Why therapies stall after approval, and how companies can keep progress moving

For many medical innovators, regulatory approval feels like the major hurdle. The data is strong, clinicians are engaged, and the therapy is ready for use. It’s tempting to think:

Yes! We’ve made it!

Yet in Australia, approval often marks the beginning of a new challenge: navigating a funding system that moves at a measured and cautious pace.

Delays aren’t unusual. Reimbursements for new medicines are notoriously slow compared to other countries, with Medicines Australia citing on average it takes 466 days for a new drug to Listings for new therapy to be funded, for medical devices it’s even longer. Reimbursement committees are balancing competing priorities, budgets are fixed, and the queue is long. Without clear signals that a therapy requires timely attention, it can drift into the background while other issues move ahead.

Across our work with MedTech, pharmaceutical, diagnostics, and biopharma companies, three practices consistently help organisations keep their therapy visible and progressing.

1. Show what delay really costs

Clinical data demonstrates safety and efficacy, but decision-makers often respond most strongly to the practical consequences of waiting for example:

  • Pressure on hospital capacity.

  • The impact on patients’ health and independence.

  • Delays that limit a clinician’s ability to offer better care.

  • Economic effects on families and communities.

When the cost of inaction is clear, the case for timely review becomes easier for policymakers to recognise and prioritise.

2. Translate evidence into stories policymakers can connect with

Funding committees evaluate submissions in detail, but political leaders absorb information differently. They look for meaning, relevance, and lived experience.

A therapy becomes easier to champion when its impact is expressed through:

  • A clinician’s account of how it changes practice.

  • A patient’s experience of managing a condition without access.

  • A caregiver’s perspective on what timely treatment could make possible.

These stories don’t replace the science, they help decision-makers understand why the science matters.

3. Maintain consistent visibility across the political environment

Even strong submissions can fade from view when the system is managing many simultaneous demands. Staying visible helps prevent that drift.

Effective companies keep their therapy present through ongoing engagement with stakeholders who influence the journey, including:

  • Members of Parliament.

  • Ministers and advisors.

  • Clinicians involved in the therapy.

  • Patient organisations sharing lived experience.

When these voices remain active, policymakers can see that the issue continues to hold relevance across the sector and within the community.

Visibility ensures the therapy stays on the agenda at the moments when decisions are being shaped.

Why it matters

Every month of delay has tangible consequences for patients, for clinicians, and for the broader health system. While Australia’s processes are intentionally thorough, they respond to clear signals of impact, relevance, and urgency.

Therapies move forward more consistently when companies:

  • Make the stakes of delay recognisable.

  • Communicate evidence in a way that resonates beyond the technical details.

  • Maintain a visible presence within the political and clinical landscape.

These efforts help ensure that an innovation remains in focus, rather than waiting passively in a system designed to move slowly.

Supporting innovators through the process

London Agency works with organisations across the sector to help them create this kind of sustained momentum: aligning evidence, engagement, and visibility in ways that support timely progress.

If you’d like to strengthen your therapy’s position within the funding landscape, our team can help you navigate the journey with clarity and confidence.

Contact us here.