system level interventions dating back over 15 years in the United Kingdom. Dr Dawda became involved as a member of the guidelines development group with the National Collaborating Centre for Chronic Conditions (NICE). The experience exposed Dr Dawda to a way of working including addressing pertinent research questions, using the PICO approach to identify research to answer those questions and to incorporate health economics analysis. The goal was to use a balanced approach to inform decision making aimed at delivering public value.