This Perspective Brief gives an overview of the 2019 John Deeble Lecture, Delivered by Nigel Edwards, CEO of the Nuffield Trust, UK. The Lecture was followed by a panel discussion on what needs to be done to improve the process of policy formulation and implementation. Panellists featured- Hon Nicola Roxon, Prof Ian Frazer, Mr Romlie Mocack and Prof Johanna Westbrook.