Clinical Development Services
The scientific and operational heart of TFS.
The CDS model
Built around therapeutic areas, not hand offs.
CDS teams are organised by therapeutic area, with every discipline embedded in the study team from day one. It changes how the work feels: decisions happen in the room, expertise compounds, and ownership is real.
Faster decisions
The medical monitor, the data lead and the CRA are in the same conversation, not a chain of tickets. Questions get answered while they are still small.
Deeper expertise
Years spent in one indication space, alongside scientific and medical experts you can learn from directly, rather than a new therapeutic area every quarter.
Real ownership
Fewer layers between an idea and a decision, and visible credit when it lands. A stronger sense of ownership is the point of the model.
CDS departments
Pick the field you want to master.
Five therapeutic area departments, each a close knit home of operational and scientific expertise. You join one, and can move between them as your career grows.
Dermatology
Inflammatory skin disease, immunology, infections and aesthetics, in trials with visually assessed endpoints and frequent patient reported outcomes. Scientific depth with hands on site collaboration and visible impact on study outcomes.
See roles ›Internal Medicine
The broadest brief in the building: cardiovascular, metabolic, respiratory, GI, infectious and autoimmune disease, often across multiple phases at once. Variety, complexity and real world relevance for large patient populations.
See roles ›Neuroscience
Neurodegeneration, psychiatry, pain, epilepsy and rare neurological disorders. Precision work with medical experts, advisory boards and global sites, for people who like hard problems.
See roles ›Oncology
Solid tumours and hematologic malignancies, early phase through post approval. Fast paced, complex protocols, accelerated timelines, and a direct role in advancing treatments for serious and life threatening disease.
See roles ›Ophthalmology
Retinal, inflammatory and degenerative eye disease. Highly specialised studies in a close knit, growing team, with deep therapeutic expertise at the forefront of research into vision.
See roles ›Not sure which field is yours?
Tell us where you have worked and what you are curious about. Movement between therapeutic areas is a normal career step here.
Connect with usThe roles
Every discipline a study needs, in one team.
Every discipline below sits inside the study team, hired into a therapeutic area and working alongside the rest.
Clinical Operations
Clinical Research Associate at every level, Clinical Trial Manager, Project Director. The engine room: sites, patients, timelines.
Medical and Scientific
Medical Monitor, Medical Advisor, Medical Writer. Judgement, safety oversight and the scientific voice of the study.
Biometrics and Data
Data Manager, Biostatistician, Statistical Programmer. From CRF to submission ready evidence.
Regulatory and Start Up
Regulatory Affairs Specialist, Study Start Up Lead. Approvals and site activation across 40 countries.
Safety and Pharmacovigilance
Drug Safety Officer, PV Manager, Safety Physician. Protecting participants around the clock.
Quality
QA Auditor, Quality Manager. GCP, audits and inspection readiness.
Life in CDS
What it feels like on a Tuesday.
Collaboration you can feel
Clinical operations, data, medical, regulatory and safety in one conversation, with study teams working shoulder to shoulder across time zones.
Room to improve things
Our in house innovations, from protocol deviation tooling to decentralised study design, began with someone on a study team saying there is a smarter way.
A humane rhythm
Meeting hours that respect several time zones, capacity planned in advance, and managers who solve a crunch instead of leaning on your evenings.
Belonging, not fitting in
Careers here began in nursing, pharmacy, academia and industry. Speaking up about quality, safety or ethics is expected of everyone.
Career growth
Two ways up, and both are real.
Deepen expertise as a specialist or take on people and programme leadership, with clear levels and honest conversations either way. You will not need to wait for a reorganisation to take a step.
01
Learn
Structured GCP, therapeutic area and systems training, plus study specific onboarding before you ever face a site alone.
02
Be mentored
A buddy from day one, and a mentor outside your own line, for the questions you would rather not ask your manager.
03
Advance
Specialist or leadership. Take the next level in your discipline, or grow into running studies, programmes and teams.
04
Stretch
Join a new indication, embed with a sponsor via SRS, or help open a study in a country we have never run in before.
Good questions
Questions we get asked a lot.
Do I need CRO experience to join CDS?
No. Careers here began in nursing, pharmacy, academia and industry. Structured GCP, therapeutic area and systems training, plus study specific onboarding, come before you ever face a site alone.
Which therapeutic area would I join?
You are hired into one of the five therapeutic area departments, usually matching your experience or interest. Tell us what you are curious about: movement between areas is a normal career step, not a transfer request that dies in a drawer.
Where would I work: office, hybrid or remote?
Set by the role, not by presenteeism. Teams hold together across time zones through good habits: written hand overs, cameras on stand ups, and meeting hours that respect where people actually are.
How does progression actually work?
A development plan you own and a manager measured on it. Specialist and leadership tracks both have clear levels, and honest conversations about where you are on them.
What is the difference between CDS and SRS?
CDS runs studies end to end in TFS teams, while SRS embeds TFS experts inside sponsor organisations. Same employer, same mission, and people move between the two.
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Working here feels energising and purposeful. I’m surrounded by people who genuinely care about doing great work and supporting one another, which makes even the busiest days feel rewarding. There’s room to grow, space to share ideas, and a culture that encourages curiosity and collaboration. It’s the kind of environment where you feel both trusted and inspired to do your best.
Victoria Hornagold
Vice President, Clinical Development Services - Operations
