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REG - GlaxoSmithKline PLC - Final Results

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RNS Number : 0848B  GlaxoSmithKline PLC  09 February 2022

 Issued: Wednesday, 9 February 2022, London U.K.

 

 GSK delivers FY 2021 reported sales of £34 billion, stable at AER, +5% CER;

 Total EPS 87.6p -24% AER, -13% CER and Adjusted EPS of 113.2p -2% AER, +9% CER

 

 Highlights

 Strong commercial execution drives growth across Pharmaceuticals, Vaccines and
 Consumer Healthcare (excluding brands divested/under review)
 ·   Pharmaceuticals £17.7 billion +4% AER, +10% CER; New and Specialty medicines
     £10 billion +20% AER, +26% CER; Respiratory +21% AER, +28% CER;
     Immuno-inflammation +22% AER, +29% CER; Oncology +31% AER, +37% CER; total HIV
     -2% AER, +3% CER
 ·   Vaccines £6.8 billion -3% AER, +2% CER; Shingrix £1.7 billion -13% AER, -9%
     CER
 ·   COVID-19 solutions sales £1.4 billion; Xevudy £958 million; pandemic
     adjuvant £447 million
 ·   Consumer Healthcare £9.6 billion -4% AER, stable CER (+4% excluding brands
     divested/under review)

 Continued momentum in R&D delivery and strengthening of pipeline
 ·   3 major product approvals during 2021; Apretude HIV long-acting medicine for
     prevention (Dec); Xevudy for COVID-19 (Dec); and Jemperli for endometrial
     cancer (April)
 ·   Strong pipeline of 21 vaccines and 43 medicines, many offering potential best
     or first-in-class opportunities for patients, and of which 22 are in pivotal
     trials
 ·   Positive Phase III data on daprodustat in anaemia due to chronic kidney
     disease presented at American Society of Nephrology. On track to file in EU
     and US in H1 2022
 ·   20+ deals executed securing access to 5 novel clinical assets, including with
     iTeos in immuno-oncology, Alector in immuno-neurology and Vir Biotechnology in
     flu, plus technologies that expand our capabilities in human genetics and AI
 ·   Expect to report milestones in 2022 on up to 7 of the 11 potential new
     vaccines and medicines identified as key future growth drivers including Older
     Adults RSV vaccine (H1 2022)

 Cost discipline supports delivery of Adjusted EPS of 113.2p
 ·   Total Group operating margin 18.2%. Total EPS 87.6p -24% AER, -13% CER
 ·   Adjusted Group operating margin 25.8%. Adjusted EPS 113.2p -2% AER, +9% CER.
     This included a contribution to growth from COVID-19 solutions of
     approximately +8% AER, +9% CER (+17% AER, +20% CER for Q4 2021)
 ·   Full year 2021 net cash flow from operations £8.0 billion. Full year free
     cash flow £4.4 billion

 On track to demerge a new world-leading Consumer Healthcare business mid-2022
 ·   Progress to create new Board with appointment of Chair Designate
 ·   Capital Markets Day on 28 February to highlight overall strategy, capabilities
     and operations, including detailed financial information and superior growth
     ambitions

 2022 guidance for new GSK
 ·   New GSK, the biopharma business, expected to deliver growth in 2022 sales of
     between 5% to 7% at CER and growth in 2022 Adjusted operating profit of
     between 12% to 14% at CER including the anticipated benefit in royalty income
     from Gilead settlement
 ·   This 2022 guidance excludes any contribution from COVID-19 solutions
 ·   Dividend of 23p declared for Q4 2021; 80p FY 2021

 

 Emma Walmsley, Chief Executive Officer, GSK: "We have ended the year strongly,
 with another quarter of excellent performance driven by first-class commercial
 execution, and we enter 2022 with good momentum. This is going to be a
 landmark year for GSK, with a step-change in growth expected and multiple
 R&D catalysts, including milestones on up to 7 key late-stage pipeline
 assets. 2022 is also the year when we demerge our world-leading Consumer
 Healthcare business. At our capital markets event later this month, we will
 set out the future growth ambitions and highly attractive financial profile of
 this business, and the outstanding opportunity it provides for shareholders."

 

 

 The Total results are presented in summary on page 2 and under 'Financial
 performance' on pages 13 and 28 and Adjusted results reconciliations are
 presented on pages 23, 24, 38 and 39. Adjusted results are a non-IFRS measure
 that may be considered in addition to, but not as a substitute for, or
 superior to, information presented in accordance with IFRS. Adjusted results
 are defined on page 10 and £% or AER% growth, CER% growth, free cash flow and
 other non-IFRS measures are defined on page 61. GSK provides guidance on an
 Adjusted results basis only, for the reasons set out on page 10. All
 expectations, guidance and targets regarding future performance and dividend
 payments should be read together with 'Guidance, assumptions and cautionary
 statements' on pages 62 and 63.

 

 

 2021 results
                                     2021          Growth               Q4 2021      Growth
                                     £m            £%         CER%      £m           £%         CER%

 Turnover                            34,114        -          5         9,527        9          13

 Total operating profit              6,201         (20)       (9)       895          (16)       1
 Total earnings per share            87.6p         (24)       (13)      15.0p        10         31

 Adjusted operating profit           8,806         (1)        9         1,893        4          15
 Adjusted earnings per share         113.2p        (2)        9         25.6p        9          22

 Net cash from operating activities  7,952         (6)                  3,767        (2)
 Free cash flow                      4,437         (18)                 2,901        (7)

 

 2022 guidance
 We set out below our guidance for new GSK in 2022. This guidance is provided
 at CER and excludes the commercial impact of COVID-19 solutions.

 In 2022 we expect to continue to deliver on our strategic priorities. We plan
 to increase targeted investment in R&D, to build on and invest behind our
 top line momentum for key growth drivers and to deliver the demerger of our
 Consumer Healthcare business in mid-year. Assuming global economies and
 healthcare systems approach normality as the year progresses, we expect sales
 of Specialty Medicines to grow approximately 10% at CER and sales of General
 Medicines to show a slight decrease, primarily reflecting increased
 genericisation of established Respiratory products. Vaccines sales are
 expected to grow at a low teens percentage at CER for the year as a whole.
 However, governments' prioritisation of COVID-19 vaccination programmes and
 ongoing measures to contain the pandemic are expected to result in some
 continued disruption to adult immunisations, with the impact weighted to the
 first half. For Shingrix, despite the potential for short-term pandemic
 disruption, we continue to expect strong double-digit growth and record annual
 sales based on strong demand in existing markets and geographical expansion.

 Reflecting these factors, in 2022 for new GSK we expect sales to grow between
 5% to 7% at CER and Adjusted operating profit to grow between 12% to 14% at
 CER as compared with 2021. This includes the future benefit in royalty income
 from the settlement and license agreement with Gilead Sciences, Inc. (Gilead)
 announced on 1 February 2022.

 Medium term outlooks will be provided for Consumer Healthcare at a Capital
 Markets Day scheduled for 28 February 2022. Until such time as the formal
 criteria for treating Consumer Healthcare as a 'Discontinued operation' have
 been satisfied (currently expected in Q2 2022), GSK will continue to present
 the Consumer Healthcare business within 'Continuing operations' and will
 consolidate the business for reporting purposes until the demerger has
 completed.

 Dividend policies and expected pay-out ratios are unchanged for new GSK and
 new Consumer Healthcare (subject to new Consumer Healthcare board approval).
 The expected distribution per share for the new Consumer Healthcare Company
 for the second half of 2022 has been adjusted from that highlighted at the GSK
 Investor Update in June 2021 to reflect the total number of shares in the new
 Consumer Healthcare company that are expected to be in issue upon demerger.
 The future dividend policies and guidance in relation to the expected dividend
 pay-out in 2022 across both new GSK and new Consumer Healthcare are provided
 on page 43.

 2022 COVID-19 solutions expectations

 In 2022, based on known binding agreements from governments we expect that
 COVID-19 solutions will contribute a similar sales level to 2021, but a
 substantially reduced profit contribution due to the increased proportion of
 lower margin Xevudy sales. We expect this to reduce new GSK Adjusted Operating
 profit growth (including COVID-19 solutions in both years) by between 5% to
 7%. We continue to discuss further opportunities with governments.

 All expectations, guidance and targets regarding future performance and
 dividend payments should be read together with 'Guidance, assumptions and
 cautionary statements' on pages 62 and 63. If exchange rates were to hold at
 the closing rates on 31 January 2022 ($1.34/£1, €1.20/£1 and Yen 155/£1)
 for the rest of 2022, the estimated impact on 2022 Sterling turnover growth
 for new GSK would be stable and if exchange gains or losses were recognised at
 the same level as in 2021, the estimated impact on 2021 Sterling Adjusted
 Operating Profit growth for new GSK would also be stable.

 

 Results presentation
 A webcast of the quarterly results presentation hosted by Emma Walmsley, GSK
 CEO, will be held at 2pm GMT on 9 February 2022. Presentation materials will
 be published on www.gsk.com prior to the webcast and a transcript of the
 webcast will be published subsequently.

 Information available on GSK's website does not form part of, and is not
 incorporated by reference into, this Results Announcement.

 

 

 Operating performance - 2021

 

 Turnover
                      £m          Growth      Growth

                                  £%          CER%

 Pharmaceuticals      17,729      4           10
 Vaccines             6,778       (3)         2
 Consumer Healthcare  9,607       (4)         -

 Group turnover       34,114      -           5

 

 Group turnover was £34,114 million in the year, stable at AER but up 5% CER.
 Sales of COVID-19 solutions contributed approximately 4 percentage points to
 growth in the year.

 Pharmaceutical turnover in the year was £17,729 million, up 4% AER and 10%
 CER. Sales of Xevudy, the monoclonal antibody treatment for COVID-19 of £958
 million contributed approximately 6 percentage points to total Pharmaceuticals
 growth.

 Vaccines turnover was £6,778 million in the year, down 3% AER but up 2% CER,
 primarily driven by pandemic adjuvant sales, partially offset by lower demand
 for routine adult vaccination due to COVID-19 vaccination programme deployment
 and disease circulation across regions. Vaccines turnover excluding pandemic
 vaccines decreased 9% AER, 5% CER to £6,331 million.

 Consumer Healthcare turnover was £9,607 million, down 4% AER but remained
 stable at CER reflecting dilution from divestments given the completion of the
 portfolio rationalisation at the end of Q1 2021. Sales excluding brands
 divested/under review decreased 1% AER but increased 4% CER reflecting the
 underlying strength of brands across the portfolio and categories and
 continuing growth in e-commerce.

 Operating profit

 Total operating profit was £6,201 million compared with £7,783 million in
 2020. This primarily reflected an unfavourable comparison to the net profit on
 disposal in Q2 2020 of Horlicks and other Consumer brands and resultant sale
 of shares in Hindustan Unilever. This was partly offset by lower major
 restructuring costs, lower re-measurement charges on the contingent
 consideration liabilities and the unwind in 2020 of the fair market value
 uplift on inventory arising on completion of the Consumer Healthcare Joint
 Venture with Pfizer.

 Adjusted operating profit was £8,806 million, 1% lower than 2020 at AER, but
 9% higher at CER on a turnover increase of 5% CER. The Adjusted operating
 margin of 25.8% was 0.3 percentage points lower at AER, 0.9 percentage points
 higher on a CER basis than in 2020. The increase in Adjusted operating profit
 primarily reflected the benefit from incremental pandemic sales, sales growth
 in Pharmaceuticals and tight control of ongoing costs, favourable legal
 settlements and benefits from continued restructuring across the business.
 This was offset by lower sales in Vaccines, higher supply chain costs in
 Vaccines and Consumer Healthcare, divestments in Consumer Healthcare and
 increased investment in R&D across Vaccines and Pharmaceuticals.

 Earnings per share

 Total EPS was 87.6p, compared with 115.5p in 2020. This primarily reflected an
 unfavourable comparison as 2020 benefited from the net profit on disposal of
 Horlicks and related transactions, partly offset by a credit of £397 million
 to Taxation in 2021 resulting from the revaluation of deferred tax assets,
 lower major restructuring costs and lower re-measurement charges on the
 contingent consideration liabilities. Adjusted EPS was 113.2p compared with
 115.9p in 2020, down 2% AER but up 9% CER, on a 9% CER increase in Adjusted
 operating profit primarily reflecting incremental pandemic sales, sales
 increases in Pharmaceuticals, tight cost control and favourable legal
 settlements and lower interest costs, partly offset by lower sales in
 Vaccines, higher supply chain costs in Vaccines, increased R&D investment
 and a higher effective tax rate.

 Cash flow

 The net cash inflow from operating activities for the year was £7,952 million
 (2020: £8,441 million). The decrease primarily reflected adverse exchange
 impacts, increased trade receivables, adverse timing of returns and rebates
 (RAR) and increased separation costs, partly offset by improved adjusted
 operating profit at CER and reduced tax payments including tax on disposals.

 

 

 Operating performance - Q4 2021

 

 Turnover             Q4 2021

                      £m         Growth      Growth

                                 £%          CER%

 Pharmaceuticals      5,221      20          25
 Vaccines             1,809      (10)        (7)
 Consumer Healthcare  2,497      6           10

 Group turnover       9,527      9           13

 

 Group turnover was £9,527 million in the quarter, up 9% AER, 13% CER. Sales
 of COVID-19 solutions contributed approximately 11 percentage points to total
 growth in the quarter.

 Pharmaceutical turnover in the quarter was £5,221 million, up 20% AER, 25%
 CER. The increase was driven by strong growth in New and Specialty products,
 partly offset by a decrease in the Established Products portfolio. Sales of
 Xevudy of £828 million contributed approximately 20 percentage points to
 Pharmaceuticals growth in the quarter.

 Vaccines turnover decreased 10% AER, 7% CER to £1,809 million. This was
 primarily driven by lower Meningitis vaccines sales associated with the return
 to a normal US back-to-school season, lower DTPa-containing vaccines sales due
 to unfavourable CDC purchasing patterns in the US and lower Shingrix sales
 resulting from the negative impact of COVID-19 vaccination programme
 deployment and disease circulation, partly offset by pandemic adjuvant sales.

 Consumer Healthcare turnover in the quarter was £2,497 million, up 6% AER,
 10% CER. Sales excluding brands divested/under review increased 7% AER, 11%
 CER with strong growth across the whole portfolio but particularly Respiratory
 health which rebounded from the historically low cold and flu season in both
 Q4 2020 and Q1 2021.

 Operating profit

 Total operating profit was £895 million in Q4 2021 compared with £1,061
 million in Q4 2020. This reflected higher re-measurement charges on the
 contingent consideration liabilities including the impact of the Gilead
 settlement partly offset by lower restructuring and higher profit on disposal
 of assets.

 Adjusted operating profit was £1,893 million, 4% higher than Q4 2020 at AER,
 15% higher at CER on a turnover increase of 13% CER. The Adjusted operating
 margin of 19.9% was 0.9 percentage points lower at AER, and 0.2 percentage
 points higher on a CER basis than in Q4 2020. The increase in Adjusted
 operating profit primarily reflected leverage from £920 million of pandemic
 sales as well as strong growth in New and Specialty Products and a favourable
 prior period RAR adjustment in Pharmaceuticals, continued tight control of
 ongoing costs and benefits from continued restructuring across the business.
 This was partly offset by increased investment in R&D, increased
 investment behind launches and higher supply chain costs resulting from lower
 demand and higher inventory adjustments in Vaccines.

 Earnings per share

 Total EPS was 15.0p, compared with 13.6p in Q4 2020. This primarily reflected
 lower restructuring and higher disposal income partly offset by higher
 re-measurement charges. Adjusted EPS was 25.6p compared with 23.3p in Q4 2020,
 up 9% AER and 22% CER, on a 15% CER increase in Adjusted operating profit
 reflecting positive leverage from Xevudy sales in the quarter and lower
 interest costs partly offset by a higher non-controlling interest allocation
 of Consumer Healthcare profits.

 Cash flow

 The net cash inflow from operating activities for the quarter was £3,767
 million (Q4 2020: £3,855 million). The reduction primarily reflected adverse
 exchange impacts and a lower seasonal reduction in trade receivables in the
 quarter and phasing of tax payments partly offset by improved adjusted
 operating profit at CER and favourable timing of RAR.

 

 

 R&D pipeline

 

 We focus on the science of the immune system, human genetics and advanced
 technologies to develop Vaccines and Specialty Medicines in four core
 therapeutic areas - Infectious Diseases, HIV, Oncology and
 Immunology/Respiratory. We also remain open to opportunities outside these
 core therapy areas where there are scale opportunities consistent with the
 science of the immune system and human genetic validation.

 As disclosed at the Investor Update on 23 June 2021, the company has a robust
 late-stage R&D pipeline with many assets having the potential to be
 first-in-class or best-in-class, as well as offering significant strategic
 lifecycle opportunities. The late-stage pipeline will help deliver the sales
 ambition set by the company for 2021-2026 and beyond.

 Our R&D pipeline currently comprises 64 Vaccines and Specialty Medicines.

 Pipeline news flow highlights since Q3 2021 are listed below in chronological
 order.

 

 Infectious diseases

 

 Rotarix
 ·   Submitted a supplemental Biologics License Application for Rotarix Liquid (PCV
     free) in the US

 

 Shingrix
 ·   Received approval in Canada for the prevention of shingles in adults aged 18
     years and older who are or who will be at increased risk of shingles due to
     immunodeficiency or immunosuppression caused by known disease or therapy

 

 Varicella new strain candidate vaccine
 ·   Started a Phase II trial of a varicella candidate vaccine for use in the US
     for children aged 12 to 15 months

 

 Cervarix
 ·   Withdrew an application to the EMA for the prevention of head and neck cancers
     related to human papillomavirus (HPV)

 

 HIV

 

 Apretude (cabotegravir extended-release injectable suspension)
 ·   Received approval from the FDA for Apretude, the first and only long-acting
     injectable pre-exposure prophylaxis (PrEP) option to reduce the risk of
     sexually acquired HIV-1

 

 Cabenuva/Vocabria (cabotegravir) and Rekambys (rilpivirine)
 ·   Received approval from the FDA for every-two-month dosing for virologically
     suppressed adults living with HIV without prior treatment failure or
     resistance to cabotegravir or rilpivirine
 ·   Announced a decision from the European Commission to update the Summary of
     Product Characteristics for Vocabria and Janssen's Rekambys injections to be
     initiated with or without an oral lead-in period for the long-acting treatment
     of HIV
 ·   Presented positive interim data from the CARISEL Phase IIIb trial showing
     Vocabria and Janssen's Rekambys can be implemented successfully in a variety
     of European healthcare settings at the 2021 European AIDS Conference

 

 VH4004280 (capsid protein inhibitor)
 ·   Dosed the first patient in a Phase I trial investigating our capsid protein
     inhibitor for HIV

 

 Oncology

 

 Blenrep (belantamab mafodotin)
 ·   Presented new data from the DREAMM-9 Phase I trial and two collaborative
     studies at the 2021 American Society of Haematology annual meeting.
     Collectively, these data suggest that with an optimised dose, schedule and
     combination treatment, corneal events associated with Blenrep may be reduced
     in patients receiving earlier lines of therapy
 ·   Expanded our collaboration with SpringWorks Therapeutics to include two new
     sub-studies evaluating the combination of Blenrep plus nirogacestat with
     standard-of-care multiple myeloma therapies in the DREAMM-5 trial

 

 Jemperli (dostarlimab)
 ·   Received approval in Canada for the treatment of adult patients with mismatch
     repair deficient (dMMR) or microsatellite instability-high (MSI-H) recurrent
     or advanced endometrial cancer, that has progressed on or following prior
     treatment with a platinum containing regimen

 

 Immuno-oncology combinations
 ·   Dosed the first patient in a Phase I trial of GSK4428859 (EOS-448; TIGIT
     antagonist) in combination with Jemperli (dostarlimab)

 

 GSK3326595 and GSK3368715 (PRMT5 inhibitor and Type I PRMT inhibitor)
 ·   Removed from the Phase I pipeline due to prioritisation within the synthetic
     lethal portfolio (termination of in-license agreement with Epizyme will be
     effective on 16 March 2022)

 

 Next-generation cell therapy
 ·   Lyell announced FDA clearance of an Investigational New Drug application to
     initiate a Phase I trial, in collaboration with GSK, for LYL132 - an
     investigational T-cell receptor therapy that incorporates next-generation
     enhancements for patients with solid tumours expressing NY-ESO-1

 

 Immunology/Respiratory

 

 Nucala (mepolizumab)
 ·   Received approval from the FDA for a 40 mg prefilled syringe for appropriate
     patients aged 6 to 11 years old who have severe eosinophilic asthma,
     administered at home or by a child's health care provider
 ·   Received approval from the European Commission for Nucala in three additional
     eosinophil-driven diseases; hypereosinophilic syndrome, eosinophilic
     granulomatosis with polyangiitis, and chronic rhinosinusitis with nasal
     polyps, making it the only treatment in Europe approved for use in four
     eosinophil-driven diseases
 ·   Received approval in Canada as an add-on maintenance treatment with intranasal
     corticosteroids in adult patients with severe chronic rhinosinusitis with
     nasal polyps inadequately controlled by intranasal corticosteroids alone

 

 GSK4527223 (AL001; progranulin-elevating monoclonal antibody)
 ·   Alector presented positive data from the INFRONT-2 Phase II open-label trial
     of AL001 for the treatment of symptomatic frontotemporal dementia patients
     with a progranulin mutation at the 2021 Clinical Trials on Alzheimer's Disease
     conference

 

 GSK4532990 (ARO-HSD; RNA interference)
 ·   Announced a worldwide license agreement with Arrowhead Pharmaceuticals for
     GSK4532990 (ARO-HSD), a genetically validated investigational RNA interference
     therapeutic currently in Phase I/II trials for patients with non-alcoholic
     steatohepatitis (NASH). The agreement covers the medicine's development and
     commercialisation outside of greater China. The deal closed on 24 January 2022

 

 Benlysta (belimumab)
 ·   Received coverage in China's 2021 National Reimbursement Drug List for
     paediatric systemic lupus erythematosus in children aged five years and older
 ·   Recommended by the UK National Institute for Health and Care Excellence (NICE)
     as an add-on treatment option for active autoantibody-positive systemic lupus
     erythematosus in eligible people with high disease activity despite standard
     treatment

 

 GSK3888130 (IL-7 monoclonal antibody)
 ·   Dosed the first patient in a Phase I trial investigating our monoclonal
     antibody against IL-7, a genetically validated target for multiple sclerosis

 

 Opportunity driven

 

 Daprodustat (oral hypoxia-inducible factor prolyl hydroxylase inhibitor)
 ·   Presented new data from five trials in the ASCEND Phase III programme at the
     American Society of Nephrology's Kidney Week 2021. Presentations from the
     pivotal ASCEND-ND and ASCEND-D trials confirm the potential for a new oral
     treatment for patients with anaemia due to chronic kidney disease in both
     non-dialysis and dialysis settings. These data were simultaneously published
     in the New England Journal of Medicine

 

 Linerixibat (IBAT inhibitor)
 ·   Dosed the first patient in the GLISTEN Phase III trial for cholestatic
     pruritus in primary biliary cholangitis
 ·   Received Orphan Drug Designation from the European Commission

 

 GSK3884464
 ·   Dosed the first patient in a Phase I trial investigating GSK3884464 for heart
     failure

 

 COVID-19

 

 Xevudy (sotrovimab, VIR-7831/GSK4182136)
 ·   Submitted an application to the FDA requesting an amendment to the Emergency
     Use Authorisation to include intramuscular administration
 ·   Received binding agreements for the sale of approximately 1.7 million doses
     worldwide, including a portion of those procured by the US Government
 ·   Oxford University included sotrovimab in the RECOVERY trial, the world's
     largest COVID-19 study, as a possible treatment for hospitalised patients
 ·   Granted marketing authorisation from the European Commission for the early
     treatment of COVID-19 in adults and adolescents (aged 12 years and over and
     weighing at least 40 kg) who do not require supplemental oxygen and who are at
     increased risk of progressing to severe infection
 ·   Announced that preclinical studies demonstrated sotrovimab retains activity
     against the full combination of mutations in the spike protein of the Omicron
     variant
 ·   Granted conditional marketing authorisation from the UK's Medicines and
     Healthcare products Regulatory Agency (MHRA) and a supply agreement with the
     UK Government for the treatment of symptomatic adults and adolescents (aged 12
     years and over and weighing at least 40 kg) with acute COVID-19 infection who
     do not require oxygen supplementation and who are at increased risk of
     progressing to severe infection
 ·   Announced data from the COMET-TAIL Phase III trial demonstrating that
     intramuscular administration of sotrovimab was non-inferior and offered
     similar efficacy to intravenous administration for high-risk populations

 

 Vaccine collaborations
 ·   Medicago submitted Emergency Use Authorisation for a jointly developed
     plant-based COVID-19 vaccine candidate in Canada
 ·   Announced with Medicago data from the Phase III trial of their plant-based
     COVID-19 vaccine candidate, in combination with GSK's pandemic adjuvant, that
     demonstrated 71% efficacy against the main variants of SARS-COV-2 circulating
     at the time of the trial
 ·   Announced with Sanofi that a single booster dose of the recombinant adjuvanted
     COVID-19 vaccine candidate was well tolerated and delivered consistently
     strong immune responses regardless of the primary vaccine received

 

 

 Contents                                                        Page

 Total and Adjusted results                                      10
 Financial performance - 2021                                    13
 Financial performance - three months ended 31 December 2021     28
 Cash generation                                                 42
 Returns to shareholders                                         43

 Income statements                                               45
 Statement of comprehensive income                               46
 Pharmaceuticals turnover - year ended 31 December 2021          47
 Pharmaceuticals turnover - three months ended 31 December 2021  48
 Vaccines turnover - year ended 31 December 2021                 49
 Vaccines turnover - three months ended 31 December 2021         50
 Balance sheet                                                   51
 Statement of changes in equity                                  52
 Cash flow statement - year ended 31 December 2021               53
 Segment information                                             54
 Legal matters                                                   56
 Additional information                                          57
 Reconciliation of cash flow to movements in net debt            60
 Net debt analysis                                               60
 Free cash flow reconciliation                                   60
 Reporting definitions                                           61
 Guidance, assumptions and cautionary statements                 62

 

 

 Contacts

 

 GSK is a science-led global healthcare company. For further information please
 visit www.gsk.com/aboutus

 

 

 GSK enquiries:
 Media enquiries:             Tim Foley          +44 (0) 20 8047 5502  (London)
                              Kathleen Quinn     +1 202 603 5003       (Washington)

 Analyst/Investor enquiries:  Nick Stone         +44 (0) 7717 618834   (London)
                              James Dodwell      +44 (0) 7881 269066   (London)
                              Mick Readey        +44 (0) 7990 339653   (London)
                              Joshua Williams    +44 (0) 7385 415719   (London)
                              Jeff McLaughlin    +1 215 589 3774       (Philadelphia)
                              Frances De Franco  +1 570 236 4850       (Philadelphia)
                              Sonya Ghobrial     +44 (0) 7392 784784   (Consumer)

 

 

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 Registered Office:

 980 Great West Road

 Brentford, Middlesex

 TW8 9GS

 

 

 Total and Adjusted results

 

 Total reported results represent the Group's overall performance.

 GSK also uses a number of adjusted, non-IFRS, measures to report the
 performance of its business. Adjusted results and other non-IFRS measures may
 be considered in addition to, but not as a substitute for or superior to,
 information presented in accordance with IFRS. Adjusted results are defined
 below and other non-IFRS measures are defined on page 61.

 GSK believes that Adjusted results, when considered together with Total
 results, provide investors, analysts and other stakeholders with helpful
 complementary information to understand better the financial performance and
 position of the Group from period to period, and allow the Group's performance
 to be more easily compared against the majority of its peer companies. These
 measures are also used by management for planning and reporting purposes. They
 may not be directly comparable with similarly described measures used by other
 companies.

 GSK encourages investors and analysts not to rely on any single financial
 measure but to review GSK's quarterly results announcements, including the
 financial statements and notes, in their entirety.

 GSK is committed to continuously improving its financial reporting, in line
 with evolving regulatory requirements and best practice. In line with this
 practice, GSK expects to continue to review and refine its reporting
 framework.

 Adjusted results exclude the following items from Total results, together with
 the tax effects of all of these items:

 

 ·   amortisation of intangible assets (excluding computer software)
 ·   impairment of intangible assets (excluding computer software) and goodwill
 ·   Major restructuring costs, which include impairments of tangible assets and
     computer software, (under specific Board approved programmes that are
     structural, of a significant scale and where the costs of individual or
     related projects exceed £25 million), including integration costs following
     material acquisitions
 ·   transaction-related accounting or other adjustments related to significant
     acquisitions
 ·   proceeds and costs of disposal of associates, products and businesses;
     significant settlement income; significant legal charges (net of insurance
     recoveries) and expenses on the settlement of litigation and government
     investigations; other operating income other than royalty income, and other
     items including the one-off impact of the revaluation of deferred tax assets
     and liabilities following enactment of the increase in the headline rate of UK
     corporation tax from 19% to 25% (effective 2023)
 ·   separation costs include costs to establish Consumer Healthcare as an
     independent business, as well as admission listing and demerger costs

 

 Costs for all other ordinary course smaller scale restructuring and legal
 charges and expenses are retained within both Total and Adjusted results.

 As Adjusted results include the benefits of Major restructuring programmes but
 exclude significant costs (such as significant legal, major restructuring and
 transaction items) they should not be regarded as a complete picture of the
 Group's financial performance, which is presented in Total results. The
 exclusion of other Adjusting items may result in Adjusted earnings being
 materially higher or lower than Total earnings. In particular, when
 significant impairments, restructuring charges and legal costs are excluded,
 Adjusted earnings will be higher than Total earnings.

 GSK has undertaken a number of Major restructuring programmes in response to
 significant changes in the Group's trading environment or overall strategy, or
 following material acquisitions. Costs, both cash and non-cash, of these
 programmes are provided for as individual elements are approved and meet the
 accounting recognition criteria. As a result, charges may be incurred over a
 number of years following the initiation of a Major restructuring programme.

 Significant legal charges and expenses are those arising from the settlement
 of litigation or government investigations that are not in the normal course
 and materially larger than more regularly occurring individual matters. They
 also include certain major legacy matters.

 The enactment of the increase in the headline rate of UK corporation tax from
 19% to 25% (effective 2023) resulted in a credit to the income statement of
 £325 million in Q2 2021 revised upwards to £397 million in Q4 2021. Due to
 the magnitude, GSK has reported this credit as an Adjusting item in the year
 so that it does not obscure the key trends in the Group's performance for the
 period.

 Reconciliations between Total and Adjusted results, providing further
 information on the key Adjusting items, are set out on pages 23, 24, 38 and
 39.

 GSK provides earnings guidance to the investor community on the basis of
 Adjusted results. This is in line with peer companies and expectations of the
 investor community, supporting easier comparison of the Group's performance
 with its peers. GSK is not able to give guidance for Total results as it
 cannot reliably forecast certain material elements of the Total results,
 particularly the future fair value movements on contingent consideration and
 put options that can and have given rise to significant adjustments driven by
 external factors such as currency and other movements in capital markets.

 

 ViiV Healthcare

 ViiV Healthcare is a subsidiary of the Group and 100% of its operating results
 (turnover, operating profit, profit after tax) are included within the Group
 income statement.

 Earnings are allocated to the three shareholders of ViiV Healthcare on the
 basis of their respective equity shareholdings (GSK 78.3%, Pfizer 11.7% and
 Shionogi 10%) and their entitlement to preferential dividends, which are
 determined by the performance of certain products that each shareholder
 contributed. As the relative performance of these products changes over time,
 the proportion of the overall earnings allocated to each shareholder also
 changes. In particular, the increasing proportion of sales of dolutegravir and
 cabotegravir-containing products has a favourable impact on the proportion of
 the preferential dividends that is allocated to GSK. Adjusting items are
 allocated to shareholders based on their equity interests. GSK was entitled to
 approximately 86% of the Total earnings and 83% of the Adjusted earnings of
 ViiV Healthcare for 2021.

 As consideration for the acquisition of Shionogi's interest in the former
 Shionogi-ViiV Healthcare joint venture in 2012, Shionogi received the 10%
 equity stake in ViiV Healthcare and ViiV Healthcare also agreed to pay
 additional future cash consideration to Shionogi, contingent on the future
 sales performance of the products being developed by that joint venture,
 dolutegravir and cabotegravir. Under IFRS 3 'Business combinations', GSK was
 required to provide for the estimated fair value of this contingent
 consideration at the time of acquisition and is required to update the
 liability to the latest estimate of fair value at each subsequent period end.
 The liability for the contingent consideration recognised in the balance sheet
 at the date of acquisition was £659 million. Subsequent re-measurements are
 reflected within other operating income/(expense) and within Adjusting items
 in the income statement in each period.

 On 1 February 2022, ViiV Healthcare reached agreement with Gilead to settle
 the global patent infringement litigation relating to the commercialisation of
 Gilead's Biktarvy. Under the terms of the global settlement and licensing
 agreement, Gilead will make an upfront payment of $1.25 billion to ViiV
 Healthcare which is expected in the first quarter of 2022. In addition, Gilead
 will also pay a 3% royalty on all future US sales of Biktarvy and in respect
 of the bictegravir component of any other future bictegravir-containing
 products sold in the US. These royalties will be payable by Gilead to ViiV
 Healthcare from 1 February 2022 until the expiry of ViiV Healthcare's US
 Patent No. 8,129,385 on 5 October 2027. Gilead's obligation to pay royalties
 does not extend into any period of regulatory paediatric exclusivity, if
 awarded. The settlement resulted in a re-measurement of the existing
 liabilities for contingent consideration and the Pfizer put option at the 2021
 year end. The upfront payment is a contingent asset at the balance sheet date.

 The impact on the contingent consideration liability (CCL) is to increase it
 by £288 million, on a post-tax basis in Q4 2021 due to the obligation ViiV
 Healthcare has to pay future cash consideration to Shionogi for its share of
 the upfront and of the future US sales performance of Biktarvy and products
 containing bictegravir. Including the impact of the settlement at 31 December
 2021, the liability which is discounted at 8% stood at £5,559 million, on a
 post-tax basis.

 Pfizer has the right to require GSK to acquire its shareholding in ViiV
 Healthcare in certain circumstances* at any time. A put option liability is
 therefore recorded on the Group's balance sheet as a current liability. It is
 measured on the gross redemption basis derived from an internal valuation of
 the ViiV Healthcare business.

 The impact of the settlement on the Pfizer put option liability is an increase
 of £114 million and is included in the re-measurement at 31 December 2021.

 See page 59 for an explanation of the post balance sheet event impact.

 Cash payments to settle the contingent consideration are made to Shionogi by
 ViiV Healthcare each quarter, based on the actual sales performance and other
 income of the relevant products in the previous quarter. These payments reduce
 the balance sheet liability and hence are not recorded in the income
 statement. The cash payments made to Shionogi by ViiV Healthcare in 2021 were
 £826 million.

 As the liability is required to be recorded at the fair value of estimated
 future payments, there is a significant timing difference between the charges
 that are recorded in the Total income statement to reflect movements in the
 fair value of the liability and the actual cash payments made to settle the
 liability.

 Further explanation of the acquisition-related arrangements with ViiV
 Healthcare are set out on pages 52 and 53 of the Annual Report 2020.

 

 *  See page 53 of GSK's Annual Report 2020.

 

 

 Financial performance - 2021

 

 Total results

 

 The Total results for the Group are set out below.

 

                                             2021          2020          Growth      Growth

                                             £m            £m            £%          CER%

 Turnover                                    34,114        34,099        -           5

 Cost of sales                               (11,603)      (11,704)      (1)         2

 Gross profit                                22,511        22,395        1           7

 Selling, general and administration         (10,975)      (11,456)      (4)         -
 Research and development                    (5,278)       (5,098)       4           7
 Royalty income                              419           318           32          32
 Other operating (expense)/income            (476)         1,624

 Operating profit                            6,201         7,783         (20)        (9)

 Finance income                              28            44
 Finance expense                             (784)         (892)
 Share of after tax profits of associates    33            33

   and joint ventures
 Loss on disposal of interest in associates  (36)          -

 Profit before taxation                      5,442         6,968         (22)        (10)

 Taxation                                    (346)         (580)
 Tax rate %                                  6.4%          8.3%

 Profit after taxation                       5,096         6,388         (20)        (9)

 Profit attributable to non-controlling      711           639

   interests
 Profit attributable to shareholders         4,385         5,749

                                             5,096         6,388         (20)        (9)

 Earnings per share                          87.6p         115.5p        (24)        (13)

 

 

 Adjusted results

 

 The Adjusted results for the Group are set out below. Reconciliations between
 Total results and Adjusted results for 2021 and 2020 are set out on pages 23
 and 24.

 

                                               2021

                                               £m            % of           Growth      Reported

                                                             turnover       £%          growth

                                                                                        CER%

 Turnover                                      34,114        100            -           5

 Cost of sales                                 (10,726)      31.4           5           8
 Selling, general and administration           (10,225)      30.0           (5)         (1)
 Research and development                      (4,776)       14.0           4           8
 Royalty income                                419           1.2            32          32

 Adjusted operating profit                     8,806         25.8           (1)         9

 Adjusted profit before tax                    8,086                        -           11
 Adjusted profit after tax                     6,671                        (2)         9
 Adjusted profit attributable to shareholders  5,665                        (2)         9

 Adjusted earnings per share                   113.2p                       (2)         9

 

 

 Operating profit by business             2021

                                          £m           % of           Growth      Reported

                                                       turnover       £%          growth

                                                                                  CER%

 Pharmaceuticals                          8,170        46.1           6           15
 Pharmaceuticals R&D*                     (3,489)                     (1)         3

 Total Pharmaceuticals                    4,681        26.4           12          24
 Vaccines                                 2,256        33.3           (17)        (11)
 Consumer Healthcare                      2,239        23.3           1           9

                                          9,176        26.9           1           10
 Corporate & other unallocated costs      (370)

 Adjusted operating profit                8,806        25.8           (1)         9

 

 *  Operating profit of Pharmaceuticals R&D segment, which is the
    responsibility of the Chief Scientific Officer and President, R&D. It
    excludes ViiV Healthcare R&D expenditure, which is reported within the
    Pharmaceuticals segment.

 

 

 Turnover

 

 Pharmaceuticals turnover

 

                              2021

                              £m          Growth      Growth

                                          £%          CER%

 Respiratory                  2,863       21          28
 HIV                          4,777       (2)         3
 Immuno-inflammation          885         22          29
 Oncology                     489         31          37
 Pandemic                     958         -           -

 New and Speciality           9,972       20          26
 Established Pharmaceuticals  7,757       (11)        (6)

                              17,729      4           10

 US                           8,442       13          21
 Europe                       3,934       (4)         (2)
 International                5,353       (3)         4

                              17,729      4           10

 

 Pharmaceuticals turnover in the year was £17,729 million, up 4% AER, 10% CER.
 Sales of Xevudy, the monoclonal antibody treatment for COVID-19 of £958
 million contributed approximately 6 percentage points to Pharmaceuticals
 growth.

 HIV sales were down 2% AER but up 3% CER, to £4,777 million, with growth in
 Dovato and Juluca partly offset by Tivicay and Triumeq. Respiratory sales were
 up 21% AER, 28% CER, to £2,863 million, on growth of Trelegy and Nucala.
 Oncology and Immuno-Inflammation therapy areas each continued to show strong
 double-digit sales growth. Sales of Established Pharmaceuticals decreased 11%
 AER, 6% CER to £7,757 million.

 In the US, sales grew 13% AER, 21% CER including sales of Xevudy, which
 contributed approximately 9 percentage points to total growth. Continued
 strong performance of Trelegy, Nucala, Benlysta and Dovato also drove growth
 of New and Specialty products in the Region. Established Products were stable
 at AER but grew 6% CER, reflecting strong demand for Established Respiratory
 products in the COVID-19 environment and certain supply challenges faced by
 generic competitor products, plus the benefit of favourable prior period RAR
 adjustments.

 In Europe, sales decreased 4% AER, 2% CER, with decreases in the Established
 Pharmaceuticals portfolio, impacted by generic competition including Seretide,
 Duodart and Volibris, lower antibiotic demand, and the divestment of
 cephalosporin products at the start of the fourth quarter. The decrease was
 partly offset by strong growth of Trelegy, Benlysta and Oncology products, and
 of Dovato which more than doubled in the year. Sales of Xevudy totalling £69
 million also contributed approximately 2 percentage points to total growth.

 International sales decreased 3% AER but grew 4% CER. Decreases in Established
 Pharmaceuticals reflected the impact of COVID-19 suppressed antibiotics
 markets and increased generic competition in the first half of the year. This
 was offset by strong growth in Respiratory, Dovato, Tivicay tenders, and sales
 of Xevudy, which added approximately 6 percentage points to International
 total growth.

 Respiratory

 Total Respiratory sales were up 21% AER, 28% CER, with sales of Trelegy and
 Nucala each exceeding £1 billion per year for the first time. International
 Respiratory sales grew 33% AER, 42% CER including Nucala up 23% AER, 34% CER,
 and Trelegy up 81% AER, 92% CER including the impact of the Trelegy asthma
 launch in Japan in Q4 2020. In Europe, Respiratory grew 11% AER, 13% CER with
 double digit CER growth of Trelegy and Nucala. In the US, Respiratory grew 23%
 AER, 30% CER, driven by continued strong performance of Trelegy and Nucala.

 Sales of Nucala were £1,142 million in the year and grew 15% AER, 22% CER,
 with consistent, strong growth across all three regions. US sales were up 15%
 AER, 23% CER to £690 million and International sales of £195 million grew
 23% AER, 34% CER. Europe sales of £257 million grew 8% AER, 11% CER.

 Trelegy sales were up 49% AER, 57% CER to £1,217 million driven by growth in
 all regions. In the US, sales continue to grow strongly including benefit of
 the asthma indication approved and launched in Q3 2020, with sales up 52% AER,
 62% CER. In Europe, sales grew 19% AER, 21% CER and in International, where
 Trelegy asthma was approved in Japan in Q4 2020, sales grew 81% AER, 92% CER
 to £163 million.

 HIV

 HIV sales were £4,777 million a decrease of 2% AER but growth of 3% CER for
 the year. Triumeq sales were £1,882 million, down 18% AER, 14% CER and
 Tivicay sales were £1,381 million, down 10% AER, 4% CER. The mature portfolio
 resulted in less than 1 percentage point of CER sales decrease.

 New HIV products Juluca, Dovato, Rukobia and Cabenuva delivered sales of
 £1,387 million representing 29% of the total HIV portfolio (18% in 2020).
 Sales of the two drug regimens Juluca and Dovato were £517 million and £787
 million, respectively, with combined growth of 50% AER, 58% CER. Rukobia sales
 were £45 million. Cabenuva, the first long acting injectable, recorded £38
 million of sales for the full year.

 In the US, total sales were £2,898 million with a decrease of 4% AER, but
 growth of 3% CER. New HIV products delivered sales of £896 million,
 including: Dovato £428 million with growth of 87% AER, 99% CER, Juluca £393
 million with growth of 2% AER, 8% CER, Rukobia £43 million and Cabenuva £32
 million. Combined Tivicay and Triumeq sales were £1,953 million declining 16%
 AER, 11% CER. In Europe, total sales were £1,194 million with a decrease of
 2% AER, but growth of 1% CER. New HIV products delivered sales of £420
 million, including: Dovato sales of £302 million, which more than doubled at
 AER and CER, and Juluca £111 million with growth of 14% AER, 18% CER.
 Combined Tivicay and Triumeq sales were £738 million declining 21% AER, 19%
 CER. International continued to grow strongly with total sales of £685
 million, with growth of 4% AER, 11% CER, driven by the Tivicay tender business
 and new HIV products.

 Immuno-inflammation

 Immuno-inflammation sales of £885 million grew 22% AER, 29% CER with Benlysta
 sales up 22% AER, 29% CER to £874 million, benefitting from lupus nephritis
 launches in US and Japan in H2 2020.

 Oncology

 Sales of Zejula, the PARP inhibitor treatment for ovarian cancer were £395
 million, up 17% AER, 22% CER, impacted by ongoing lower diagnosis rates due to
 the COVID-19 pandemic, particularly in the US. Sales included £212 million in
 the US and £163 million in Europe.

 Blenrep for the treatment of patients with relapsed or refractory multiple
 myeloma was approved and launched in the US and Europe in Q3 2020, with
 ongoing launches throughout Europe in 2021. Blenrep sales globally totalled
 £89 million.

 Pandemic Sales

 Sales of Xevudy were £958 million in the year, reflecting the ongoing
 fulfilment of contracts across the world and most significantly in the US,
 which reported sales of £602 million. International recorded sales of £287
 million and Europe £69 million.

 Established Pharmaceuticals

 Sales of Established Pharmaceuticals in the year were £7,757 million, down
 11% AER, 6% CER.

 Established Respiratory products decreased 7% AER, 2% CER to £4,327 million.
 This includes the impact of generic competition to Xyzal in Japan, and to
 Advair/Seretide globally. The decrease was partially offset by approximately 6
 percentage points impact on growth of favourable prior period RAR adjustments.

 The remainder of the Established Pharmaceuticals portfolio decreased by 16%
 AER, 11% CER to £3,430 million on lower demand for antibiotics during the
 COVID-19 pandemic period, the divestment of GSK's cephalosporin products at
 the start of the fourth quarter, and the impact of government mandated changes
 increasing use of generics in markets including France, Japan and China.

 

 

 Vaccines turnover

 

                       2021

                       £m         Growth      Growth

                                  £%          CER%

 Meningitis            961        (7)         (2)
 Influenza             679        (7)         (2)
 Shingles              1,721      (13)        (9)
 Established Vaccines  2,970      (8)         (4)

                       6,331      (9)         (5)
 Pandemic Vaccines     447        -           -

 Total Vaccines        6,778      (3)         2

 US                    3,472      (6)         -
 Europe                1,436      -           2
 International         1,870      1           5

                       6,778      (3)         2

 

 Vaccines turnover in the year decreased 3% at AER, but grew 2% CER to £6,778
 million, primarily driven by pandemic adjuvant sales, partially offset by
 lower demand for routine adult vaccination due to COVID-19 vaccination
 programme deployment and disease circulation across regions, resulting in
 lower Shingrix and Hepatitis vaccines sales. Unfavourable US prior period RAR
 adjustments reduced overall Vaccines growth by approximately 2 percentage
 points, particularly in Fluarix/Flulaval and Shingrix where the impact on
 product growth was a decrease of 7% and a decrease of 2% respectively.

 Vaccines turnover excluding pandemic vaccines decreased 9% AER, 5% CER to
 £6,331 million.

 Meningitis

 Meningitis sales decreased 7% AER, 2% CER to £961 million driven primarily by
 unrepeated International tender volumes for other Meningitis vaccines. Bexsero
 sales were stable at AER, but grew 5% CER to £650 million, reflecting
 increased market share in the US.

 Menveo sales were up 3% AER, 9% CER to £272 million, primarily driven by 2020
 cohort catch-up vaccinations and 2021 higher demand, as well as increased
 market share in the US.

 Influenza

 Fluarix/FluLaval sales decreased 7% AER, 2% CER, to £679 million as a result
 of unfavourable prior period RAR movements in the US, partially offset by
 higher volume in the US and strong southern hemisphere demand in
 International.

 Shingles

 Shingrix decreased 13% AER, 9% CER to £1,721 million, primarily driven by
 lower demand in the US and International for routine adult vaccination due to
 COVID-19 vaccination programme deployment and disease circulation. In Europe,
 sales growth was driven by Germany and launches in the UK, Spain and Italy.
 Shingrix was sold in 17 countries, including 9 markets launched during 2021.

 Established Vaccines

 Hepatitis vaccines sales were down 20% AER, 16% CER to £460 million,
 adversely impacted by de-prioritisation of routine US adult vaccination,
 increased Hepatitis B vaccine competition and unfavourable CDC stockpile
 movements in the US, and by COVID-19 related travel restrictions in Europe and
 International.

 Sales of DTPa-containing vaccines (Infanrix, Pediarix and Boostrix) decreased
 4% AER but grew 1% CER. Infanrix/Pediarix sales decreased 14% AER, 9% CER to
 £543 million, reflecting lower tender volume in Europe and International as
 well as a change in recommendation for the dosing schedule in Germany, partly
 offset by increased demand in the US. Boostrix sales grew 9% AER, 14% CER to
 £521 million, largely driven by demand recovery and tender volumes in
 International, as well as higher demand and share in the US.

 Rotarix sales were down 3% AER but up 1% CER to £541 million, reflecting
 demand recovery in International.

 Synflorix sales decreased by 11% AER, 8% CER to £357 million, primarily due
 to lower tender demand in Emerging markets.

 MMRV vaccines sales were stable at AER but grew 4% CER to £260 million,
 largely driven by higher demand in International.

 Pandemic Vaccines

 Pandemic vaccines sales of £447 million included £444 million of pandemic
 adjuvant sales to the US and Canadian governments.

 

 

 Consumer Healthcare turnover

 

                                             2021

                                             £m         Growth      Growth

                                                        £%          CER%

 Oral health                                 2,732      (1)         5
 Pain relief                                 2,276      3           7
 Vitamins, minerals and supplements          1,512      -           4
 Respiratory health                          1,133      (6)         (1)
 Digestive health and other                  1,803      (1)         4

                                             9,456      (1)         4
 Brands divested/under review                151        (71)        (69)

                                             9,607      (4)         -

 US                                          3,179      (7)         (1)
 Europe                                      2,468      (6)         (3)
 International                               3,960      (1)         4

                                             9,607      (4)         -

 

 Consumer Healthcare turnover in the year of £9,607 million decreased 4% AER
 and was stable at CER reflecting dilution from divestments given the
 completion of the portfolio rationalisation at the end of Q1 2021. On a
 two-year CAGR sales excluding brands divested under review grew 4% overall
 despite the adverse impact of the COVID-19 pandemic.

 Sales excluding brands divested/under review decreased 1% AER but increased 4%
 CER reflecting the underlying strength of brands across the portfolio and
 categories and continuing growth in e-commerce. Overall, sales benefited from
 strong growth across all categories excluding Respiratory health which was
 negatively impacted in Q1 2021 by the historically low cold and flu season.
 The decrease in cold and flu sales resulted in an approximately 1% drag on
 full year growth.

 International sales excluding brands divested/under review grew high single
 digit on a CER basis with double digit growth in emerging markets including
 India, China, the Middle East and Africa. Excluding brands divested/under
 review, US sales grew low single digits but European sales were stable on a
 CER basis. Both regions were particularly negatively impacted by the
 historically low cold and flu season during Q1 2021.

 Oral health

 Oral health sales decreased 1% AER, but grew 5% CER to £2,732 million.
 Sensodyne delivered high single digit growth reflecting underlying brand
 strength, continued innovation and strong growth across key markets including
 the US, China, India and Japan. Gum health also delivered broad based high
 single digit growth across key markets. Denture care grew low single digits
 driven partly by a return to growth in Q4 2021.

 Pain relief

 Pain relief sales increased 3% AER, 7% CER to £2,276 million. Panadol, which
 benefitted from seasonal demand in the last quarter, grew double digits.
 Voltaren grew mid-single digits, offsetting the expected short-term decrease
 in the second half of the year in the US after the introduction of private
 label competition earlier in 2021. Excedrin delivered growth of over 40%
 versus a prior year decrease reflecting supply improvements.

 Vitamins, minerals and supplements

 Vitamins, minerals and supplements sales were stable at AER but grew 4% CER to
 £1,512 million building on the significant (19% CER) growth in 2020. Centrum
 grew mid-teens percent driven by successful innovation, improved supply
 capacity in the US and continued consumer focus on health and wellness.
 Caltrate grew mid-single digits and Emergen-C decreased high-single digits
 reflecting a particularly challenging 2020 comparator due to unprecedented
 demand during the early stages of the pandemic.

 Respiratory health

 Respiratory health sales decreased 6% AER, 1% CER to £1,133 million. In Q4
 2021, cold and flu sales rebounded strongly and were above 2019 levels in
 Europe and slightly below 2019 levels in the US. For the full year, cold and
 flu products were down mid-single digits as the H2 2021 rebound was
 insufficient to offset the considerable decrease in the first quarter of 2021
 which resulted from historically low demand for cold and flu products,
 effectively halving the global market in the period. Allergy products grew
 mid-single digits.

 Digestive health and other

 Digestive health and other brands sales decreased 1% AER but grew 4% CER to
 £1,803 million. Digestive health brands were up high-single digits with
 particularly strong growth in Tums and Eno. Skin health and Smoker's health
 brands were up mid-single digits, offset partly by a decrease in small,
 non-strategic brands.

 

 

 Operating performance

 

 Cost of sales

 Total cost of sales as a percentage of turnover was 34.0%, 0.3 percentage
 points lower at AER and 1.1 percentage points lower in CER terms compared with
 2020. This primarily reflected lower write-downs in a number of manufacturing
 sites and the unwind in 2020 of the fair market value uplift on inventory
 arising on completion of the Consumer Healthcare Joint Venture with Pfizer.

 Excluding these and other Adjusting items, Adjusted cost of sales as a
 percentage of turnover was 31.4%, 1.6 percentage points higher at AER and 0.8
 percentage points higher at CER compared with 2020. This primarily reflected
 higher pandemic sales (Xevudy) as well as higher supply chain costs in
 Vaccines resulting from lower demand and higher inventory adjustments and
 higher commodity and freight costs in Consumer Healthcare, partly offset by
 price benefits in Pharmaceuticals, including the benefit from prior period RAR
 adjustments, a further contribution from restructuring savings across all
 three businesses and favourable mix in Vaccines.

 Selling, general and administration

 Total SG&A costs as a percentage of turnover were 32.2%, 1.4 percentage
 points lower at AER and 1.8 percentage points lower at CER compared with 2020.
 This included increased separation costs partly offset by lower restructuring
 charges.

 Excluding Adjusting items, Adjusted SG&A costs as a percentage of turnover
 were 30.0%, 1.5 percentage points lower at AER than in 2020 and 1.8 percentage
 points lower on a CER basis. Adjusted SG&A costs decreased 5% AER, 1% CER
 which reflected the tight control of ongoing costs and reduced variable
 spending across all three businesses as a result of the COVID-19 lockdowns,
 and the continuing benefit of restructuring in Pharmaceuticals, Consumer
 Healthcare and support functions. The decrease also reflected a favourable
 legal settlement in 2021 compared to increased legal costs in 2020 as well as
 one-off benefits in pensions and insurance which were partly offset by the
 one-off benefit from restructuring of post-retirement benefits in 2020. This
 was partly offset by increased investment behind launches in HIV and Vaccines.

 Research and development

 Total R&D expenditure was £5,278 million (15.5% of turnover), up 4% AER,
 7% CER, including an increase in impairments partly offset by a decrease in
 major restructuring charges. Adjusted R&D expenditure was £4,776 million
 (14.0% of turnover), 4% higher at AER, 8% higher at CER than in 2020.

 Pharmaceuticals R&D expenditure was £3,578 million (20.2% of turnover),
 stable at AER, up 4% CER, primarily driven by increased investment in our
 Specialty portfolios, including the early stage research projects. Efficiency
 savings continued from the implementation of the One R&D programme for
 Pharmaceuticals and Vaccines as part of the Separation preparation
 restructuring programme.

 The growth of the Specialty portfolio in 2021 was primarily driven by our two
 programmes for COVID-19 treatment (Xevudy and otilimab) along with the other
 otilimab programme for rheumatoid arthritis, bepirovirsen, our HBV antisense
 oligonucleotide and depemokimab, our anti-IL5 for asthma. This has been partly
 offset by reduced spend on daprodustat due to the completion of programmes. In
 Oncology, there is continued investment reflecting our commitment to synthetic
 lethality and in Blenrep, together with bintrafusp alfa, where we have
 accelerated close-out costs for the programme but this has been largely offset
 by a reduction in spend on feladilimab following the decision to terminate the
 programme in April.

 R&D expenditure in Vaccines was £887 million (13.1% of turnover), up 29%
 AER, 34% CER, reflecting increased investment in clinical programmes for
 meningitis and RSV and investment in our mRNA platform, partly offset by
 efficiency savings from the implementation of the One Development programme
 and variable spending as a result of COVID-19 lockdowns. R&D expenditure
 in Consumer Healthcare was £249 million.

 Royalty income

 Royalty income was £419 million (2020: £318 million), up 32% AER, 32% CER,
 primarily driven by higher sales of Gardasil.

 

 Other operating income/(expense)

 Net other operating expenses of £476 million (2020: £1,624 million income)
 primarily reflected accounting charges of £1,101 million (2020: £1,234
 million) arising from the re-measurement of the contingent consideration
 liabilities related to the acquisitions of the former Shionogi-ViiV Healthcare
 joint venture and the former Novartis Vaccines business and the liabilities
 for the Pfizer put option and Pfizer and Shionogi preferential dividends in
 ViiV Healthcare. This included a re-measurement charge of £1,026 million
 (2020: £1,114 million) for the contingent consideration liability due to
 Shionogi, as a result of the unwinding of the discount for £380 million and a
 charge for £646 million primarily from adjustments to sales forecasts and the
 settlement with Gilead (see page 11). This was partly offset by a number of
 asset disposals including the disposal of royalty rights on cabozantinib, the
 disposal of the cephalosporin business and disposal of a number of Consumer
 Healthcare brands and fair value uplifts on investments. 2020 included the net
 profit on disposal of Horlicks and other Consumer Healthcare brands of £2,815
 million, partly offset by the related loss on sale of the shares in Hindustan
 Unilever of £476 million.

 

 Operating profit

 Total operating profit was £6,201 million compared with £7,783 million in
 2020. This primarily reflected an unfavourable comparison to the net profit on
 disposal in Q2 2020 of Horlicks and other Consumer brands and resultant sale
 of shares in Hindustan Unilever. This was partly offset by lower major
 restructuring costs, lower re-measurement charges on the contingent
 consideration liabilities and the unwind in 2020 of the fair market value
 uplift on inventory arising on completion of the Consumer Healthcare Joint
 Venture with Pfizer.

 Excluding these and other Adjusting items, Adjusted operating profit was
 £8,806 million, 1% lower than 2020 at AER, but 9% higher at CER on a turnover
 increase of 5% CER. The Adjusted operating margin of 25.8% was 0.3 percentage
 points lower at AER, 0.9 percentage points higher on a CER basis than in 2020.

 The increase in Adjusted operating profit primarily reflected the benefit from
 incremental pandemic sales (Xevudy and adjuvant) contributing approximately 6%
 AER, 7% CER to Adjusted Operating profit growth. Adjusted Operating profit
 also benefited from sales growth in Pharmaceuticals including the benefit from
 prior period RAR adjustments and tight control of ongoing costs including
 reduced promotional and variable spending across all three businesses as a
 result of the COVID-19 lockdowns, favourable legal settlements compared to
 increased legal costs in 2020 and benefits from continued restructuring across
 the business. This was partly offset by lower sales in Vaccines, primarily
 Shingrix, higher supply chain costs in Vaccines and Consumer Healthcare,
 divestments in Consumer Healthcare and increased investment in R&D across
 Vaccines and Pharmaceuticals.

 Contingent consideration cash payments which are made to Shionogi and other
 companies reduce the balance sheet liability and hence are not recorded in the
 income statement. Total contingent consideration cash payments in 2021
 amounted to £856 million (2020: £885 million). This included cash payments
 made to Shionogi of £826 million (2020: £858 million).

 Adjusted operating profit by business

 Pharmaceuticals operating profit was £4,681 million, up 12% AER, 24% CER on a
 turnover increase of 10% CER. The operating margin of 26.4% was 1.9 percentage
 points higher at AER than in 2020 and 3.3 percentage points higher on a CER
 basis. This primarily reflected price benefits in Pharmaceuticals, including
 the benefit from a prior period RAR adjustment, reduced supply chain costs,
 the tight control of ongoing costs, short term benefits to changes in ways of
 working, a favourable legal settlement in 2021 compared to increased legal
 costs in 2020 and the continuing benefit of restructuring. This was partly
 offset by support to launches in HIV and increased investment in R&D.

 Vaccines operating profit was £2,256 million, down 17% AER, 11% CER on 2%
 turnover increase at CER. The operating margin of 33.3% was 5.6 percentage
 points lower at AER than in 2020 and 4.8 percentage points lower on a CER
 basis. This was primarily driven by higher supply chain costs resulting from
 higher inventory adjustments and lower demand, along with higher R&D spend
 to support key strategic priorities and increased SG&A investment to
 support business growth, partly offset by higher royalty income and pandemic
 adjuvant beneficial mix.

 Consumer Healthcare operating profit was £2,239 million, up 1% AER, 9% CER on
 stable turnover at CER. The operating margin of 23.3% was 1.2 percentage
 points higher at AER and 2.0 percentage points higher on a CER basis than in
 2020. This primarily reflected sales growth of continuing brands, price
 increases and favourable mix, synergy delivery from the Pfizer Joint Venture
 Integration and tight cost control, partially offset by the impact of
 divestments (1.2 percentage points), increased advertising and promotion
 investment, increased commodity and freight costs and investment in
 manufacturing sites.

 Net finance costs

 Total net finance costs were £756 million compared with £848 million in
 2020. Adjusted net finance costs were £753 million compared with £844
 million in 2020. The decrease is primarily as a result of reduced interest
 expense from lower debt levels, favourable movements in foreign exchange
 rates, a premium paid on the early repayment and refinancing of bond debt in
 2020 and reduced interest on tax partly offset by lower interest income on
 overseas cash post-closing of the divestment of Horlicks and other Consumer
 Healthcare nutrition products in India and a number of other countries.

 Share of after tax profits of associates and joint ventures

 The share of after tax profits of associates and joint ventures was £33
 million (2020: £33 million).

 Loss on disposal of interests in associates

 The net loss on disposal of interests in associates was £36 million,
 primarily driven by a loss on disposal of our interest in the associate
 Innoviva Inc.

 Taxation

 The charge of £346 million represented an effective tax rate on Total results
 of 6.4% (2020: 8.3%) and reflected the different tax effects of the various
 Adjusting items, including a credit of £397 million resulting from the
 revaluation of deferred tax assets following enactment of an increase in the
 headline rate of UK corporation tax (effective 1 April 2023). 2020 reflected
 the disposal of Horlicks and other Consumer brands and the subsequent disposal
 of shares received in Hindustan Unilever. Tax on Adjusted profit amounted to
 £1,415 million and represented an effective Adjusted tax rate of 17.5% (2020:
 16.0%).

 Issues related to taxation are described in Note 14, 'Taxation' in the Annual
 Report 2020. The Group continues to believe it has made adequate provision for
 the liabilities likely to arise from periods which are open and not yet agreed
 by tax authorities. The ultimate liability for such matters may vary from the
 amounts provided and is dependent upon the outcome of agreements with relevant
 tax authorities.

 Non-controlling interests

 The allocation of Total earnings to non-controlling interests amounted to
 £711 million (2020: £639 million). The increase was primarily due to an
 increased allocation of Consumer Healthcare Joint Venture profits of £461
 million (2020: £374 million) and an increased allocation of ViiV Healthcare
 profits of £197 million (2020: £223 million), including reduced credits for
 re-measurement of contingent consideration liabilities.

 The allocation of Adjusted earnings to non-controlling interests amounted to
 £1,006 million (2020: £1,031 million). The reduction in allocation primarily
 reflected a reduced allocation of ViiV Healthcare profits of £438 million
 (2020: £474 million), partly offset by higher net profits in some of the
 Group's other entities with non-controlling interests. The allocation of
 Consumer Healthcare Joint Venture profits was £515 million (2020: £515
 million).

 Earnings per share

 Total EPS was 87.6p compared with 115.5p in 2020. This primarily reflected an
 unfavourable comparison to the net profit on disposal in Q2 2020 of Horlicks
 and other Consumer brands partly offset by the related loss on sale of the
 shares in Hindustan Unilever, partly offset by a credit of £397 million to
 Taxation in 2021 resulting from the revaluation of deferred tax assets
 following enactment of an increase in the headline rate of UK corporation tax
 (effective 1 April 2023), lower major restructuring costs and lower
 re-measurement charges on the contingent consideration liabilities.

 Adjusted EPS was 113.2p compared with 115.9p in 2020, down 2% AER but up 9%
 CER, on a 9% CER increase in Adjusted operating profit primarily reflecting
 incremental pandemic sales, sales increases in Pharmaceuticals, tight cost
 control and favourable legal settlements and lower interest costs, partly
 offset by lower sales in Vaccines, primarily Shingrix, higher supply chain
 costs in Vaccines, increased R&D investment and a higher effective tax
 rate. The contribution to growth from COVID-19 solutions was approximately 8%
 AER, 9% CER.

 Currency impact on 2021 results

 The results for 2021 are based on average exchange rates, principally
 £1/$1.38, £1/€1.16 and £1/Yen 151. Comparative exchange rates are given
 on page 57. The period-end exchange rates were £1/$1.35, £1/€1.19 and
 £1/Yen 155.

 In 2021, turnover remained stable at AER, but was up 5% CER. Total EPS was
 87.6p compared with 115.5p in 2020. Adjusted EPS was 113.2p compared with
 115.9p in 2020, down 2% AER but up 9% CER. The adverse currency impact
 primarily reflected the strengthening in Sterling, particularly against the US
 Dollar as well as the Japanese Yen and Euro. Exchange gains or losses on the
 settlement of intercompany transactions had a negligible impact on the
 negative currency impact of eleven percentage points on Adjusted EPS.

 

 

 Adjusting items

 The reconciliations between Total results and Adjusted results for 2021 and
 2020 are set out below.

 

 Year ended 31 December 2021

 

                                             Total         Intangible    Intangible    Major         Trans-        Divest-       Separation

                                             results       amort-        impair-       restruct-     action-       ments,        costs

                                             £m            isation       ment          uring         related       significant   £m

                                                           £m            £m            £m            £m            legal and                   Adjusted

                                                                                                                   other items                 results

                                                                                                                   £m                          £m
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Turnover                                    34,114                                                                                            34,114
 Cost of sales                               (11,603)      701           (33)          154           28            27                          (10,726)
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Gross profit                                22,511        701           (33)          154           28            27                          23,388

 Selling, general and                        (10,975)                                  426           25            17            282           (10,225)

   administration
 Research and                                (5,278)       101           355           46                                                      (4,776)

   development
 Royalty income                              419                                                                                               419
 Other operating                             (476)                                                   1,106         (662)         32            -

   income/(expense)
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Operating profit                            6,201         802           322           626           1,159         (618)         314           8,806

 Net finance costs                           (756)                                     2                           1                           (753)
 Loss on disposal of interest in associates  (36)                                                                  36                          -
 Share of after tax profits                  33                                                                                                33

   of associates and joint

   ventures
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit before taxation                      5,442         802           322           628           1,159         (581)         314           8,086

 Taxation                                    (346)         (159)         (81)          (114)         (196)         (470)         (49)          (1,415)
 Tax rate %                                  6.4%                                                                                              17.5%
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit after taxation                       5,096         643           241           514           963           (1,051)       265           6,671
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit attributable to                      711                                                     295                                       1,006

   non-controlling interests

 Profit attributable to                      4,385         643           241           514           668           (1,051)       265           5,665

   shareholders
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Earnings per share                          87.6p         12.9p         4.8p          10.3p         13.3p         (21.0)p       5.3p          113.2p
                                             ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Weighted average                            5,003                                                                                             5,003

   number of shares

   (millions)
                                             ------------                                                                                      ------------

 

 

 Year ended 31 December 2020

 

                                Total         Intangible    Intangible    Major         Trans-        Divest-       Separation

                                results       amort-        impair-       restruct-     action-       ments,        costs

                                £m            isation       ment          uring         related       significant   £m

                                              £m            £m            £m            £m            legal and                   Adjusted

                                                                                                      other items                 results

                                                                                                      £m                          £m
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Turnover                       34,099                                                                                            34,099
 Cost of sales                  (11,704)      699           31            667           116                                       (10,191)
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Gross profit                   22,395        699           31            667           116                                       23,908

 Selling, general and           (11,456)      1             18            659           (23)          16            68            (10,717)

   administration
 Research and                   (5,098)       75            214           206                                                     (4,603)

   development
 Royalty income                 318                                                                                               318
 Other operating                1,624                                                   1,215         (2,839)                     -

   income/(expense)
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Operating profit               7,783         775           263           1,532         1,308         (2,823)       68            8,906

 Net finance costs              (848)                                     2                           2                           (844)
 Share of after tax profits     33                                                                                                33

   of associates and joint

   ventures
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit before taxation         6,968         775           263           1,534         1,308         (2,821)       68            8,095

 Taxation                       (580)         (150)         (47)          (292)         (229)         17            (14)          (1,295)
 Tax rate %                     8.3%                                                                                              16.0%
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit after taxation          6,388         625           216           1,242         1,079         (2,804)       54            6,800
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit attributable to         639                                                     392                                       1,031

   non-controlling interests

 Profit attributable to         5,749         625           216           1,242         687           (2,804)       54            5,769

   shareholders
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Earnings per share             115.5p        12.6p         4.4p          25.0p         13.8p         (56.5)p       1.1p          115.9p
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Weighted average               4,976                                                                                             4,976

   number of shares

   (millions)
                                ------------                                                                                      ------------

 

 

 Major restructuring and integration

 Within the Pharmaceuticals sector, the highly regulated manufacturing
 operations and supply chains and long lifecycle of the business mean that
 restructuring programmes, particularly those that involve the rationalisation
 or closure of manufacturing or R&D sites are likely to take several years
 to complete.

 

 Total Major restructuring charges incurred in 2021 were £626 million (2020:
 £1,532 million), analysed as follows:

 

                               2021                               2020

                               Cash      Non-cash      Total      Cash       Non-cash      Total

                               £m        £m            £m         £m         £m            £m

 2018 major restructuring      18        9             27         105        210           315

   programme (incl. Tesaro)
 Consumer Healthcare Joint     173       11            184        298        28            326

   Venture integration

   programme
 Separation Preparation        371       59            430        625        216           841

   restructuring programme
 Combined restructuring and    8         (23)          (15)       39         11            50

   integration programme

                               570       56            626        1,067      465           1,532

 

 Cash charges of £371 million under the Separation Preparation programme
 primarily arose from restructuring of some administrative and central
 manufacturing functions as well as commercial pharmaceuticals and R&D
 functions. The non-cash charges of £59 million primarily reflected write-down
 of assets in administrative locations and R&D sites.

 Cash charges of £173 million on the Consumer Healthcare Joint Venture
 programme primarily related to severance and integration costs. The non-cash
 credit in the Combined restructuring and integration programme primarily
 reflected a write back on disposal of a site.

 Total cash payments made in 2021 were £753 million (2020: £737 million),
 £434 million (2020: £152 million) relating to the Separation Preparation
 restructuring programme, a further £176 million (2020: £291 million)
 relating to the Consumer Healthcare Joint Venture integration programme, £95
 million (2020: £179 million) under the 2018 major restructuring programme
 including the settlement of certain charges accrued in previous quarters and
 £48 million (2020: £115 million) for the existing Combined restructuring and
 integration programme.

 

                                    2021       2020

                                    £m         £m

 Pharmaceuticals                    233        671
 Vaccines                           (40)       214
 Consumer Healthcare                196        374

                                    389        1,259
 Corporate & central functions      237        273

 Total Major restructuring costs    626        1,532

 

 

 The analysis of Major restructuring charges by Income statement line was as
 follows:

 

                                      2021      2020

                                      £m        £m

 Cost of sales                        154       667
 Selling, general and administration  426       659
 Research and development             46        206
 Other operating income/(expense)     -         -

 Total Major restructuring costs      626       1,532

 

 The benefit in the year from restructuring programmes was £0.7 billion, the
 benefit from the Separation Preparation restructuring programme was £0.3
 billion, the benefit from the Consumer Healthcare Joint Venture integration
 was £0.2 billion and the benefit from the 2018 Restructuring programme was
 £0.2 billion.

 The 2018 major restructuring programme, including Tesaro, has cost £1.5
 billion to the end of 2021, with cash costs of £0.6 billion and non-cash
 costs of £0.9 billion, and has delivered annual savings of around £0.5
 billion by the end of 2021 (at 2019 rates). These savings were fully
 re-invested to help fund targeted increases in R&D and commercial support
 of new products. The programme is substantially complete and therefore GSK
 will cease external reporting of total costs and benefits of the 2018 major
 restructuring programme from 2022 onwards.

 The completion of the Consumer Healthcare Joint Venture with Pfizer has
 realised substantial cost synergies and has largely delivered the expected
 total annual cost savings of £0.5 billion by 2021. The cash costs are
 expected to be £0.7 billion and non-cash charges expected to be £0.1
 billion, plus additional capital expenditure of £0.2 billion. Up to 25% of
 the cost savings are intended to be reinvested in the business to support
 innovation and other growth opportunities.

 The Group initiated in Q1 2020 a two-year Separation Preparation programme to
 prepare for the separation of GSK into two companies: new GSK, a biopharma
 company with an R&D approach focused on science related to the immune
 system, the use of genetics and new technologies, and a new leader in Consumer
 Healthcare. The programme aims to:

 

 ·   Drive a common approach to R&D with improved capital allocation
 ·   Align and improve the capabilities and efficiency of global support functions
     to support new GSK
 ·   Further optimise the supply chain and product portfolio, including the
     divestment of non-core assets. A strategic review of prescription dermatology
     is underway
 ·   Prepare Consumer Healthcare to operate as a standalone company

 

 The programme continues to target delivery of £0.8 billion of annual savings
 by 2022 and £1.0 billion by 2023, with total costs estimated at £2.4
 billion, of which £1.6 billion is expected to be cash costs. The proceeds of
 divestments have largely covered the cash costs of the programme.

 

 Transaction-related adjustments

 Transaction-related adjustments resulted in a net charge of £1,159 million
 (2020: £1,308 million). This included a net £1,101 million accounting charge
 for the re-measurement of the contingent consideration liabilities related to
 the acquisitions of the former Shionogi-ViiV Healthcare joint venture and the
 former Novartis Vaccines business and the liabilities for the Pfizer put
 option and Pfizer and Shionogi preferential dividends in ViiV Healthcare.

 

 Charge/(credit)                                                            2021         2020

                                                                            £m           £m

 Contingent consideration on former Shionogi-ViiV Healthcare joint venture  1,026        1,114

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              48           (52)
 Contingent consideration on former Novartis Vaccines business              27           172
 Release of fair value uplift on acquired Pfizer inventory                  -            91
 Other adjustments                                                          58           (17)

 Total transaction-related charges                                          1,159        1,308

 

 The £1,026 million charge relating to the contingent consideration for the
 former Shionogi-ViiV Healthcare joint venture represented an increase in the
 valuation of the contingent consideration due to Shionogi, as a result of the
 unwind of the discount for £380 million and a charge of £646 million
 primarily from adjustments to sales forecasts and the settlement with Gilead
 as well as updated exchange rate assumptions. The £48 million charge relating
 to the ViiV Healthcare put option and Pfizer preferential dividends
 represented an increase in the valuation of the put option as a result of the
 settlement with Gilead, offset by lower cash and updated exchange rate
 assumptions.

 The ViiV Healthcare contingent consideration liability is fair valued under
 IFRS. The potential impact of the COVID-19 pandemic remains uncertain and at
 31 December 2021, it has been assumed that there will be no significant impact
 on the long-term value of the liability. This position remains under review
 and the amount of the liability will be updated in future quarters as further
 information on the impact of the pandemic becomes available. An explanation of
 the accounting for the non-controlling interests in ViiV Healthcare is set out
 on page 11.

 Divestments, significant legal charges and other items

 Divestments and other items also included gains from a number of asset
 disposals, including the disposal of royalty rights on cabozantinib, disposal
 of the cephalosporins business and disposal of a number of Consumer Healthcare
 brands, fair value gains on investments and certain other Adjusting items,
 including the impact of the enactment of the increase in the headline rate of
 UK Corporate tax as discussed on page 11. The Consumer Healthcare brands
 disposal programme is complete and has delivered net proceeds of £1.1
 billion. In 2021 the net loss on disposal of interests in associates was £36
 million, primarily driven by a loss on disposal of the interest in the
 associate Innoviva Inc. A charge of £26 million (2020: £7 million) was
 recorded for significant legal matters arising in the period. Significant
 legal cash payments were £5 million (2020: £9 million). Included within
 Divestments, significant legal and other items, is a deferred tax credit of
 £157 million arising on the transfer of intellectual property within the
 group during the quarter. This deferred tax credit arises due to differences
 between group value and the market value of the assets transferred.

 Separation costs

 From Q2 2020, the Group started to report additional costs to prepare for
 establishment of the Consumer Healthcare business as an independent entity
 ("Separation costs"). Total Separation costs incurred in 2021 were £314
 million (2020: £68 million). This includes £38 million relating to
 transaction costs including preparatory admission costs (costs relating to
 achieve a listing).

 Total separation costs are estimated to be £600-700 million, excluding
 transaction costs.

 

 

 Financial performance - Q4 2021

 

 Total results

 

 The Total results for the Group are set out below.

 

                                         Q4 2021      Q4 2020      Growth      Growth

                                         £m           £m           £%          CER%

 Turnover                                9,527        8,739        9           13

 Cost of sales                           (3,680)      (3,171)      16          19

 Gross profit                            5,847        5,568        5           10

 Selling, general and administration     (3,260)      (3,162)      3           6
 Research and development                (1,448)      (1,470)      (2)         1
 Royalty income                          135          91           48          46
 Other operating (expenses)/income       (379)        34

 Operating profit                        895          1,061        (16)        1

 Finance income                          4            5
 Finance expense                         (191)        (239)
 Share of after tax losses of            (2)          (6)

   associates and joint ventures

 Profit before taxation                  706          821          (14)        8

 Taxation                                224          18
 Tax rate %                              (31.7)%      (2.2)%

 Profit after taxation                   930          839          11          30

 Profit attributable to non-controlling  181          162

   interests
 Profit attributable to shareholders     749          677

                                         930          839          11          30

 Earnings per share                      15.0p        13.6p        10          31

 

 

 Adjusted results

 The Adjusted results for the Group are set out below. Reconciliations between
 Total results and Adjusted results for Q4 2021 and Q4 2020 are set out on
 pages 38 and 39.

 

                                               Q4 2021

                                               £m           % of           Growth      Reported

                                                            turnover       £%          growth

                                                                                       CER%

 Turnover                                      9,527        100            9           13

 Cost of sales                                 (3,496)      36.7           25          28
 Selling, general and administration           (2,908)      30.5           (1)         2
 Research and development                      (1,365)      14.3           5           7
 Royalty income                                135          1.4            48          46

 Adjusted operating profit                     1,893        19.9           4           15

 Adjusted profit before tax                    1,705                       8           20
 Adjusted profit after tax                     1,528                       13          25
 Adjusted profit attributable to shareholders  1,280                       10          23

 Adjusted earnings per share                   25.6p                       9           22

 

 

 Operating profit by business             Q4 2021

                                          £m           % of           Growth      Reported

                                                       turnover       £%          growth

                                                                                  CER%

 Pharmaceuticals                          2,035        39.0           9           17
 Pharmaceuticals R&D*                     (1,007)                     (2)         -

 Total Pharmaceuticals                    1,028        19.7           21          37
 Vaccines                                 403          22.3           (42)        (43)
 Consumer Healthcare                      558          22.3           45          56

                                          1,989        20.9           3           12
 Corporate & other unallocated costs      (96)

 Adjusted operating profit                1,893        19.9           4           15

 

 *  Operating profit of Pharmaceuticals R&D segment, which is the
    responsibility of the Chief Scientific Officer and President, R&D. It
    excludes ViiV Healthcare R&D expenditure, which is reported within the
    Pharmaceuticals segment.

 

 

 Turnover

 

 Pharmaceuticals turnover

 

                              Q4 2021

                              £m         Growth      Growth

                                         £%          CER%

 Respiratory                  786        15          20
 HIV                          1,260      (1)         3
 Immuno-inflammation          247        20          23
 Oncology                     132        15          18
 Pandemic                     828        -           -

 New and Specialty            3,253      43          49
 Established Pharmaceuticals  1,968      (6)         (2)

                              5,221      20          25

 US                           2,675      36          40
 Europe                       1,068      1           6
 International                1,478      11          17

                              5,221      20          25

 

 Pharmaceuticals turnover in the quarter was £5,221 million, up 20% AER, 25%
 CER, driven by strong growth in New and Specialty products, partly offset by a
 decrease in the Established Products portfolio. Sales of Xevudy of £828
 million contributed approximately 20 percentage points to total
 Pharmaceuticals growth in the quarter.

 New and Specialty sales of £3,253 million grew 43% AER, 49% CER, with ongoing
 growth from Respiratory, up 15% AER, 20% CER, to £786 million. Oncology and
 Immuno-Inflammation therapy areas continued to show double digit sales growth,
 while HIV sales were down 1% AER but up 3% CER. Excluding the impact of Xevudy
 sales, New and Specialty products grew 7% AER and 10% CER.

 Sales of Established Pharmaceuticals decreased 6% AER, 2% CER to £1,968
 million, including the impact of the divestment of GSK's cephalosporin
 products effective from the start of the quarter, plus the benefit of a
 favourable prior period RAR adjustment.

 In the US, sales grew 36% AER, 40% CER including an order for Xevudy delivered
 in the quarter, contributing approximately 30 percentage points to total
 growth. Continued strong performance of Trelegy, Benlysta and Dovato drove
 growth of New and Specialty products in the Region. Established Products grew
 6% AER, 8% CER, with the impact of generic competition partly offset by strong
 demand for Established Respiratory products in the COVID-19 environment, and a
 favourable prior period RAR adjustment.

 In Europe, sales grew 1% AER, 6% CER, with double digit growth of Trelegy,
 Nucala, Benlysta and Zejula. Dovato sales grew 66% AER, 75% CER in the
 quarter. Sales of Xevudy contributed approximately 6 percentage points to
 total growth. The Established Pharmaceuticals portfolio decreased 14% AER, 10%
 CER, impacted by generic competition including Seretide, Duodart and Volibris
 and the divestment of cephalosporin products.

 International sales grew 11% AER, 17% CER, including £174 million sales of
 Xevudy, which contributed approximately 13 percentage points to total growth.
 Continued underlying growth of New and Specialty products was driven by
 Respiratory, HIV, Oncology and Benlysta. Established Pharmaceuticals decreased
 8% AER, 2% CER, with Established Respiratory down 11% AER, 6% CER on Seretide
 decline.

 Respiratory

 Total Respiratory sales of £786 million were up 15% AER, 20% CER, with growth
 from Trelegy and Nucala in all regions. International Respiratory sales grew
 31% AER, 42% CER including Nucala, up 22% AER, 36% CER, and Trelegy up 72%
 AER, 86% CER. In Europe, Respiratory grew 7% AER, 11% CER with double digit
 CER growth of Trelegy and Nucala. In the US, Respiratory grew 15% AER, 17%
 CER, driven by Trelegy up 54% AER, 58% CER in the quarter.

 Sales of Nucala were £311 million in the quarter and grew 7% AER, 11% CER,
 with consistent, strong growth across all three regions. US sales were up 3%
 AER, 5% CER to £189 million including the impact of the nasal polyps
 indication launch in the previous quarter. International sales of £55 million
 grew 22% AER, 36% CER including strong growth of at home application in Japan.
 Europe sales of £67 million grew 6% AER, 11% CER.

 Trelegy sales were up 48% AER, 53% CER to £352 million. In the US, sales
 growth of 54% AER, 58% CER includes the asthma indication approved and
 launched in Q3 2020. In Europe, sales grew 13% AER, 17% CER and in
 International, where Trelegy asthma was approved in Japan in Q4 2020, sales
 grew 72% AER, 86% CER to £50 million.

 HIV

 HIV sales were £1,260 million with a decrease of 1% AER but growth of 3% CER
 in the quarter. CER growth was driven by new products Dovato, Cabenuva,
 Rukobia and Juluca.

 Triumeq sales were £476 million, down 18% AER, 15% CER and Tivicay sales were
 £321 million, down 12% AER, 10% CER. New HIV products Juluca, Dovato, Rukobia
 and Cabenuva delivered sales of £432 million representing 34% of the total
 HIV portfolio (23% in 2020). Sales of the two drug regimens Juluca and Dovato
 were £143 million and £254 million respectively with combined growth of 42%
 AER, 47% CER. Rukobia sales were £15 million. Cabenuva, the first long acting
 injectable, recorded quarterly sales of £20 million.

 In the US, total sales of £803 million were stable at AER, but grew 2% CER.
 New HIV products delivered sales of £283 million, including: Dovato £142
 million with growth of 80% AER, 85% CER, Juluca £110 million with growth of
 2% AER, 5% CER, Rukobia £14 million and Cabenuva £17 million. Combined
 Tivicay and Triumeq sales were £508 million declining 15% AER, 13% CER. In
 Europe, total sales were £318 million with 3% decrease AER, but up 2% CER.
 New HIV products delivered sales of £126 million, including: Dovato £93
 million with growth of 66% AER, 75% CER and Juluca £30 million with growth of
 7% AER, 11% CER. Combined Tivicay and Triumeq sales were £181 million a
 decrease of 22% AER, 18% CER.

 Immuno-inflammation

 Immuno-inflammation sales of £247 million grew 20% AER, 23% CER with Benlysta
 sales up 19% AER, 22% CER to £244 million in the quarter, benefitting from
 lupus nephritis launches in US and Japan in H2 2020.

 Oncology

 Sales of Zejula, the PARP inhibitor treatment for ovarian cancer were £108
 million in the quarter, up 21% AER, 24% CER impacted by ongoing lower
 diagnosis rates due to the COVID-19 pandemic, particularly in the US. Sales
 included £51 million in the US and £45 million in Europe.

 Blenrep for the treatment of patients with relapsed or refractory multiple
 myeloma was approved and launched in the US and Europe in Q3 2020 and reported
 sales of £22 million in the quarter.

 Pandemic Sales

 Sales of Xevudy were £828 million in the quarter, up from £114 million in
 the third quarter. This reflected the ongoing fulfilment of contracts across
 the world and most significantly the US, which reported sales of £586
 million.

 Established Pharmaceuticals

 Sales of Established Pharmaceuticals in the quarter were £1,968 million, down
 6% AER, 2% CER.

 Established Respiratory products decreased 2% AER but grew 2% CER to £1,075
 million, including the benefit of a prior period adjustment in the quarter.
 This product category continues to experience generic competition to products
 including Advair/Seretide and Ventolin, but with some flattening of the
 generic decline including Xyzal in Japan.

 The remainder of the Established Pharmaceuticals portfolio decreased by 11%
 AER, 6% CER to £893 million with ongoing generic impacts on products
 including Volibris in Europe and Lamictal in the US, and approximately 2
 percentage points impact from the divestment of GSK's cephalosporin products
 at the start of the quarter.

 

 

 Vaccines turnover

 

                       Q4 2021

                       £m         Growth      Growth

                                  £%          CER%

 Meningitis            194        (29)        (27)
 Influenza             244        (3)         -
 Shingles              597        (7)         (4)
 Established Vaccines  682        (19)        (16)

                       1,717      (15)        (12)
 Pandemic Vaccines     92         -           -

 Total Vaccines        1,809      (10)        (7)

 US                    849        (22)        (20)
 Europe                452        7           12
 International         508        1           6

                       1,809      (10)        (7)

 

 Vaccines turnover in the quarter decreased 10% AER, 7% CER to £1,809 million,
 primarily driven by lower Meningitis vaccines sales associated with the return
 to a normal US back-to-school season, lower DTPa-containing vaccines sales due
 to unfavourable CDC purchasing patterns in the US and lower Shingrix sales
 resulting from the negative impact of COVID-19 vaccination programme
 deployment and disease circulation, partly offset by pandemic adjuvant sales.

 Vaccines turnover excluding pandemic vaccines decreased 15% AER, 12% CER to
 £1,717 million.

 Meningitis

 Meningitis sales were down by 29% AER, 27% CER to £194 million. Bexsero sales
 decreased 20% AER, 17% CER to £127 million and Menveo sales decreased 42%
 AER, 42% CER to £48 million primarily driven by the return to a normal US
 back-to-school vaccination season focused in Q3 2021 compared with an
 elongated pattern in 2020 when COVID-19 related transition to virtual
 schooling spread demand into Q4 2021. Menveo sales also reflect lower demand
 in International.

 Influenza

 Fluarix/FluLaval sales were down 3% AER, stable at CER to £244 million as a
 result of higher expected US returns associated with less influenza disease
 circulation and vaccination resulting from COVID-19 mitigations, offset by
 late season sales and increased supply in Europe.

 Shingles

 Shingrix decreased 7% AER, 4% CER to £597 million driven by lower demand
 resulting from de-prioritisation related to COVID-19 vaccination and
 containment measures in the US and International, partially offset by demand
 recovery post COVID-19 mass vaccination in Germany and new launches in Europe.
 Favourable US prior period RAR movements reduced the Shingrix decrease by
 approximately 2 percentage points.

 Established Vaccines

 Established vaccines decreased 19% AER, 16% CER driven primarily by lower US
 sales of Infanrix/Pediarix, Hepatitis vaccines, Boostrix and Rotarix.

 Sales of DTPa-containing vaccines (Infanrix/Pediarix and Boostrix) were down
 23% AER, 21% CER. Infanrix/Pediarix sales decreased 33% AER, 31% CER to £115
 million, reflecting lower CDC purchasing patterns in the US, lower tender
 volume and a change in recommendation for the German dosing schedule in
 Europe. Boostrix sales decreased 9% AER, 6% CER to £114 million driven by
 de-prioritisation of routine adult vaccination and lower CDC purchasing
 patterns in the US, partially offset by higher tender volume in International.

 Hepatitis vaccines sales were down 19% AER, 17% CER to £113 million, largely
 driven by de-prioritisation of US routine adult vaccination together with
 increased Hepatitis B vaccine competition in the US.

 Rotarix sales were down 4% AER but grew 1% CER reflecting higher tender volume
 in International, partially offset by unfavourable CDC purchasing patterns in
 the US.

 Synflorix sales decreased 1% AER but grew 4% CER to £92 million, primarily
 due to higher demand in International and Europe, partially offset by lower
 demand in Emerging Markets.

 MMRV vaccines sales decreased 31% AER, 26% CER to £54 million, driven by
 supply constraints and lower demand in International.

 Pandemic Vaccines

 £92 million of pandemic adjuvant sales was recorded primarily reflecting
 contracted volumes to the Canadian government.

 

 

 Consumer Healthcare turnover

 

                                             Q4 2021

                                             £m         Growth      Growth

                                                        £%          CER%

 Oral health                                 672        (1)         4
 Pain relief                                 580        7           11
 Vitamins, minerals and supplements          398        3           6
 Respiratory health                          352        34          40
 Digestive health and other                  463        8           11

                                             2,465      7           11
 Brands divested/under review                32         (48)        (44)

                                             2,497      6           10

 US                                          902        9           12
 Europe                                      612        (1)         4
 International                               983        7           12

                                             2,497      6           10

 

 Consumer Healthcare sales increased 6% AER,10% CER to £2,497 million in the
 quarter.

 Sales excluding brands divested/under review increased 7% AER, 11% CER with
 strong growth across the whole portfolio but particularly Respiratory health
 which rebounded from the historically low cold and flu season in both Q4 2020
 and Q1 2021.

 International sales grew double digits on a CER basis with double digit growth
 in emerging markets such as China and the Middle East and Africa. European
 growth was driven by a particularly strong rebound of cold and flu product
 sales ahead of pre-pandemic levels in 2019. US growth was strong across all
 categories helped by further improved capacity in Pain relief and Vitamins,
 minerals and supplements allowing retailer restocking and a particularly
 strong rebound of Respiratory health with cold and flu purchases slightly
 behind 2019 levels.

 Oral health

 Oral health sales decreased 1% AER but grew 4% CER to £672 million. Sensodyne
 delivered mid-single digit growth reflecting underlying brand strength, with
 the US growing mid-single digits despite the advance purchasing in Q3 2021
 ahead of price increases. Gum health continued to deliver high-single digit
 growth. Denture care grew mid-single digits.

 Pain relief

 Pain relief sales increased 7% AER, 11% CER to £580 million. Advil and
 Panadol delivered high-teens percent growth; Advil benefitting from improved
 capacity in the US allowing retailer restocking, Panadol benefitting from
 seasonal demand and both helped by a favourable Q4 2020 comparator. Excedrin
 grew by mid-twenties percent reflecting supply improvements. Voltaren grew by
 low single digit as growth outside of the US offset the expected short term US
 decrease following the introduction of private label competition.

 Vitamins, minerals and supplements

 Vitamins, minerals and supplements sales increased by 3% AER, 6% CER to £398
 million, building on the significant growth (17% CER) in Q4 2020 and
 demonstrating that consumers are continuing to prioritise their health and
 wellbeing. Centrum grew by mid-twenties percent, helped by further improved
 capacity in the US that allowed retailer restocking and despite a challenging
 Q4 2020 comparator. Caltrate sales were down low single digits and Emergen-C
 decreased double digits.

 Respiratory health

 Respiratory health sales increased by 34% AER, 40% CER to £352 million driven
 by a return of more typical seasonal cold and flu demand and helped by a
 favourable prior year comparator. Cold and flu sales rebounded strongly,
 growing over 40%, and were above 2019 levels in Europe and slightly below 2019
 levels in the US.

 Digestive health and other

 Digestive health and other brands sales increased by 8% AER,11% CER at £463
 million. Skin health and Digestive health both grew by high-single digits.
 Smokers health grew by high teens percent helped by favourable stocking
 patterns following the introduction of new packaging in the quarter.

 

 

 Operating performance

 

 Cost of sales

 Total cost of sales as a percentage of turnover was 38.6%, 2.3 percentage
 points higher at AER and 1.8 percentage points higher in CER terms compared
 with Q4 2020. This included a reduction in write-downs in manufacturing sites.

 Excluding these and other Adjusting items, Adjusted cost of sales as a
 percentage of turnover was 36.7%, 4.7 percentage points higher at AER and 4.2
 percentage points higher at CER compared with Q4 2020. This primarily
 reflected higher pandemic sales from Xevudy in the quarter as well as higher
 supply chain costs resulting from lower demand and higher inventory
 adjustments in Vaccines, partly offset by price benefits in Pharmaceuticals,
 including the benefit from a prior period RAR adjustment.

 Selling, general and administration

 Total SG&A costs as a percentage of turnover were 34.2%, 2.0 percentage
 points lower at AER and 2.5 percentage points lower CER compared with Q4 2020.
 This included an increase in separation costs and significant legal costs.

 Excluding Adjusting items, Adjusted SG&A costs as a percentage of turnover
 were 30.5%, 2.9 percentage points lower at AER than in Q4 2020 and 3.4
 percentage points lower on a CER basis. Adjusted SG&A costs decreased 1%
 AER but increased 2% CER which reflected increased investment for launches in
 Pharmaceuticals and Vaccines partly offset by reduced costs for legal
 settlements, one-off benefits in pensions and insurance continued tight
 control of ongoing costs and the continuing benefit of restructuring in
 Consumer Healthcare and support functions.

 Research and development

 Total R&D expenditure was £1,448 million (15.2% of turnover), down 2%
 AER, and up 1% CER, including an reduction in restructuring costs. Adjusted
 R&D expenditure was £1,365 million (14.3% of turnover), 5% higher at AER,
 7% higher at CER than in Q4 2020.

 Pharmaceuticals R&D expenditure was £1,041 million (19.9% of turnover),
 stable at AER, up 2% CER, reflecting steady progression of the portfolio
 offset by reduction in spend in bintrafusp alfa, feladilimab and daprodustat.
 Efficiency savings continue from the implementation of our One R&D
 programme for Pharmaceuticals and Vaccines as part of the Separation
 preparation restructuring programme.

 In the Specialty portfolio, investment has been stable, with increased
 investment in the early-stage Research programmes (including IL18 and CCL17)
 and in depemokimab, our anti-IL5 for asthma. This has been offset by reduced
 spend on daprodustat due to completion of programmes. In Oncology, there has
 been increased investment in Blenrep, NY-ESO and cobolimab however these
 increases were offset by a reduction in spend on feladilimab following the
 decision to terminate the programme in April and bintrafusp alfa programme
 closure.

 R&D expenditure in Vaccines was £230 million (12.7% of turnover), up 29%
 AER, 35% CER, reflecting increased investment in clinical programmes for
 meningitis, RSV and investment in our mRNA platform, partly offset by
 efficiency savings from the implementation of the One Development programme.
 R&D expenditure in Consumer Healthcare was £81 million.

 Royalty income

 Royalty income was £135 million (Q4 2020: £91 million), up 48% AER and up
 46% at CER, primarily reflecting increased royalties on sales of Gardasil.

 

 Other operating income/(expense)

 Net other operating expense of £379 million (Q4 2020: £34 million) primarily
 reflected accounting charges of £612 million (Q4 2020: £2 million credit)
 arising from the re-measurement of the contingent consideration liabilities
 related to the acquisitions of the former Shionogi-ViiV Healthcare joint
 venture and the former Novartis Vaccines business and the liabilities for the
 Pfizer put option and Pfizer and Shionogi preferential dividends in ViiV
 Healthcare. This included a re-measurement charge of £528 million (Q4 2020:
 £3 million credit) for the contingent consideration liability due to
 Shionogi, as a result of the unwinding of the discount for £101 million and a
 charge for £427 million primarily from the settlement with Gilead and
 adjustments to sales forecasts partly offset by updated exchange rate
 assumptions. This was partly offset by a number of asset disposals including
 the profit on disposal of the cephalosporins business.

 

 Operating profit

 Total operating profit was £895 million in Q4 2021 compared with £1,061
 million in Q4 2020. This reflected higher re-measurement charges on the
 contingent consideration liabilities partly offset by lower restructuring and
 higher profit on disposal of assets.

 Excluding these and other Adjusting items, Adjusted operating profit was
 £1,893 million, 4% higher than Q4 2020 at AER, 15% higher at CER on a
 turnover increase of 13% CER. The Adjusted operating margin of 19.9% was 0.9
 percentage points lower at AER, and 0.2 percentage points higher on a CER
 basis than in Q4 2020.

 The increase in Adjusted operating profit primarily reflected leverage from
 £920 million of pandemic sales (Xevudy £828 million, Pandemic adjuvant £92
 million) as well as strong growth in New and Specialty Products and a
 favourable prior period RAR adjustment in Pharmaceuticals, reduced costs for
 legal settlements continued tight control of ongoing costs and benefits from
 continued restructuring across the business. This was partly offset by
 increased investment in R&D, increased investment behind launches and
 higher supply chain costs resulting from lower demand and higher inventory
 adjustments in Vaccines. The contribution to growth from COVID-19 solutions
 was approximately 12% AER, 15% CER.

 Contingent consideration cash payments which are made to Shionogi and other
 companies reduce the balance sheet liability and hence are not recorded in the
 income statement. Total contingent consideration cash payments in Q4 2021
 amounted to £225 million (Q4 2020: £221 million). This included cash
 payments made to Shionogi of £211 million (Q4 2020: £210 million).

 Adjusted operating profit by business

 Pharmaceuticals operating profit was £1,028 million, up 21% AER, 37% CER on a
 turnover increase of 25% CER. The operating margin of 19.7% was 0.2 percentage
 points higher at AER than in Q4 2020 and 1.9 percentage points higher on a CER
 basis. This primarily reflected strong growth in New and Specialty products
 and a favourable prior period RAR adjustment as well as continued tight
 control of ongoing costs and benefits from continued restructuring. This was
 partly offset by reduced costs for legal settlements and increased investment
 behind launches.

 Vaccines operating profit was £403 million, 42% lower than Q4 2020 at AER,
 and 43% lower at CER on a turnover decrease of 7% CER. The operating margin of
 22.3% was 12.1 percentage points lower at AER than in Q4 2020 and 13.2
 percentage points lower on a CER basis. This was primarily driven by negative
 operating leverage from the sales decrease, higher supply chain costs
 resulting from lower demand and higher inventory adjustments, higher SG&A
 investment behind key brands and higher R&D spend to support key strategic
 priorities. This was partly offset by higher royalty income.

 Consumer Healthcare operating profit was £558 million, up 45% AER but up 56%
 CER on a turnover increase of 10% CER. The operating margin of 22.3% was 6.0
 percentage point higher at AER and 6.9 percentage points higher on a CER basis
 than in Q4 2020. The margin increase at CER reflected leverage from volume
 growth and price increases, incremental synergy benefits from the Pfizer Joint
 Venture and the one-time benefit from legal settlements offset by incremental
 supply chain costs, including commodities and freight.

 Net finance costs

 Total net finance costs were £187 million compared with £234 million in Q4
 2020. Adjusted net finance costs were £186 million compared with £233
 million in Q4 2020. The decrease primarily reflected a premium paid on the
 early repayment and refinancing of bond debt in Q4 2020, reduced interest on
 tax, increased swap interest income on foreign currency hedges and favourable
 movements in foreign exchange rates.

 Share of after tax profits of associates and joint ventures

 The share of after tax losses of associates and joint ventures was £2 million
 (Q4 2020: £6 million).

 Taxation

 The credit of £224 million represented an effective tax rate on Total results
 of (31.7)% (Q4 2020: (2.2)%) and reflected the different tax effects of the
 various Adjusting items including a further credit adjustment of £72 million
 resulting from the revaluation of deferred tax assets following enactment of
 the proposed change of UK corporation tax rate from 19% to 25% (effective 1
 April 2023). Tax on Adjusted profit amounted to £177 million and represented
 an effective Adjusted tax rate of 10.4% (Q4 2020: 13.9%).

 Issues related to taxation are described in Note 14, 'Taxation' in the Annual
 Report 2020. The Group continues to believe it has made adequate provision for
 the liabilities likely to arise from periods which are open and not yet agreed
 by tax authorities. The ultimate liability for such matters may vary from the
 amounts provided and is dependent upon the outcome of agreements with relevant
 tax authorities.

 Non-controlling interests

 The allocation of Total earnings to non-controlling interests amounted to
 £181 million (Q4 2020: £162 million). The increase was primarily due to an
 increased allocation of Consumer Healthcare Joint Venture profits of £180
 million (Q4 2020: £64 million) offset by a reduced allocation of ViiV
 Healthcare losses of £8 million (Q4 2020: £97 million profits), including
 increased credits for re-measurement of contingent consideration liabilities.

 The allocation of Adjusted earnings to non-controlling interests amounted to
 £248 million (Q4 2020: £195 million). The increase in allocation primarily
 reflected an increased allocation of Consumer Healthcare Joint Venture profits
 of £132 million (Q4 2020: £91 million) and an increased allocation of ViiV
 Healthcare profits of £107 million (Q4 2020: £103 million).

 Earnings per share

 Total EPS was 15.0p, compared with 13.6p in Q4 2020. This primarily reflected
 lower restructuring and higher disposal income partly offset by higher
 re-measurement charges.

 Adjusted EPS was 25.6p compared with 23.3p in Q4 2020, up 9% AER and 22% CER,
 on a 15% CER increase in Adjusted operating profit reflecting positive
 leverage from Xevudy sales in the quarter and lower interest costs partly
 offset by a higher non-controlling interest allocation of Consumer Healthcare
 profits. The contribution to growth from COVID-19 solutions was approximately
 17% AER, 20% CER.

 Currency impact on Q4 2021 results

 The results for Q4 2021 are based on average exchange rates, principally
 £1/$1.36, £1/€1.18 and £1/Yen 154. Comparative exchange rates are given
 on page 57. The period-end exchange rates were £1/$1.35, £1/€1.19 and
 £1/Yen 155.

 In the quarter, turnover increased 9% AER, 13% CER. Total EPS was 15.0p
 compared with 13.6p in Q4 2020. Adjusted EPS was 25.6p compared with 23.3p in
 Q4 2020, up 9% AER and 22% CER. The adverse currency impact primarily
 reflected the strengthening in Sterling, particularly against the US dollar as
 well as Euro and Japanese Yen. Exchange gains or losses on the settlement of
 intercompany transactions had a one percentage point, negative currency impact
 of 13 percentage points on Adjusted EPS.

 

 

 Adjusting items

 The reconciliations between Total results and Adjusted results for Q4 2021 and
 Q4 2020 are set out below.

 

 Three months ended 31 December 2021

 

                                Total         Intangible    Intangible    Major         Transaction-  Divestments,  Separation

                                results       amort-        impair-       restruct-     related       significant   costs

                                £m            isation       ment          uring         £m            legal and     £m

                                              £m            £m            £m                          other items                 Adjusted

                                                                                                      £m                          results

                                                                                                                                  £m
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Turnover                       9,527                                                                                             9,527
 Cost of sales                  (3,680)       179           (37)          35            7                                         (3,496)
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Gross profit                   5,847         179           (37)          35            7                                         6,031

 Selling, general and           (3,260)                                   215           25            14            98            (2,908)

   administration
 Research and                   (1,448)       25            64            (4)                         (2)                         (1,365)

   development
 Royalty income                 135                                                                                               135
 Other operating                (379)                                     1             591           (245)         32            -

   income/(expense)
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Operating profit               895           204           27            247           623           (233)         130           1,893

 Net finance costs              (187)                                     1                                                       (186)
 Share of after tax losses      (2)                                                                                               (2)

   of associates and joint

   ventures
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit before taxation         706           204           27            248           623           (233)         130           1,705

 Taxation                       224           (49)          (11)          (33)          (95)          (201)         (12)          (177)
 Tax rate %                     (31.7)%                                                                                           10.4%
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit after taxation          930           155           16            215           528           (434)         118           1,528
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit attributable to         181                                                     67                                        248

   non-controlling interests

 Profit attributable to         749           155           16            215           461           (434)         118           1,280

   shareholders
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Earnings per share             15.0p         3.1p          0.3p          4.3p          9.3p          (8.7)p        2.3p          25.6p
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Weighted average               5,008                                                                                             5,008

   number of shares

   (millions)
                                ------------                                                                                      ------------

 

 

 Three months ended 31 December 2020

 

                                Total         Intangible    Intangible    Major         Transaction-  Divestments,  Separation

                                results       amort-        impair-       restruct-     related       significant   costs

                                £m            isation       ment          uring         £m            legal and     £m

                                              £m            £m            £m                          other items                 Adjusted

                                                                                                      £m                          results

                                                                                                                                  £m
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Turnover                       8,739                                                                                             8,739
 Cost of sales                  (3,171)       170           3             199           7                                         (2,792)
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Gross profit                   5,568         170           3             199           7                                         5,947

 Selling, general and           (3,162)       1             1             211           2             (2)           25            (2,924)

   administration
 Research and                   (1,470)       25            38            110                                                     (1,297)

   development
 Royalty income                 91                                                                                                91
 Other operating                34                                                      (8)           (26)                        -

   income/(expense)
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Operating profit               1,061         196           42            520           1             (28)          25            1,817

 Net finance costs              (234)                                                                 1                           (233)
 Share of after tax losses      (6)                                                                                               (6)

   of associates and joint

   ventures
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit before taxation         821           196           42            520           1             (27)          25            1,578

 Taxation                       18            (40)          (8)           (51)          (43)          (90)          (6)           (220)
 Tax rate %                     (2.2)%                                                                                            13.9%
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit after taxation          839           156           34            469           (42)          (117)         19            1,358
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------
 Profit attributable to         162                                                     33                                        195

   non-controlling interests

 Profit attributable to         677           156           34            469           (75)          (117)         19            1,163

   shareholders
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Earnings per share             13.6p         3.2p          0.7p          9.3p          (1.5)p        (2.4)p        0.4p          23.3p
                                ------------  ------------  ------------  ------------  ------------  ------------  ------------  ------------

 Weighted average               4,981                                                                                             4,981

   number of shares

   (millions)
                                ------------                                                                                      ------------

 

 

 Major restructuring and integration

 Within the Pharmaceuticals sector, the highly regulated manufacturing
 operations and supply chains and long lifecycle of the business mean that
 restructuring programmes, particularly those that involve the rationalisation
 or closure of manufacturing or R&D sites are likely to take several years
 to complete.

 

 Total Major restructuring charges incurred in Q4 2021 were £247 million (Q4
 2020: £520 million), analysed as follows:

 

                               Q4 2021                            Q4 2020

                               Cash      Non-cash      Total      Cash      Non-cash      Total

                               £m        £m            £m         £m        £m            £m

 2018 major restructuring      10        (1)           9          30        15            45

   programme (incl. Tesaro)
 Consumer Healthcare Joint     67        7             74         53        4             57

   Venture integration

   programme
 Separation Preparation        119       41            160        273       104           377

   restructuring programme
 Combined restructuring and    3         1             4          26        15            41

   integration programme

                               199       48            247        382       138           520

 

 Cash charges of £119 million under the Separation Preparation programme
 primarily arose from restructuring of some administrative functions and office
 locations as well as commercial pharmaceuticals and R&D functions.
 Non-cash charge of £41 million primarily related to write-down of assets in
 administrative locations and R&D sites.

 Cash charges of £67 million on the Consumer Healthcare Joint Venture
 programme primarily related to severance and integration costs.

 Total cash payments made in Q4 2021 were £181 million (Q4 2020: £194
 million), £112 million (Q4 2020: £71 million) relating to the Separation
 Preparation restructuring programme, a further £35 million (Q4 2020: £67
 million) relating to the Consumer Healthcare Joint Venture integration
 programme, £25 million (Q4 2020: £34 million) under the 2018 major
 restructuring programme including the settlement of certain charges accrued in
 previous quarters and £9 million (Q4 2020: £22 million) for the existing
 Combined restructuring and integration programme.

 The analysis of Major restructuring charges by business was as follows:

 

                                    Q4 2021      Q4 2020

                                    £m           £m

 Pharmaceuticals                    87           309
 Vaccines                           (10)         11
 Consumer Healthcare                76           71

                                    153          391
 Corporate & central functions      94           129

 Total Major restructuring costs    247          520

 

 

 The analysis of Major restructuring charges by Income statement line was as
 follows:

 

                                      Q4 2021      Q4 2020

                                      £m           £m

 Cost of sales                        35           199
 Selling, general and administration  215          211
 Research and development             (4)          110
 Other operating income               1            -

 Total Major restructuring costs      247          520

 

 The benefit in the quarter from restructuring programmes was £0.3 billion,
 with contributions from the Separation Preparation restructuring programme
 (£0.1 billion), Consumer Healthcare Joint Venture integration and the 2018
 major restructuring programme.

 

 Transaction-related adjustments

 Transaction-related adjustments resulted in a net charge of £623 million (Q4
 2020: £1 million). This included a net accounting charge of £612 million (Q4
 2020: £2 million credit) for the re-measurement of the contingent
 consideration liabilities related to the acquisitions of the former
 Shionogi-ViiV Healthcare joint venture and the former Novartis Vaccines
 business and the liabilities for the Pfizer put option and Pfizer and Shionogi
 preferential dividends in ViiV Healthcare.

 

 Charge/(credit)                                                            Q4 2021      Q4 2020

                                                                            £m           £m

 Contingent consideration on former Shionogi-ViiV Healthcare joint venture  528          (3)

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              101          (10)
 Contingent consideration on former Novartis Vaccines business              (17)         11
 Other adjustments                                                          11           3

 Total transaction-related charges                                          623          1

 

 The £528 million charge relating to the contingent consideration for the
 former Shionogi-ViiV Healthcare joint venture represented an increase in the
 valuation of the contingent consideration due to Shionogi, primarily as a
 result of the unwind of the discount for £101 million and a charge of £427
 million primarily from the settlement with Gilead and updated sales forecasts
 partly offset by updated exchange rate assumptions. The £101 million charge
 relating to the ViiV Healthcare put option and Pfizer preferential dividends
 represented an increase in the valuation of the put option following the
 settlement with Gilead offset by updated exchange rate assumptions.

 The ViiV Healthcare contingent consideration liability is fair valued under
 IFRS. The potential impact of the COVID-19 pandemic remains uncertain and at
 31 December 2021, it has been assumed that there will be no significant impact
 on the long-term value of the liability. This position remains under review
 and the amount of liability will be updated in future quarters as further
 information on the impact of the pandemic becomes available. An explanation of
 the accounting for the non-controlling interests in ViiV Healthcare is set out
 on page 11.

 Divestments, significant legal charges and other items

 Divestments and other items included a number of asset disposals including the
 profit on disposal of the cephalosporins business and certain other Adjusting
 items. There was a charge of £37 million (Q4 2020: £1 million) for
 significant legal matters arising in the quarter. Significant legal cash
 payments were £1 million (Q4 2020: £2 million). Included within Divestments,
 significant legal and other items, is a deferred tax credit of £157 million
 arising on the transfer of intellectual property within the group during the
 quarter. This deferred tax credit arises due to differences between group
 value and the market value of the assets transferred.

 Separation costs

 From Q2 2020, the Group started to report additional costs to prepare for
 Consumer Healthcare separation. Separation costs incurred in the quarter were
 £130 million (Q4 2020: £25 million) including preparatory admission costs of
 £38 million.

 

 

 Cash generation

 

 Cash flow

 

                                                  2021          2020          Q4 2021

 Net cash inflow from operating activities (£m)   7,952         8,441         3,767
 Free cash flow* (£m)                             4,437         5,406         2,901
 Free cash flow growth (%)                        (18)%         7%            (7)%
 Free cash flow conversion* (%)                   101%          94%           387%
 Net debt** (£m)                                  19,838        20,780        19,838

 

 *   Free cash flow and free cash flow conversion are defined on page 61.
 **  Net debt is analysed on page 60.

 

 2021

 The net cash inflow from operating activities for the year was £7,952 million
 (2020: £8,441 million). The decrease primarily reflected adverse exchange
 impacts, increased trade receivables, adverse timing of RAR and increased
 separation costs, partly offset by improved adjusted operating profit at CER
 and reduced tax payments including tax on disposals.

 Total cash payments to Shionogi in relation to the ViiV Healthcare contingent
 consideration liability in the year were £826 million (2020: £858 million),
 of which £721 million was recognised in cash flows from operating activities
 and £105 million was recognised in contingent consideration paid within
 investing cash flows. These payments are deductible for tax purposes.

 Free cash inflow was £4,437 million for the year (2020: £5,406 million). The
 decrease primarily reflected adverse exchange impacts, increased trade
 receivables, adverse timing of RAR, increased purchases of intangible assets
 and reduced proceeds from intangible assets. This was partly offset by
 improved adjusted operating profit at CER, reduced tax payments including tax
 on disposals and lower dividends to non-controlling interests.

 

 Q4 2021

 The net cash inflow from operating activities for the quarter was £3,767
 million (Q4 2020: £3,855 million). The reduction primarily reflected adverse
 exchange impacts and a lower seasonal reduction in trade receivables in the
 quarter and phasing of tax payments partly offset by improved adjusted
 operating profit at CER and favourable timing of RAR.

 Total cash payments to Shionogi in relation to the ViiV Healthcare contingent
 consideration liability in the quarter were £211 million (Q4 2020: £210
 million), of which £184 million was recognised in cash flows from operating
 activities and £27 million was recognised in contingent consideration paid
 within investing cash flows. These payments are deductible for tax purposes.

 Free cash inflow was £2,901 million for the quarter (Q4 2020: £3,106
 million). The reduction primarily reflected adverse exchange impacts and a
 lower seasonal reduction in trade receivables in the quarter, phasing of tax
 payments and lower proceeds from intangible assets, partly offset by improved
 adjusted operating profit at CER, favourable timing of RAR and lower purchases
 of intangible assets.

 

 Net debt

 At 31 December 2021, net debt was £19.8 billion, compared with £20.8 billion
 at 31 December 2020, comprising gross debt of £24.1 billion and cash and
 liquid investments of £4.3 billion. Net debt reduced due to £4.4 billion
 free cash flow and £0.5 billion proceeds from investments, including £0.3
 billion proceeds from the Innoviva disposal and £0.3 billion of net
 favourable exchange impacts from the translation of non-Sterling denominated
 debt and exchange on other financing items partly offset by the dividends paid
 to shareholders of £4.0 billion and additional investments of £0.2 billion.

 At 31 December 2021, GSK had short-term borrowings (including overdrafts and
 lease liabilities) repayable within 12 months of £3.6 billion with loans of
 £4.0 billion repayable in the subsequent year.

 

 

 Returns to shareholders

 

 Quarterly dividends

 The Board has declared a fourth interim dividend for 2021 of 23 pence per
 share (Q4 2020: 23 pence per share).

 On 23 June 2021, at the new GSK Investor Update, GSK set out that from 2022 a
 progressive dividend policy will be implemented. The dividend policy, the
 total expected cash distribution, and the respective dividend pay-out ratios
 for new GSK and new Consumer Healthcare remain unchanged.

 GSK expects to declare a 27p per share dividend payable by the current group
 for the first half. This comprises 22 pence per share for new GSK and 5 pence
 per share representing Consumer Healthcare during the first half whilst part
 of the group. For the second half of 2022, new GSK continues to expect to
 declare a 22p per share dividend. As previously communicated, new GSK would
 expect to declare a dividend of 45 pence per share for 2023.

 Following separation, the dividend policy for the new Consumer Healthcare
 company will be the responsibility of its Board of Directors and is expected
 to be guided by a 30 to 50 per cent pay-out ratio. On this basis, we now
 expect a second-half dividend from the new Consumer Healthcare company
 equivalent to a payout of around 3 pence per share, subject to its Board's
 decisions on the intra-year phasing of dividend payments. This expected
 distribution per share for the second half of the year has been adjusted from
 that highlighted at the GSK Investor Update in June 2021 to reflect the total
 number of shares (up to circa 9.25 billion shares) in the new Consumer
 Healthcare company that are expected to be in issue upon demerger. In June
 2021 the planning assumption for the Investor Update reflected only the GSK
 shares in issue at that time (circa 5 billion shares).

 In aggregate, this would represent on the full year 2022 basis the equivalent
 of a Group dividend of around 52p per share. Dividends payable by Consumer
 Healthcare will only be receivable by shareholders who remain invested in
 Consumer Healthcare post-separation and at the appropriate record dates.

 Payment of dividends

 The equivalent interim dividend receivable by ADR holders will be calculated
 based on the exchange rate on 4 April 2022. An annual fee of $0.03 per ADS (or
 $0.0075 per ADS per quarter) is charged by the Depositary.

 The ex-dividend date will be 24 February 2022, with a record date of 25
 February 2022 and a payment date of 7 April 2022.

 

                 Paid/                Pence per      £m

                 payable              share

 2021
 First interim   8 July 2021          19             951
 Second interim  7 October 2021       19             951
 Third interim   13 January 2022      19             952
 Fourth interim  7 April 2022         23             1,152

                                      80             4,006

 

 2020
 First interim   9 July 2020          19      946
 Second interim  8 October 2020       19      946
 Third interim   14 January 2021      19      946
 Fourth interim  8 April 2021         23      1,151

                                      80      3,989

 

 

 Weighted average number of shares
                                                                           2021           2020

                                                                           millions       millions

 Weighted average number of shares - basic                                 5,003          4,976
 Dilutive effect of share options and share awards                         62             62

 Weighted average number of shares - diluted                               5,065          5,038

 

 Weighted average number of shares
                                                                           Q4 2021        Q4 2020

                                                                           millions       millions

 Weighted average number of shares - basic                                 5,008          4,981
 Dilutive effect of share options and share awards                         86             61

 Weighted average number of shares - diluted                               5,094          5,042

 

 At 31 December 2021, 5,009 million shares (2020: 4,981 million) were in free
 issue (excluding Treasury shares and shares held by the ESOP Trusts). GSK made
 no share repurchases during the period. The company issued 1.8 million shares
 under employee share schemes in the year for proceeds of £21 million (2020:
 £29 million).

 

 At 31 December 2021, the ESOP Trust held 22.8 million GSK shares against the
 future exercise of share options and share awards. The carrying value of £28
 million has been deducted from other reserves. The market value of these
 shares was £373 million.

 At 31 December 2021, the company held 355.2 million Treasury shares at a cost
 of £4,969 million, which has been deducted from retained earnings.

 

 

 Financial information

 

 Income statements

 

                                             2021          2020          Q4 2021      Q4 2020

                                             £m            £m            £m           £m

 TURNOVER                                    34,114        34,099        9,527        8,739

 Cost of sales                               (11,603)      (11,704)      (3,680)      (3,171)

 Gross profit                                22,511        22,395        5,847        5,568

 Selling, general and administration         (10,975)      (11,456)      (3,260)      (3,162)
 Research and development                    (5,278)       (5,098)       (1,448)      (1,470)
 Royalty income                              419           318           135          91
 Other operating (expense)/income            (476)         1,624         (379)        34

 OPERATING PROFIT                            6,201         7,783         895          1,061

 Finance income                              28            44            4            5
 Finance expense                             (784)         (892)         (191)        (239)
 Share of after tax profits/(losses) of      33            33            (2)          (6)

   associates and joint ventures
 Loss on disposal of interest in associates  (36)          -             -            -

 PROFIT BEFORE TAXATION                      5,442         6,968         706          821

 Taxation                                    (346)         (580)         224          18
 Tax rate %                                  6.4%          8.3%          (31.7)%      (2.2)%

 PROFIT AFTER TAXATION                       5,096         6,388         930          839

 Profit attributable to non-controlling      711           639           181          162

   interests
 Profit attributable to shareholders         4,385         5,749         749          677

                                             5,096         6,388         930          839

 EARNINGS PER SHARE                          87.6p         115.5p        15.0p        13.6p

 Diluted earnings per share                  86.6p         114.1p        14.7p        13.4p

 

 

 Statement of comprehensive income

 

                                                           2021         2020         Q4 2021      Q4 2020

                                                           £m           £m           £m           £m

 Profit for the year                                       5,096        6,388        930          839

 Items that may be reclassified subsequently to

   income statement:
 Exchange movements on overseas net assets and             (290)        (59)         (181)        (248)

   net investment hedges
 Reclassification of exchange movements on liquidation     25           36           35           -

   or disposal of overseas subsidiaries and associates
 Fair value movements on cash flow hedges                  5            (19)         9            4
 Reclassification of cash flow hedges to income            12           54           1            1

   statement
 Deferred tax on fair value movements on cash flow         (8)          (18)         (7)          (16)

   hedges

                                                           (256)        (6)          (143)        (259)

 Items that will not be reclassified to income

   statement:
 Exchange movements on overseas net assets of              (20)         (34)         (19)         (64)

   non-controlling interests
 Fair value movements on equity investments                (910)        1,348        (615)        635
 Tax on fair value movements on equity investments         131          (220)        33           (104)
 Re-measurement losses on defined benefit plans            941          (187)        607          195
 Tax on re-measurement losses on defined benefit plans     (223)        69           (158)        (9)

                                                           (81)         976          (152)        653

 Other comprehensive (expense)/income for the year         (337)        970          (295)        394

 Total comprehensive income for the year                   4,759        7,358        635          1,233

 Total comprehensive income for the year attributable to:
   Shareholders                                            4,068        6,753        473          1,135
   Non-controlling interests                               691          605          162          98

                                                           4,759        7,358        635          1,233

 

 

 Pharmaceuticals turnover - year ended 31 December 2021

 

                         Total                                        US                                           Europe                                       International
                         -------------------------------------        -------------------------------------        -------------------------------------        -------------------------------------
                                        Growth                                       Growth                                       Growth                                       Growth
                                        -----------------------                      -----------------------                      -----------------------                      -----------------------
                         £m             £%             CER%           £m             £%             CER%           £m             £%             CER%           £m             £%             CER%
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 Respiratory             2,863          21             28             1,822          23             30             606            11             13             435            33             42
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Anoro Ellipta           504            (8)            (3)            278            (15)           (9)            149            5              8              77             (1)            3
 Trelegy Ellipta         1,217          49             57             854            52             62             200            19             21             163            81             92
 Nucala                  1,142          15             22             690            15             23             257            8              11             195            23             34

 HIV                     4,777          (2)            3              2,898          (4)            3              1,194          (2)            1              685            4              11
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Dolutegravir products   4,567          (3)            2              2,774          (6)            -              1,151          (1)            1              642            7              14
   Tivicay               1,381          (10)           (4)            763            (12)           (7)            286            (22)           (20)           332            15             24
   Triumeq               1,882          (18)           (14)           1,190          (18)           (13)           452            (20)           (18)           240            (15)           (12)
   Juluca                517            4              10             393            2              8              111            14             18             13             18             27
   Dovato                787            >100           >100           428            87             99             302            >100           >100           57             >100           >100

 Rukobia                 45             >100           >100           43             >100           >100           2              >100           >100           -              -              -
 Cabenuva                38             >100           >100           32             -              -              5              -              -              1              >100           >(100)
 Other                   127            (22)           (18)           49             (8)            (4)            36             (28)           (26)           42             (30)           (23)

 Immuno-                 885            22             29             727            19             26             68             21             25             90             53             63

 inflammation
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Benlysta                874            22             29             727            19             26             68             21             25             79             55             67

 Oncology                489            31             37             274            19             26             195            43             46             20             >100           >100
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Zejula                  395            17             22             212            3              10             163            27             30             20             >100           >100
 Blenrep                 89             >100           >100           61             >100           >100           28             >100           >100           -              -              -
 Jemperli                5              >100           >100           2              -              -              3              >100           >100           -              -              -

 Pandemic                958            -              -              602            -              -              69             -              -              287            -              -
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Xevudy                  958            -              -              602            -              -              69             -              -              287            -              -

 New and Specialty       9,972          20             26             6,323          19             26             2,132          9              12             1,517          45             54

 Pharmaceuticals

 Established             7,757          (11)           (6)            2,119          -              6              1,802          (16)           (14)           3,836          (14)           (8)

 Pharmaceuticals
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Established             4,327          (7)            (2)            1,788          7              13             995            (12)           (10)           1,544          (16)           (10)

 Respiratory
   Arnuity Ellipta       47             4              11             40             8              16             -              -              -              7              (12)           (13)
   Avamys/Veramyst       298            -              7              -              -              -              65             (2)            2              233            1              8
   Flixotide/Flovent     444            6              12             275            50             60             69             (14)           (11)           100            (36)           (32)
   Incruse Ellipta       205            (7)            (3)            109            (7)            (2)            70             (5)            (3)            26             (10)           (7)
   Relvar/Breo Ellipta   1,121          -              5              488            3              9              334            4              6              299            (9)            (2)
   Seretide/Advair       1,357          (12)           (7)            486            12             19             322            (28)           (27)           549            (16)           (11)
   Ventolin              718            (9)            (4)            390            (9)            (3)            108            (7)            (5)            220            (8)            (3)
   Other Respiratory     137            (36)           (31)           -              -              -              27             -              -              110            (41)           (36)

 Dermatology             399            (6)            (1)            (1)            >(100)         >(100)         131            (6)            (4)            269            (5)            2
 Augmentin               426            (13)           (7)            -              -              -              124            (14)           (12)           302            (12)           (4)
 Avodart                 332            (29)           (25)           1              (80)           (80)           118            (25)           (23)           213            (30)           (25)
 Imigran/Imitrex         105            (11)           (8)            29             (31)           (31)           51             -              2              25             -              8
 Lamictal                478            (11)           (6)            232            (14)           (9)            112            (7)            (5)            134            (9)            (3)
 Seroxat/Paxil           128            (12)           (6)            -              -              -              35             (5)            (5)            93             (15)           (6)
 Valtrex                 92             (11)           (5)            11             (27)           (20)           33             3              3              48             (14)           (5)
 Other                   1,470          (18)           (13)           59             (46)           (40)           203            (39)           (37)           1,208          (11)           (5)
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Pharmaceuticals         17,729         4              10             8,442          13             21             3,934          (4)            (2)            5,353          (3)            4
                         --------       --------       --------       --------       ----------     --------       --------       ---------      --------       --------       ---------      --------

 

 

 Pharmaceuticals turnover - three months ended 31 December 2021

 

                         Total                                        US                                           Europe                                       International
                         -------------------------------------        -------------------------------------        -------------------------------------        -------------------------------------
                                        Growth                                       Growth                                       Growth                                       Growth
                                        -----------------------                      -----------------------                      -----------------------                      -----------------------
                         £m             £%             CER%           £m             £%             CER%           £m             £%             CER%           £m             £%             CER%
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 Respiratory             786            15             20             500            15             17             160            7              11             126            31             42
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Anoro Ellipta           123            (19)           (17)           63             (30)           (29)           39             -              5              21             (5)            (5)
 Trelegy Ellipta         352            48             53             248            54             58             54             13             17             50             72             86
 Nucala                  311            7              11             189            3              5              67             6              11             55             22             36

 HIV                     1,260          (1)            3              803            -              2              318            (3)            2              139            2              7
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Dolutegravir products   1,194          (3)            1              760            (3)            (1)            304            (3)            1              130            5              10
   Tivicay               321            (12)           (10)           200            (13)           (10)           71             (19)           (16)           50             4              6
   Triumeq               476            (18)           (15)           308            (17)           (15)           110            (23)           (20)           58             (13)           (7)
   Juluca                143            3              6              110            2              5              30             7              11             3              -              33
   Dovato                254            80             87             142            80             85             93             66             75             19             >100           >100

 Rukobia                 15             88             87             14             75             75             1              >100           >100           -              -              -
 Cabenuva                20             >100           >100           17             -              -              2              -              -              1              >100           >100
 Other                   31             (11)           (8)            12             9              -              11             (8)            -              8              (33)           (24)

 Immuno-                 247            20             23             203            16             19             18             20             27             26             62             69

 inflammation
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Benlysta                244            19             22             203            16             19             18             20             27             23             53             60

 Oncology                132            15             18             68             (9)            (7)            52             41             46             12             >100           >100
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Zejula                  108            21             24             51             (6)            (4)            45             41             47             12             >100           >100
 Blenrep                 22             (12)           (8)            17             (15)           (10)           6              20             20             (1)            >(100)         >(100)
 Jemperli                2              >100           >100           1              -              -              1              >100           >100           -              -              -

 Pandemic                828            -              -              586            -              -              68             -              -              174            -              -
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Xevudy                  828            -              -              586            -              -              68             -              -              174            -              -

 New and Specialty       3,253          43             49             2,160          45             50             616            16             21             477            90             >100

 Pharmaceuticals

 Established             1,968          (6)            (2)            515            6              8              452            (14)           (10)           1,001          (8)            (2)

 Pharmaceuticals
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Established             1,075          (2)            2              427            14             16             255            (8)            (4)            393            (11)           (6)

 Respiratory
   Arnuity Ellipta       13             (7)            -              12             9              9              -              -              -              1              (67)           (33)
   Avamys/Veramyst       71             1              7              -              -              -              15             -              13             56             2              5
   Flixotide/Flovent     107            23             25             56             65             65             22             10             15             29             (12)           (9)
   Incruse Ellipta       49             2              4              27             29             24             16             (16)           (11)           6              (25)           (13)
   Relvar/Breo Ellipta   280            2              6              117            9              10             86             2              7              77             (7)            -
   Seretide/Advair       335            (5)            (1)            120            64             68             78             (26)           (23)           137            (21)           (17)
   Ventolin              184            (13)           (10)           96             (23)           (22)           31             7              10             57             -              4
   Other Respiratory     36             (3)            8              (1)            >(100)         (100)          7              17             17             30             3              14

 Dermatology             101            (7)            (2)            (1)            >(100)         >(100)         31             (14)           (11)           71             (3)            4
 Augmentin               130            13             22             -              -              -              38             3              8              92             18             28
 Avodart                 79             (18)           (11)           -              >(100)         >(100)         29             (15)           (9)            50             (18)           (11)
 Imigran/Imitrex         26             (4)            -              6              -              (17)           14             -              -              6              (14)           14
 Lamictal                122            (13)           (10)           62             (15)           (14)           27             (10)           (7)            33             (11)           (5)
 Seroxat/Paxil           32             (11)           (3)            -              -              -              9              (10)           (10)           23             (12)           -
 Valtrex                 24             (8)            -              3              (25)           -              8              -              -              13             (7)            -
 Other                   379            (17)           (12)           18             (33)           (26)           41             (49)           (44)           320            (8)            (3)
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Pharmaceuticals         5,221          20             25             2,675          36             40             1,068          1              6              1,478          11             17
                         --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 

 

 Vaccines turnover - year ended 31 December 2021

 

                          Total                                        US                                           Europe                                       International
                          -------------------------------------        -------------------------------------        -------------------------------------        -------------------------------------
                                         Growth                                       Growth                                       Growth                                       Growth
                                         -----------------------                      -----------------------                      -----------------------                      -----------------------
                          £m             £%             CER%           £m             £%             CER%           £m             £%             CER%           £m             £%             CER%
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 Meningitis               961            (7)            (2)            453            5              11             354            (1)            2              154            (36)           (30)
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Bexsero                  650            -              5              253            (3)            3              328            1              4              69             5              20
 Menveo                   272            3              9              200            16             23             21             (19)           (15)           51             (23)           (18)
 Other                    39             (66)           (65)           -              -              -              5              (17)           (17)           34             (69)           (68)

 Influenza                679            (7)            (2)            456            (15)           (9)            101            3              6              122            22             28
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Fluarix, FluLaval        679            (7)            (2)            456            (15)           (9)            101            3              6              122            22             28

 Shingles                 1,721          (13)           (9)            1,344          (20)           (15)           281            51             54             96             (25)           (23)
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Shingrix                 1,721          (13)           (9)            1,344          (20)           (15)           281            51             54             96             (25)           (23)

 Established              2,970          (8)            (4)            977            (7)            (1)            700            (13)           (10)           1,293          (6)            (3)

 Vaccines
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Infanrix, Pediarix       543            (14)           (9)            303            (3)            4              116            (33)           (32)           124            (14)           (10)
 Boostrix                 521            9              14             270            5              12             140            -              2              111            41             44

 Hepatitis                460            (20)           (16)           269            (19)           (14)           109            (22)           (21)           82             (20)           (17)

 Rotarix                  541            (3)            1              111            (10)           (4)            118            (1)            2              312            (2)            3

 Synflorix                357            (11)           (8)            -              -              -              45             (15)           (13)           312            (11)           (7)

 Priorix, Priorix Tetra,  260            -              4              -              -              -              125            (1)            2              135            -              5

   Varilrix
 Cervarix                 138            (1)            -              -              -              -              25             (17)           (17)           113            4              5
 Other                    150            (21)           (19)           24             (20)           (13)           22             16             26             104            (26)           (26)
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Vaccines excluding       6,331          (9)            (5)            3,230          (13)           (7)            1,436          -              2              1,665          (10)           (6)

 pandemic vaccines

 Pandemic vaccines        447            -              -              242            -              -              -              -              -              205            -              -
 Pandemic adjuvant        444            -              -              242            -              -              -              -              -              202            -              -
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Total Vaccines           6,778          (3)            2              3,472          (6)            -              1,436          -              2              1,870          1              5
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 

 

 Vaccines turnover - three months ended 31 December 2021

 

                          Total                                        US                                           Europe                                       International
                          -------------------------------------        -------------------------------------        -------------------------------------        -------------------------------------
                                         Growth                                       Growth                                       Growth                                       Growth
                                         -----------------------                      -----------------------                      -----------------------                      -----------------------
                          £m             £%             CER%           £m             £%             CER%           £m             £%             CER%           £m             £%             CER%
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 Meningitis               194            (29)           (27)           63             (43)           (45)           86             (5)            (1)            45             (38)           (33)
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Bexsero                  127            (20)           (17)           35             (42)           (45)           77             (6)            (1)            15             (12)           6
 Menveo                   48             (42)           (42)           28             (44)           (44)           8              -              -              12             (52)           (52)
 Other                    19             (41)           (37)           -              -              -              1              -              -              18             (42)           (39)

 Influenza                244            (3)            -              130            (16)           (14)           78             20             23             36             9              15
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Fluarix, FluLaval        244            (3)            -              130            (16)           (14)           78             20             23             36             9              15

 Shingles                 597            (7)            (4)            451            (13)           (10)           116            68             74             30             (46)           (43)
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Shingrix                 597            (7)            (4)            451            (13)           (10)           116            68             74             30             (46)           (43)

 Established              682            (19)           (16)           203            (33)           (32)           172            (13)           (8)            307            (10)           (6)

 Vaccines
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Infanrix, Pediarix       115            (33)           (31)           58             (42)           (43)           25             (34)           (29)           32             (6)            -
 Boostrix                 114            (9)            (6)            55             (21)           (20)           32             (11)           (8)            27             42             47

 Hepatitis                113            (19)           (17)           62             (27)           (27)           33             14             17             18             (28)           (20)

 Rotarix                  142            (4)            1              27             (31)           (31)           32             3              10             83             6              14

 Synflorix                92             (1)            4              -              -              -              13             18             18             79             (4)            2

 Priorix, Priorix Tetra,  54             (31)           (26)           -              -              -              28             (10)           -              26             (45)           (43)

   Varilrix
 Cervarix                 23             (48)           (45)           -              -              -              3              (81)           (81)           20             (29)           (25)
 Other                    29             (31)           (33)           1              (86)           (57)           6              20             40             22             (27)           (40)
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Vaccines excluding       1,717          (15)           (12)           847            (22)           (20)           452            7              12             418            (17)           (13)

 pandemic vaccines

 Pandemic vaccines        92             -              -              2              -              -              -              -              -              90             -              -
 Pandemic adjuvant        92             -              -              2              -              -              -              -              -              90             -              -
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------
 Total Vaccines           1,809          (10)           (7)            849            (22)           (20)           452            7              12             508            1              6
                          --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------       --------

 

 

 Balance sheet

 

                                                       31 December 2021      31 December 2020

                                                       £m                    £m
 ASSETS
 Non-current assets
 Property, plant and equipment                         9,932                 10,176
 Right of use assets                                   740                   830
 Goodwill                                              10,552                10,597
 Other intangible assets                               30,079                29,824
 Investments in associates and joint ventures          88                    364
 Other investments                                     2,126                 3,060
 Deferred tax assets                                   5,218                 4,287
 Derivative financial instruments                      18                    5
 Other non-current assets                              1,676                 1,041

 Total non-current assets                              60,429                60,184

 Current assets
 Inventories                                           5,783                 5,996
 Current tax recoverable                               486                   671
 Trade and other receivables                           7,860                 6,952
 Derivative financial instruments                      188                   152
 Liquid investments                                    61                    78
 Cash and cash equivalents                             4,274                 6,292
 Assets held for sale                                  22                    106

 Total current assets                                  18,674                20,247

 TOTAL ASSETS                                          79,103                80,431

 LIABILITIES
 Current liabilities
 Short-term borrowings                                 (3,601)               (3,725)
 Contingent consideration liabilities                  (958)                 (765)
 Trade and other payables                              (17,554)              (15,840)
 Derivative financial instruments                      (227)                 (221)
 Current tax payable                                   (489)                 (545)
 Short-term provisions                                 (841)                 (1,052)

 Total current liabilities                             (23,670)              (22,148)

 Non-current liabilities
 Long-term borrowings                                  (20,572)              (23,425)
 Corporation tax payable                               (180)                 (176)
 Deferred tax liabilities                              (3,556)               (3,600)
 Pensions and other post-employment benefits           (3,113)               (3,650)
 Other provisions                                      (630)                 (707)
 Derivative financial instruments                      (1)                   (10)
 Contingent consideration liabilities                  (5,118)               (5,104)
 Other non-current liabilities                         (921)                 (803)

 Total non-current liabilities                         (34,091)              (37,475)

 TOTAL LIABILITIES                                     (57,761)              (59,623)

 NET ASSETS                                            21,342                20,808

 EQUITY
 Share capital                                         1,347                 1,346
 Share premium account                                 3,301                 3,281
 Retained earnings                                     7,944                 6,755
 Other reserves                                        2,463                 3,205

 Shareholders' equity                                  15,055                14,587

 Non-controlling interests                             6,287                 6,221

 TOTAL EQUITY                                          21,342                20,808

 

 

 Statement of changes in equity

 

                                               Share         Share         Retained      Other         Share-        Non-          Total

                                               capital       premium       earnings      reserves      holder's      controlling   equity

                                               £m            £m            £m            £m            equity        interests     £m

                                                                                                       £m            £m
                                               ------------  ------------  ------------  ------------  ------------  ------------  ------------

 At 1 January 2021                             1,346         3,281         6,755         3,205         14,587        6,221         20,808

   Profit for the year                                                     4,385                       4,385         711           5,096
   Other comprehensive (expense)/income                                    454           (771)         (317)         (20)          (337)

     for the year
                                                                           ------------  ------------  ------------  ------------  ------------
 Total comprehensive income for the year                                   4,839         (771)         4,068         691           4,759
                                                                           ------------  ------------  ------------  ------------  ------------
 Distributions to non-controlling interests                                                                          (642)         (642)
 Contributions from non-controlling interests                                                                        7             7
 Dividends to shareholders                                                 (3,999)                     (3,999)                     (3,999)
 Shares issued                                 1             20                                        21                          21
 Realised after tax profits on disposal of                                 132           (132)                                     -

   equity investments
 Share of associates and joint ventures                                    7             (7)                                       -

   realised profits on disposal of equity

   investments
 Write-down on shares held by ESOP Trusts                                  (168)         168                                       -
 Share-based incentive plans                                               367                         367                         367
 Transactions with non-controlling interests                                                                         10            10
 Tax on share-based incentive plans                                        11                          11                          11
                                               ------------  ------------  ------------  ------------  ------------  ------------  ------------
 At 31 December 2021                           1,347         3,301         7,944         2,463         15,055        6,287         21,342
                                               ------------  ------------  ------------  ------------  ------------  ------------  ------------

 At 1 January 2020                             1,346         3,174         4,530         2,355         11,405        6,952         18,357

   Profit for the year                                                     5,749                       5,749         639           6,388
   Other comprehensive (expense)/income                                    (133)         1,137         1,004         (34)          970

     for the year
                                                                           ------------  ------------  ------------  ------------  ------------
 Total comprehensive income for the year                                   5,616         1,137         6,753         605           7,358
                                                                           ------------  ------------  ------------  ------------  ------------
 Distributions to non-controlling interests                                                                          (1,208)       (1,208)
 Contributions from non-controlling interests                                                                        3             3
 Changes to non-controlling interests                                                                                (131)         (131)
 Dividends to shareholders                                                 (3,977)                     (3,977)                     (3,977)
 Shares issued                                               29                                        29                          29
 Realised after tax profits on disposal of                                 163           (163)                                     -

   equity investments
 Share of associates and joint ventures                                    44            (44)                                      -

   realised profits on disposal of equity

   investments
 Shares acquired by ESOP Trusts                              78            531           (609)                                     -
 Write-down on shares held by ESOP Trusts                                  (529)         529                                       -
 Share-based incentive plans                                               381                         381                         381
 Tax on share-based incentive plans                                        (4)                         (4)                         (4)
                                               ------------  ------------  ------------  ------------  ------------  ------------  ------------
 At 31 December 2020                           1,346         3,281         6,755         3,205         14,587        6,221         20,808
                                               ------------  ------------  ------------  ------------  ------------  ------------  ------------

 

 

 Cash flow statement - year ended 31 December 2021

 

                                                                                 2021         2020

                                                                                 £m           £m

 Profit after tax                                                                5,096        6,388
 Tax on profits                                                                  346          580
 Share of after tax profits of associates and joint ventures                     (33)         (33)
 Loss on disposal of interest in associates                                      36           -
 Net finance expense                                                             756          848
 Depreciation, amortisation and other adjusting items                            2,524        624
 (Decrease)/increase in working capital                                          (473)        120
 Contingent consideration paid                                                   (742)        (765)
 Increase in other net liabilities (excluding contingent consideration paid)     1,733        2,334

 Cash generated from operations                                                  9,243        10,096
 Taxation paid                                                                   (1,291)      (1,655)

 Net cash inflow from operating activities                                       7,952        8,441

 Cash flow from investing activities
 Purchase of property, plant and equipment                                       (1,172)      (1,226)
 Proceeds from sale of property, plant and equipment                             143          68
 Purchase of intangible assets                                                   (1,759)      (1,013)
 Proceeds from sale of intangible assets                                         772          1,255
 Purchase of equity investments                                                  (162)        (411)
 Proceeds from sale of equity investments                                        202          3,269
 Purchase of businesses, net of cash acquired                                    -            15
 Contingent consideration paid                                                   (114)        (120)
 Disposal of businesses                                                          (17)         259
 Investment in associates and joint ventures                                     (1)          (4)
 Interest received                                                               27           39
 (Increase)/decrease in liquid investments                                       18           (1)
 Dividends from associates and joint ventures                                    9            31
 Proceeds from disposal of associates and joint ventures                         277          -

 Net cash (outflow)/inflow from investing activities                             (1,777)      2,161

 Cash flow from financing activities
 Issue of share capital                                                          21           29
 Increase in long-term loans                                                     -            3,298
 Repayment of short-term loans                                                   (1,995)      (7,305)
 Repayment of lease liabilities                                                  (215)        (227)
 Interest paid                                                                   (786)        (864)
 Dividends paid to shareholders                                                  (3,999)      (3,977)
 Distributions to non-controlling interests                                      (642)        (1,208)
 Contributions from non-controlling interests                                    7            3
 Other financing items                                                           20           119

 Net cash outflow from financing activities                                      (7,589)      (10,132)

 (Decrease)/increase in cash and bank overdrafts in the year                     (1,414)      470

 Cash and bank overdrafts at beginning of the year                               5,262        4,831
 Exchange adjustments                                                            (29)         (39)
 (Decrease)/increase in cash and bank overdrafts                                 (1,414)      470

 Cash and bank overdrafts at end of the year                                     3,819        5,262

 Cash and bank overdrafts at end of the period comprise:
                                         Cash and cash equivalents               4,274        6,292

                                                                                 4,274        6,292
                                         Overdrafts                              (455)        (1,030)

                                                                                 3,819        5,262

 

 

 Segment information

 Operating segments are reported based on the financial information provided to
 the Chief Executive Officer and the responsibilities of the GSK Leadership
 Team (GLT). GSK reports results under four segments: Pharmaceuticals;
 Pharmaceuticals R&D; Vaccines and Consumer Healthcare, and individual
 members of the GLT are responsible for each segment.

 The Pharmaceuticals R&D segment is the responsibility of the Chief
 Scientific Officer and President, R&D and is reported as a separate
 segment. The operating profit of this segment excludes the ViiV Healthcare
 operating profit (including R&D expenditure) that is reported within the
 Pharmaceuticals segment.

 The Group's management reporting process allocates intra-Group profit on a
 product sale to the market in which that sale is recorded, and the profit
 analyses below have been presented on that basis.

 Corporate and other unallocated turnover and costs include the results of
 certain Consumer Healthcare products which are being held for sale in a number
 of markets in order to meet anti-trust approval requirements, together with
 the costs of corporate functions.

 

 

 Turnover by segment

 

                                           2021          2020          Growth      Growth

                                           £m            £m            £%          CER%

 Pharmaceuticals                           17,729        17,056        4           10
 Vaccines                                  6,778         6,982         (3)         2
 Consumer Healthcare                       9,607         10,033        (4)         -

                                           34,114        34,071        -           5
 Corporate and other unallocated turnover  -             28            (100)       (100)

 Total turnover                            34,114        34,099        -           5

 

 

 Operating profit by segment

 

                                             2021         2020         Growth      Growth

                                             £m           £m           £%          CER%

 Pharmaceuticals                             8,170        7,723        6           15
 Pharmaceuticals R&D                         (3,489)      (3,538)      (1)         3

 Pharmaceuticals including R&D               4,681        4,185        12          24
 Vaccines                                    2,256        2,713        (17)        (11)
 Consumer Healthcare                         2,239        2,213        1           9

 Segment profit                              9,176        9,111        1           10
 Corporate and other unallocated costs       (370)        (205)

 Adjusted operating profit                   8,806        8,906        (1)         9
 Adjusting items                             (2,605)      (1,123)

 Total operating profit                      6,201        7,783        (20)        (9)

 Finance income                              28           44
 Finance costs                               (784)        (892)
 Share of after tax profits of associates    33           33

   and joint ventures
 Loss on disposal of interest in associates  (36)         -

 Profit before taxation                      5,442        6,968        (22)        (10)

 

 

 Turnover by segment

 

                                           Q4 2021      Q4 2020      Growth      Growth

                                           £m           £m           £%          CER%

 Pharmaceuticals                           5,221        4,366        20          25
 Vaccines                                  1,809        2,012        (10)        (7)
 Consumer Healthcare                       2,497        2,360        6           10

                                           9,527        8,738        9           13
 Corporate and other unallocated turnover  -            1

 Total turnover                            9,527        8,739        9           13

 

 

 Operating profit by segment

 

                                                    Q4 2021      Q4 2020      Growth      Growth

                                                    £m           £m           £%          CER%

 Pharmaceuticals                                    2,035        1,874        9           17
 Pharmaceuticals R&D                                (1,007)      (1,023)      (2)         -

 Pharmaceuticals including R&D                      1,028        851          21          37
 Vaccines                                           403          691          (42)        (43)
 Consumer Healthcare                                558          385          45          56

 Segment profit                                     1,989        1,927        3           12
 Corporate and other unallocated costs              (96)         (110)

 Adjusted operating profit                          1,893        1,817        4           15
 Adjusting items                                    (998)        (756)

 Total operating profit                             895          1,061        (16)        1

 Finance income                                     4            5
 Finance costs                                      (191)        (239)
 Share of after tax (losses)/profits of associates  (2)          (6)

   and joint ventures

 Profit before taxation                             706          821          (14)        8

 

 

 Legal matters

 The Group is involved in significant legal and administrative proceedings,
 principally product liability, intellectual property, tax, anti-trust,
 consumer fraud and governmental investigations, which are more fully described
 in the 'Legal Proceedings' note in the Annual Report 2020. At 31 December
 2021, the Group's aggregate provision for legal and other disputes (not
 including tax matters described on page 22 was £0.2 billion (31 December
 2020: £0.3 billion).

 The Group may become involved in significant legal proceedings in respect of
 which it is not possible to meaningfully assess whether the outcome will
 result in a probable outflow, or to quantify or reliably estimate the
 liability, if any, that could result from ultimate resolution of the
 proceedings. In these cases, the Group would provide appropriate disclosures
 about such cases, but no provision would be made.

 The ultimate liability for legal claims may vary from the amounts provided and
 is dependent upon the outcome of litigation proceedings, investigations and
 possible settlement negotiations. The Group's position could change over time,
 and, therefore, there can be no assurance that any losses that result from the
 outcome of any legal proceedings will not exceed by a material amount the
 amount of the provisions reported in the Group's financial accounts.

 Significant developments since the date of the Annual Report 2020 are as
 follows:

 ViiV Healthcare, the global specialist HIV company majority-owned by GSK, with
 Pfizer Inc. and Shionogi & Co. Limited as shareholders, has agreed to
 settle the global patent infringement litigation between GSK, Shionogi and
 Gilead Sciences, Inc. (Gilead) concerning ViiV Healthcare's patents relating
 to dolutegravir, an antiretroviral medication used, together with other
 medicines, to treat human immunodeficiency virus (HIV).

 Under the terms of the global settlement and licensing agreement, Gilead will
 make an upfront payment of $1.25 billion to ViiV Healthcare which is expected
 in the first quarter of 2022. In addition, Gilead will also pay a 3% royalty
 on all future US sales of Biktarvy and in respect of the bictegravir component
 of any other future bictegravir-containing products sold in the US. These
 royalties will be payable by Gilead to ViiV Healthcare from 1 February 2022
 until the expiry of ViiV Healthcare's U.S. Patent No. 8,129,385 on 5 October
 2027. Gilead's obligation to pay royalties does not extend into any period of
 regulatory paediatric exclusivity, if awarded.

 As a result of the settlement, patent infringement cases in the US, UK,
 France, Ireland, Germany, Japan, Korea, Australia, and Canada will be
 discontinued.

 

 

 Additional information

 

 Accounting policies and basis of preparation
 This unaudited Results Announcement contains condensed financial information
 for the year-end and three months ended 31 December 2021, and should be read
 in conjunction with the Annual Report 2020, which was prepared in accordance
 with United Kingdom adopted International Financial Reporting Standards. This
 Results Announcement has been prepared applying consistent accounting policies
 to those applied by the Group in the Annual Report 2020.

 The Group has not identified any changes to its key sources of accounting
 judgements or estimations of uncertainty compared with those disclosed in the
 Annual Report 2020.

 

 This Results Announcement does not constitute statutory accounts of the Group
 within the meaning of sections 434(3) and 435(3) of the Companies Act 2006.
 The full Group accounts for 2020 were published in the Annual Report 2020,
 which has been delivered to the Registrar of Companies and on which the report
 of the independent auditor was unqualified and did not contain a statement
 under section 498 of the Companies Act 2006.

 COVID-19 pandemic

 The potential impact of the COVID-19 pandemic on GSK's trading performance and
 all our principal risks has been assessed with mitigation plans put in place.
 In 2021, as anticipated, the pandemic impacted Group performance primarily in
 demand for Vaccines and reflected the prioritisation of COVID-19 vaccination
 programmes by governments', including social distancing rules resulting from
 COVID-19 that affected customers' ability and willingness to access
 vaccination services across all regions. We continue to remain confident in
 the underlying demand for our Vaccines and are encouraged by the rate at which
 COVID-19 vaccinations and boosters are being administered in many countries,
 which provides support for healthcare systems and the eventual return to
 normal. This continues to be a dynamic situation, with the future severity,
 duration and impact unknown at this point including potential impacts on
 trading results, clinical trials, supply continuity, and our employees. The
 situation could change at any time and there can be no assurance that the
 COVID-19 pandemic will not have a material adverse impact on the future
 results of the Group.

 

 Exchange rates
 GSK operates in many countries, and earns revenues and incurs costs in many
 currencies. The results of the Group, as reported in Sterling, are affected by
 movements in exchange rates between Sterling and other currencies. Average
 exchange rates, as modified by specific transaction rates for large
 transactions, prevailing during the period, are used to translate the results
 and cash flows of overseas subsidiaries, associates and joint ventures into
 Sterling. Period-end rates are used to translate the net assets of those
 entities. The currencies which most influenced these translations and the
 relevant exchange rates were:

 

                          2021      2020      Q4 2021      Q4 2020

 Average rates:
                 US$/£    1.38      1.29      1.36         1.33
                 Euro/£   1.16      1.13      1.18         1.11
                 Yen/£    151       137       154          138

 Period-end rates:
                 US$/£    1.35      1.36      1.35         1.36
                 Euro/£   1.19      1.11      1.19         1.11
                 Yen/£    155       141       155          141

 

 During Q4 2021 average Sterling exchange rates were stronger against the US
 Dollar, the Yen and the Euro compared with the same period in 2020. During the
 year ended 31 December 2021, average Sterling exchange rates were stronger
 against the US Dollar, the Yen and the Euro compared with the same period in
 2020. Period-end Sterling exchange rates were stronger against the Euro and
 the Yen and weaker against the US Dollar compared with the 2020 period-end
 rates.

 

 Net assets
 The book value of net assets increased by £534 million from £20,808 million
 at 31 December 2020 to £21,342 million at 31 December 2021. This primarily
 reflected the Total profit for the period, the re-measurement gains on the
 defined benefit plans, increases in deferred tax, other non-current assets and
 trade receivables. These were partially offset by the decrease in fair value
 of equity investments, increase in trade and other payables and the dividends
 paid during the period.

 The carrying value of investments in associates and joint ventures at 31
 December 2021 was £88 million (31 December 2020: £364 million), with a
 market value of £88 million (31 December 2020: £364 million). During 2021,
 the Group sold all of its shares in Innoviva Inc back to Innoviva for £277
 million.

 At 31 December 2021, the net deficit on the Group's pension plans was £1,129
 million compared with £2,104 million at 31 December 2020. The decrease in the
 net deficit primarily relate to higher assets value, increase in the rates
 used to discount UK pension liabilities from 1.4% to 2.0%, and US pension
 liabilities from 2.3% to 2.7%, partly offset by an increase in the UK
 inflation rate from 2.8% to 3.2%.

 The estimated present value of the potential redemption amount of the Pfizer
 put option related to ViiV Healthcare, recorded in Other payables in Current
 liabilities, was £1,008 million (31 December 2020: £960 million).

 Contingent consideration amounted to £6,076 million at 31 December 2021 (31
 December 2020: £5,869 million), of which £5,559 million (31 December 2020:
 £5,359 million) represented the estimated present value of amounts payable to
 Shionogi relating to ViiV Healthcare and £479 million (31 December 2020:
 £477 million) represented the estimated present value of contingent
 consideration payable to Novartis related to the Vaccines acquisition.

 Of the contingent consideration payable (on a post-tax basis) to Shionogi at
 31 December 2021, £937 million (31 December 2020: £745 million) is expected
 to be paid within one year.

 

 Movements in contingent consideration are as follows:

 

 2021                                               ViiV Healthcare      Group

                                                    £m                   £m

 Contingent consideration at beginning of the year  5,359                5,869
 Re-measurement through income statement            1,026                1,063
 Cash payments: operating cash flows                (721)                (742)
 Cash payments: investing activities                (105)                (114)

 Contingent consideration at end of the year        5,559                6,076

 

 2020                                               ViiV Healthcare      Group

                                                    £m                   £m

 Contingent consideration at beginning of the year  5,103                5,479
 Re-measurement through income statement            1,114                1,275
 Cash payments: operating cash flows                (751)                (765)
 Cash payments: investing activities                (107)                (120)

 Contingent consideration at end of the year        5,359                5,869

 

 The liabilities for the Pfizer put option and the contingent consideration at
 31 December 2021 have been calculated based on the period-end exchange rates,
 primarily US$1.35/£1 and €1.19/£1. Sensitivity analyses for the Pfizer put
 option and each of the largest contingent consideration liabilities are set
 out below.

 

 Increase/(decrease) in liability                                  Shionogi-             Novartis

                                                  ViiV             ViiV Healthcare       Vaccines

                                                  Healthcare       contingent            contingent

                                                  put option       consideration         consideration

                                                  £m               £m                    £m

 10% increase in sales forecasts*                 89               506                   61
 10% decrease in sales forecasts*                 (89)             (506)                 (57)
 1% (100 basis points) increase in discount rate  (30)             (198)                 (38)
 1% (100 basis points) decrease in discount rate  34               213                   45
 10 cent appreciation of US Dollar                55               343                   1
 10 cent depreciation of US Dollar                (47)             (299)                 (4)
 10 cent appreciation of Euro                     26               102                   28
 10 cent depreciation of Euro                     (22)             (85)                  (27)

 

 *  The sales forecast is for ViiV Healthcare sales only in respect of the ViiV
    Healthcare put option and the Shionogi-ViiV Healthcare contingent
    consideration.

 

 Contingent liabilities
 There were contingent liabilities at 31 December 2021 in respect of guarantees
 and indemnities entered into as part of the ordinary course of the Group's
 business. No material losses are expected to arise from such contingent
 liabilities. Provision is made for the outcome of legal and tax disputes where
 it is both probable that the Group will suffer an outflow of funds and it is
 possible to make a reliable estimate of that outflow. Descriptions of the
 significant legal disputes to which the Group is a party are set out on page
 56.

 Post Balance Sheet Events

 On 1 February 2022, ViiV Healthcare reached agreement with Gilead to settle
 the global patent infringement litigation relating to the commercialisation of
 Gilead's Biktarvy. Under the terms of the global settlement agreement and
 patent license agreement, Gilead will make an upfront payment of $1.25 billion
 to ViiV Healthcare. Gilead will also pay a 3% royalty on all future US sales
 of Biktarvy and in respect of the bictegravir component of any other future
 bictegravir-containing products sold in the US. These royalties will be
 payable by Gilead to ViiV Healthcare from 1 February 2022 until the expiry of
 ViiV Healthcare's US Patent No. 8,129,385 on 5 October 2027. Gilead's
 obligation to pay royalties does not extend into any period of regulatory
 paediatric exclusivity, if awarded.

 The impact of the settlement in Q1 2022 will be to record the upfront payment
 of $1.25 billion received in other operating income in Total results and
 Adjusting items. Royalties receivable from 1 February 2022 on sales of
 Biktarvy and in respect of the bictegravir component of any other future
 bictegravir-containing products sold in the US will be recorded in royalty
 income in Total and Adjusted results. The upfront is a contingent asset at the
 balance sheet date. This is a post balance sheet event the income from which
 does not adjust the Group's financial statements at 31 December 2021 as the
 receipt was not virtually certain at the balance sheet date.

 Both the settlement and the future royalty income increase the fair value of
 the CCL to Shionogi and the Pfizer put option. This increase in carrying value
 has been reflected in GSK's 2021 full-year and fourth quarter 2021 results,
 and the associated charges are recorded within Adjusting items.

 Earnings are allocated to the three shareholders of ViiV Healthcare on the
 basis of their respective equity shareholdings (GSK 78.3%, Pfizer 11.7% and
 Shionogi 10%) and their entitlement to preferential dividends, which are
 determined by the performance of certain products that each shareholder
 contributed.

 In the cash flow statement, cash inflows from the upfront payment and future
 royalty income as well as the resultant incremental contingent consideration
 liability cash outflows will be recorded in cash generated from operations.
 The resulting increased dividends to Shionogi and Pfizer will be included
 within financing cashflows. All values are pre-taxation.

 

 

 Reconciliation of cash flow to movements in net debt

 

                                                  2021          2020

                                                  £m            £m

 Net debt at beginning of the year                (20,780)      (25,215)

 (Decrease)/increase in cash and bank overdrafts  (1,414)       470
 (Decrease)/increase in liquid investments        (18)          1
 Net decrease in short-term loans                 1,995         7,305
 Increase in long-term loans                      -             (3,298)
 Repayment of lease liabilities                   215           227
 Exchange adjustments                             314           (135)
 Other non-cash movements                         (150)         (135)

 Decrease in net debt                             942           4,435

 Net debt at end of the year                      (19,838)      (20,780)

 

 

 Net debt analysis

 

                                2021          2020

                                £m            £m

 Liquid investments             61            78
 Cash and cash equivalents      4,274         6,292
 Short-term borrowings          (3,601)       (3,725)
 Long-term borrowings           (20,572)      (23,425)

 Net debt at end of the period  (19,838)      (20,780)

 

 

 Free cash flow reconciliation

 

                                                       2021         2020         Q4 2021

                                                       £m           £m           £m

 Net cash inflow from operating activities             7,952        8,441        3,767
 Purchase of property, plant and equipment             (1,172)      (1,226)      (453)
 Proceeds from sale of property, plant and equipment   143          68           18
 Purchase of intangible assets                         (1,759)      (1,013)      (179)
 Proceeds from disposals of intangible assets          772          1,255        283
 Net finance costs                                     (759)        (825)        (297)
 Dividends from joint ventures and associates          9            31           -
 Contingent consideration paid (reported in investing  (114)        (120)        (31)

   activities)
 Distributions to non-controlling interests            (642)        (1,208)      (207)
 Contributions from non-controlling interests          7            3            -

 Free cash flow                                        4,437        5,406        2,901

 

 

 Reporting definitions

 

 Total and Adjusted results

 Total reported results represent the Group's overall performance.

 GSK also uses a number of adjusted, non-IFRS, measures to report the
 performance of its business. Adjusted results and other non-IFRS measures may
 be considered in addition to, but not as a substitute for or superior to,
 information presented in accordance with IFRS. Adjusted results are defined on
 page 10 and other non-IFRS measures are defined below.

 Free cash flow

 Free cash flow is defined as the net cash inflow/outflow from operating
 activities less capital expenditure on property, plant and equipment and
 intangible assets, contingent consideration payments, net finance costs, and
 dividends paid to non-controlling interests plus proceeds from the sale of
 property, plant and equipment and intangible assets, and dividends received
 from joint ventures and associates. It is used by management for planning and
 reporting purposes and in discussions with and presentations to investment
 analysts and rating agencies. Free cash flow growth is calculated on a
 reported basis. A reconciliation of net cash inflow from operations to free
 cash flow is set out on page 60.

 Free cash flow conversion

 Free cash flow conversion is free cash flow as a percentage of earnings.

 Working capital

 Working capital represents inventory and trade receivables less trade
 payables.

 CER and AER growth

 In order to illustrate underlying performance, it is the Group's practice to
 discuss its results in terms of constant exchange rate (CER) growth. This
 represents growth calculated as if the exchange rates used to determine the
 results of overseas companies in Sterling had remained unchanged from those
 used in the comparative period. CER% represents growth at constant exchange
 rates. £% or AER% represents growth at actual exchange rates.

 Pro-forma growth

 The acquisition of the Pfizer consumer healthcare business completed on 31
 July 2019 and so GSK's reported results for 2020 included twelve months of
 results of the former Pfizer consumer healthcare business from 1 January 2020.

 The Group has presented in this Results Announcement reference to pro-forma
 growth rates at CER in 2020 for sales excluding brands divested/under review
 for Consumer Healthcare and sales for certain categories of consumer
 healthcare products taking account of this transaction. Pro-forma growth rates
 for the year are calculated comparing reported results for 2020, calculated
 applying the exchange rates used in the comparative period, with the results
 for 2019 adjusted to include the equivalent seven months of results of the
 former Pfizer consumer healthcare business during 2019, as consolidated (in
 US$) and included in Pfizer's US GAAP results.

 2 year Compound Annual Growth Rate

 CAGR is defined as the compound annual growth rate and shows the annualised
 average rate of pro-forma revenue growth between two given years, assuming
 growth takes place at an exponentially compounded rate. For Consumer
 Healthcare, the 2 year revenue CAGR has been presented showing the annualised
 average rate of pro-forma revenue growth between 2019 and 2021.

 COVID-19 solutions

 COVID-19 solutions include the sales of pandemic adjuvant and other COVID-19
 solutions including vaccine manufacturing and Xevudy and the associated costs
 but does not include reinvestment in R&D. This categorisation is used by
 management and we believe is helpful to investors through providing clarity on
 the results of the Group by showing the contribution to growth from COVID-19
 solutions.

 New GSK

 New GSK refers to the current GSK group excluding the Consumer Healthcare
 business that is intended to be (or will have been) demerged.

 General Medicines

 General medicines are usually prescribed in the primary care or community
 settings by general healthcare practitioners. For GSK, this includes medicines
 in inhaled respiratory, dermatology, antibiotics and other diseases.

 Specialty Medicines

 Specialty medicines are typically prescription medicines used to treat complex
 or rare chronic conditions. For GSK, this comprises medicines in infectious
 diseases, HIV, oncology, immunology and respiratory.

 

 

 Brand names and partner acknowledgements

 Brand names appearing in italics throughout this document are trademarks of
 GSK or associated companies or used under licence by the Group.

 

 

 Guidance, assumptions and cautionary statements

 

 2022 guidance

 For new GSK we expect sales to grow between 5% to 7% at CER and Adjusted
 operating profit to grow between 12% to 14% at CER as compared with 2021. This
 guidance is provided at CER and excludes the commercial impact of COVID-19
 solutions.

 Assumptions related to 2022 guidance

 In outlining the guidance for 2022, the Group has made certain assumptions
 about the healthcare sector, the different markets in which the Group operates
 and the delivery of revenues and financial benefits from its current
 portfolio, pipeline and restructuring programmes. The Group also assumes that
 the demerger of our Consumer Healthcare business will be delivered in mid-2022
 and this guidance relates only to new GSK.

 The Group has made planning assumptions for 2022 that healthcare systems will
 approach normality as the year progresses, and we expect sales of Specialty
 Medicines to grow approximately 10% at CER and sales of General Medicines to
 show a slight decrease, primarily reflecting increased genericisation of
 established Respiratory products. Vaccines sales are expected to grow at a low
 teens percentage at CER for the year as a whole. However, governments'
 prioritisation of COVID-19 vaccination programmes and ongoing measures to
 contain the pandemic are expected to result in some continued disruption to
 adult immunisations, with the impact weighted to the first half. For Shingrix,
 despite the potential for short-term pandemic disruption, we continue to
 expect strong double-digit growth and record annual sales based on strong
 demand in existing markets and geographical expansion. Guidance also includes
 the future benefit in royalty income from the settlement and license agreement
 with Gilead announced on 1 February 2022.

 These planning assumptions as well as operating profit guidance and dividend
 expectations assume no material interruptions to supply of the Group's
 products, no material mergers, acquisitions or disposals, no material
 litigation or investigation costs for the company (save for those that are
 already recognised or for which provisions have been made) and no change in
 the Group's shareholdings in ViiV Healthcare. The assumptions also assume no
 material changes in the healthcare environment or unexpected significant
 changes in pricing as a result of government or competitor action. The 2022
 guidance factors in all divestments and product exits announced to date.

 The Group's guidance assumes successful delivery of the Group's integration
 and restructuring plans. It also assumes that the separation programme to
 deliver the demerger of the Consumer Healthcare business is delivered
 successfully. Material costs for investment in new product launches and
 R&D have been factored into the expectations given. Given the potential
 development options in the Group's pipeline, the outlook may be affected by
 additional data-driven R&D investment decisions. The guidance is given on
 a constant currency basis.

 Assumptions and cautionary statement regarding forward-looking statements

 The Group's management believes that the assumptions outlined above are
 reasonable, and that the guidance, outlooks, ambitions and expectations
 described in this report are achievable based on those assumptions. However,
 given the forward-looking nature of these guidance, outlooks, ambitions and
 expectations, they are subject to greater uncertainty, including potential
 material impacts if the above assumptions are not realised, and other material
 impacts related to foreign exchange fluctuations, macro-economic activity, the
 impact of outbreaks, epidemics or pandemics, such as the COVID-19 pandemic and
 ongoing challenges and uncertainties posed by the COVID-19 pandemic for
 businesses and governments around the world, changes in legislation,
 regulation, government actions or intellectual property protection, product
 development and approvals, actions by our competitors, and other risks
 inherent to the industries in which we operate.

 This document contains statements that are, or may be deemed to be,
 "forward-looking statements".

 Forward-looking statements give the Group's current expectations or forecasts
 of future events. An investor can identify these statements by the fact that
 they do not relate strictly to historical or current facts. They use words
 such as 'anticipate', 'estimate', 'expect', 'intend', 'will', 'project',
 'plan', 'believe', 'target', 'aim', 'ambition' and other words and terms of
 similar meaning in connection with any discussion of future operating or
 financial performance. In particular, these include statements relating to
 future actions, prospective products or product approvals, future performance
 or results of current and anticipated products, sales efforts, expenses, the
 outcome of contingencies such as legal proceedings, dividend payments and
 financial results. Other than in accordance with its legal or regulatory
 obligations (including under the Market Abuse Regulation, the UK Listing Rules
 and the Disclosure and Transparency Rules of the Financial Conduct Authority),
 the Group undertakes no obligation to update any forward-looking statements,
 whether as a result of new information, future events or otherwise. The reader
 should, however, consult any additional disclosures that the Group may make in
 any documents which it publishes and/or files with the SEC. All readers,
 wherever located, should take note of these disclosures. Accordingly, no
 assurance can be given that any particular expectation will be met and
 investors are cautioned not to place undue reliance on the forward-looking
 statements.

 Forward-looking statements are subject to assumptions, inherent risks and
 uncertainties, many of which relate to factors that are beyond the Group's
 control or precise estimate. The Group cautions investors that a number of
 important factors, including those in this document, could cause actual
 results to differ materially from those expressed or implied in any
 forward-looking statement. Such factors include, but are not limited to, those
 discussed under Item 3.D 'Risk Factors' in the Group's Annual Report on Form
 20-F for 2020 and any impacts of the COVID-19 pandemic. Any forward looking
 statements made by or on behalf of the Group speak only as of the date they
 are made and are based upon the knowledge and information available to the
 Directors on the date of this report.

 

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