The development and implementation of innovation processes is no easy task, nor a guar- antee for new product success. In fact, there is no single best way to organise for innovation, and many causes of success and failure are often trace back to the NPD framework. Failures to innovate draw attention to the veracity of the decisions taken and the pro- cesses used to arrive at these decisions. Complex and dynamic environments accentuate these problems. Many companies experience difficulties in making correct decisions across a wide range of areas supporting their NPD frameworks. Firms are facing an increasing dichotomy between the external expectations of the market and internal competencies pro- ducing current product offerings. This can create strategic infection points (SIP),where com- panies are forced to adjust their competitive positioning to reduce the associated "strategic dissonance' between 'strategic intent' and strategic action (Burgleman and Grove, 1996). In such situations, it is critical that the right decisions are made by the right people at the right time. In this chapter, we examine the decisions and decision-making processes within NPD frameworks, which are being increasingly adopted by high-performing companies. Whilst