The Great Prevention Pivot workshop in Canberra, June 2026, brought together health leaders, clinicians, policymakers, researchers, and consumers to discuss the state of prevention in Australia. The workshop explored the six domains of prevention: primordial, social determinants, health protection, health promotion, early detection and intervention, and chronic disease management. The participants were asked to prioritize their investments in these domains, with social determinants of health and early detection and intervention emerging as the top priorities. However, the workshop also highlighted the need for a more comprehensive approach to prevention, including improved care coordination, stronger data infrastructure, and a focus on the person, not just the system. The participants emphasized the importance of national leadership with local delivery, transparency in measures and ROI, and a stronger "strategy to execution" approach. Overall, the workshop underscored the need for a more integrated and consumer-centric approach to prevention in Australia.