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When everything has to happen at once

What it takes to scale a life science organisation with strategic intent and clarity

The why

The executive leadership team of a biotech organisation had secured board approval for a major capital investment in a complex GMP facility. The facility would not open for several years - yet the decisions made now would determine whether the organisation was ready to operate at scale when the doors finally opened, and whether board confidence in the team's ability to deliver could be sustained.

The challenge

The organisation faced a dilemma: It had to build the organisation and sell its services before the facility existed to deliver them. Construction, commercial pipeline development, hiring, and operational readiness were all running in parallel – each with hard sequencing dependencies and little room to recover from mistiming.

There was no integrated view of how these workstreams connected. In cell therapy, where customer lead times routinely exceed a year, this gap carried concrete commercial risk: Arrive at launch without a pipeline and the facility opens underutilised.

Strategic positioning added further complication. The executive team was reluctant to rule out opportunities in a rapidly evolving market – understandable, but risky. Broad positioning meant diffuse capability investment, unclear hiring profiles, and a commercial story that was hard to land with early customers who needed specificity before they would commit.

Without a clear organisational development plan (ODP), the organisation risked arriving at launch having built the wrong organisation for the strategy.

How we helped

We began with a two-day facilitated offsite for the full executive leadership team, designed to surface misaligned assumptions, establish shared priorities, and define the design principles that would govern the ODP.

Over the following weeks, we detailed the foundation for the ODP across two workstreams. We ran focused working sessions with internal stakeholders to map dependencies and operational constraints that executive-level planning tends to miss. In parallel, we benchmarked international peer CDMOs, speaking directly with leaders who had navigated comparable ramp-ups, to pressure-test our assumptions.

We consolidated all inputs into a four-year organisational development plan with activity sequencing, milestones, and initiative briefs. To ensure organisational anchoring and disciplined execution, we developed supporting governance and facilitation tools.

Outcome

5x headcount increase over four years
30+ interdependent initiatives detailed across four workstreams
28 distinct roles profiled with hiring schedules

Benchmark insights

Build the pipeline before the facility is ready: Customer cycles are long, requiring commercial engagement earlier than what feels comfortable.

Hire leaders first: Fill leadership before filling roles. Organisations that did it the other way struggled with retention and coherence during scale-up.

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What moved the needle

The executive team moved from broad ambition to a concrete roadmap. But three specific choices made the difference between a plan that would be used and one that would quickly become obsolete.
Force strategic choices before detailed planning begins The leadership team had been deferring difficult positioning decisions - on which customers to prioritise, which capabilities to build first, and what kind of organisation this was actually trying to become. Resolving these at the offsite meant every subsequent planning decision had a clear basis.
Make dependencies visible Several critical workstreams were moving in parallel with hard sequencing constraints between them. Bringing these timelines together onto a single map exposed risks that were invisible when each workstream was managed separately - and gave leadership a shared view of how organisational growth needed to unfold.
Build the governance before the project ends The most common failure mode in this kind of work is a plan that loses its owner the moment the engagement closes. Designing the governance structures - owner, cadences, change process - as part of the deliverable, not as an afterthought, is what gave the ODP a practical chance of remaining a live management tool.
Partner

Jonas T. Karlsen, Ph.D.

Jonas is a life science strategist supporting executives drive progress across the value chain. He is an expert in bridging strategy and execution via global operating model design and transformation rooted in strategic objectives. He engages with structured top-down thinking and a pragmatic and collaborative approach to mobilise organizations and make things happen.

Jonas holds a Ph.D. in biophysics from the Technical University of Denmark, DTU, and further studied at California Institute of Technology. Recipient of the Ministry of Sciences Elite Research Award.

Selected experience

  • Ecosystem integration and external innovation pipeline
  • Lab of the future capability building and operating model design
  • Global clinical operating model design and transformation
  • Pre-launch strategy for cardiometabolic TA development

 

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