GLAXOSMITHKLINE PLC

Annual Report 2021

Strategic report
Our business model 01
2021 performance summary 02
Chair’s statement 03
CEO’s statement 05
Financial performance 07
Our long-term priorities 10
Our culture 11
Key performance indicators 12
Our external environment 13
Innovation 17
Performance 29
Trust 34
Consumer Healthcare 41
Stakeholder engagement 44
Risk management 46

Group financial review 55

Corporate governance
The Board and GSK Leadership Team 83
Chair’s Governance statement 89
Board roles and responsibilities 92
Board committee information 93
Board architecture 94
Board activity 95
Board progress in 2021 96
Board’s approach to continuous engagement 99
Board-led purpose and culture 102
Board performance 103
Board committee reports 104

Section 72 statement 116

Directors’ report 117

Remuneration report
Chair’s annual statement 120
Annual report on remuneration 125
2022 Remuneration policy summary 143
2022 Remuneration policy report 144

Financial statements
Directors’ statement of responsibilities 154
Independent Auditor’s report 156
Financial statements 168
Notes to the financial statements 172
Financial statements of GlaxoSmithKline plc prepared under UK GAAP 252

Investor information
Quarterly trend 258
Five-year record 263
Product development pipeline 269
Products, competition and intellectual property 272
Principal risks and uncertainties 275
Share capital and share price 288
Dividends 290
Financial calendar 2022 291
Annual General Meeting 2022 291
Tax information for shareholders 292
Shareholder services and contacts 294
US law and regulation 296
Group companies 299
Glossary of terms 311

GSK Annual Report 2021 01

Our business model

As we prepare for a new future, we continue to help improve the health of hundreds of millions of people around the world by discovering, developing and manufacturing innovative medicines, vaccines and consumer health care products.

What we do
We develop and deliver medicines, vaccines and consumer healthcare products that impact human health at scale. Our operations span the value chain from identifying, researching, developing and testing ground-breaking discoveries, to regulatory approval, manufacturing and commercialisation. Central to our success are our people: experts in science, technology, manufacturing, regulation, intellectual property and commercialisation.

New ambitions for patients, shareholders and our people
Cautionary statement
See the inside back cover of this document for the cautionary statement regarding forward-looking statements.

Non-IFRS measures
We use a number of adjusted, non-International Financial Reporting Standards (IFRS) measures to report the performance of our business. Total reported results represent the Group’s overall performance under IFRS. 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 and other non-IFRS measures are defined on pages 56 and 59 and reconciliations to the nearest IFRS measures are on pages 70 to 73.

In 2021, we made major progress on our journey towards the most significant corporate change for GSK in more than 20 years. We are on track to separate in 2022 to create two new leading companies, both with the opportunity to impact human health at scale and deliver compelling performance for shareholders.

GSK
GSK will unite science, talent and technology to get Ahead of disease Together. We will prioritise innovation in vaccines and specialty medicines, maximising the increasing opportunities to prevent and treat disease.
* Step change in growth – Expected sales growth of more than 5% and adjusted operating profit growth of more than 10% on a compound basis 2021-26
* R&D focused on the science of the immune system, human genetics and advanced technologies
* Positively impacting the health of more than 2.5 billion people over ten years
* Leading ESG performance to be maintained

We set out our new purpose, growth commitments and R&D catalysts at an investor update in June 2021. For more detail see gsk.com

Haleon
Haleon will be a global leader 100% focused on consumer health. It will have a clear purpose to deliver better everyday health with humanity, and a focused strategy to deliver sustainable above-market growth and attractive returns to shareholders.
* Strong prospects for growth – Exceptional portfolio of category-leading brands with attractive global footprint and competitive capabilities
* Compelling strategy to outperform in a growing, £150 billion plus sector which is more relevant than ever
* 4-6% annual organic sales growth in the medium term, sustainable moderate margin expansion and high cash conversion
* Attractive growth profile with capacity to invest and deliver shareholder returns

We set out our strategy, capabilities and growth ambitions at a Consumer Healthcare capital markets day in February 2022. For more detail see gsk.com# Strategic report

We also collaborate with world-leading experts and form strategic partnerships to complement our existing capabilities.

The value we create: now and in the future
The greatest contribution we make is to improve the health of people around the world. In 2021 that included delivering 1.7 billion medicines, over 767 million vaccines¹ and 3.7 billion consumer healthcare products. Looking ahead, GSK has a clear ambition to positively impact the health of more than 2.5 billion people over the next ten years. We create value for shareholders by investing in our business to provide shareholder returns, and in 2021 we paid a dividend of 80 pence per share. We have made new commitments to growth and a step change in performance over the next five years. We aim to be a modern employer, developing our people and offering a broad range of benefits, including preventative healthcare services, that help us attract and retain the best people. We employ over 90,000 people across 92 countries and work directly with 37,500 suppliers. In 2021 we paid £1.3 billion in corporation tax, as well as a significant amount of other business and employment-related taxes.

Delivering strategic transformation by prioritising Innovation, Performance and Trust
In recent years, we have transformed GSK to improve performance, strengthen capabilities and prepare for a new future. We have done this by prioritising Innovation, Performance and Trust – across the entire company – driving a multi-year programme to improve R&D productivity, commercial execution, Group structure and capital allocation. This is underpinned by a new culture with more ambition and accountability.

Innovation is critical to how we improve health and create financial value. In 2021, our total R&D expenditure was £5.3 billion, up by 3.5% AER on 2020. We have a robust late-stage R&D pipeline with many assets having the potential to be first or best in class. We continue to believe the rapid convergence of science and technology in biopharmaceuticals provides significant opportunity and is why our R&D will continue to focus on the science of the immune system, human genetics and use of advanced technologies.

Performance is delivered by investing effectively in our business and our people and executing competitively. Our ability to launch new products successfully and grow sales from our existing portfolio is key to our commercial success. Over the next five years, with 2021 as a base year, we expect GSK to deliver highly attractive growth with sales and adjusted operating profit of more than 5% and more than 10% respectively on a compound basis.

Trust underpins everything we do. We have maintained our acknowledged leadership in environmental, social and governance (ESG) issues, demonstrated by our sector-leading position in the Dow Jones Sustainability Index and our long-standing leadership in the Access to Medicine Index. We remain deeply committed to addressing the issues that matter for the sustainability of our company, including pricing and access, global health, the environment, and inclusion and diversity, working with integrity and care.

¹ Including AS03 adjuvant sales

02 GSK Annual Report 2021

2021 performance summary

Strong commercial execution drives growth across Pharmaceuticals, Vaccines and Consumer Healthcare (excluding divestments/brands under review)
* £34.1 billion Group turnover stable at AER, +5% CER
* Pharmaceuticals £17.7 billion +4% AER, +10% CER; new and specialty medicines £10 billion +20% AER, +26% CER
* Vaccines £6.8 billion -3% AER, +2% CER
* COVID-19 solutions sales £1.4 billion
* Consumer Healthcare £9.6 billion -4% AER, stable CER (+4% excluding brands divested/under review)

Cost discipline supports delivery of adjusted EPS growth
* Total EPS 87.6p -24% AER, -13% CER
* Adjusted EPS 113.2p -2% AER, +9% CER; contribution to growth from COVID-19 solutions +8% AER, +9% CER
* Total operating profit £6.2 billion -20% AER, -9% CER
* Adjusted operating profit £8.8 billion -1% AER, +9% CER
* Dividend of 80p

On track to create two new leading companies through demerger in mid-2022
* New GSK investor update in June 2021 set out our new purpose, growth commitments and R&D catalysts. For details see gsk.com
* Consumer Healthcare capital markets day in February 2022 highlighted our strategic priorities, key growth drivers and detailed financial information. For detail see gsk.com

Continued momentum in R&D delivery and strengthening of pipeline
* Three major product approvals; 8 phase III starts; 22 vaccines and medicines in pivotal trials
* Strong pipeline of 21 vaccines and 43 medicines, many of which offer potential best or first-in-class opportunities for patients
* 20+ deals executed securing access to novel clinical programmes including in immuno-oncology, immuno-neurology and flu, plus technologies that expand our capabilities in human genetics and artificial intelligence/machine learning (AI/ML)

Leading ESG performance
* 1st in the pharmaceutical industry for Dow Jones Sustainability Index
* 1st in the Access to Medicine Index
* Gold recognition in S&P’s Sustainability Yearbook
* A- in CDP Climate Change

GSK Annual Report 2021 03

Strategic report

Governance and remuneration

Financial statements

Investor information

Chair’s statement

GSK has been delivering a programme of fundamental strategic transformation since Emma started as CEO five years ago, designed to tackle the root causes of the company’s long-term underperformance, including on shareholder returns. The Board is pleased that under Emma’s leadership 2021 saw further progress against the clear priorities set to enable this: improving the pipeline and R&D productivity, sharpening commercial execution and cost discipline and tackling the Group’s structure and capital allocation priorities, underpinned by a shift in culture. Building on the significant progress made over this period, I believe we are now firmly on track to demerge GSK into two world-class companies in mid-2022 – one focused on pharmaceuticals and vaccines and one focused on consumer healthcare.

2021 delivery

The Board remains focused on ensuring GSK’s fundamentals continue to be enhanced to ensure both companies are fully competitive at the point of split. While the COVID-19 pandemic continued to mean a highly dynamic operating environment, the Board was pleased the company exceeded its earnings per share guidance set at the start of the year. This was achieved through over-delivery across the business, including excellent commercial execution in key markets and therapy areas, showing our ability to compete and grow market share. The Board was also pleased to see the commercial performance and patient impact of Xevudy, our leading monoclonal antibody for COVID-19 developed through our partnership with Vir Biotechnology. Savings programmes announced in early 2020 have delivered and, as a result, GSK’s cost base is now competitive versus our peers. Capital allocation priorities are clear – to invest in the R&D pipeline, new product launches, and delivering returns to shareholders. We have made considerable advances on our distinctive approach to R&D based on the science of the immune system, human genetics and advanced technologies under our Chief Scientific Officer (CSO) Hal Barron. Tony Wood will transition into the role of CSO from August as part of a carefully considered succession plan and will build on the significant progress already made. Tony is one of the world’s leading chemists and has an impressive track record of medicine development over his 30-year career in the UK and US. Progress was started to be reflected in the share price performance during 2021. However, the Board (and management) recognise that sustaining this over the long term will depend on consistent performance, delivery and further strengthened competitiveness.

Targets for sustained performance

As well as performance in-year, the Board maintains a clear focus and oversight of the company’s strategy and plans to separate which is proposed, subject to shareholder approval, to happen in mid-2022. At the investor update in June 2021, the purpose and strategy of new GSK was set out and clear performance targets for sales and operating profit margin growth, beginning in 2022, were communicated. If achieved, these would represent top quartile performance in our sector. Similar stretching ambitions are being set for the consumer health business. Of course, management must now deliver against the targets set. And we are clear remuneration must be tied to enhancing shareholder value. As such, we are linking executive remuneration to reward for outperformance. Further details of these proposals are laid out later in this report and there will be a chance for shareholders to vote on them at our AGM in May.In addition to what new GSK does, the Board is fully focused on how the company operates, through a clear agenda for ESG (environmental, social, governance) leadership. GSK has a strong tradition to build on in these areas including maximising access to medicines across the world and ensuring further progress on these matters will be a priority. We made significant progress towards demerging GSK into two leading and competitive companies in mid-2022.

GSK Annual Report 2021

Shareholder engagement and Board transition

Through this period of considerable transition, the Board and management have maintained very significant engagement with shareholders. It is clear from this that the vast majority support the strategy and direction the company is taking, and are clear there should be no distraction from sustained delivery. This message has been heard by the Board whose accountability first and foremost is to act in the interests of all shareholders. A key part of this strategy is the separation of Consumer Healthcare, where there is a broad base of support among shareholders for direct ownership of this outstanding business through a demerger. Of course, the GSK Board has a fiduciary duty to remain open to consider alternative proposals to demerger that could create superior value for shareholders, but no such proposals have been received to date.

We are now in the final stages of creating what will be an exceptional company and I’m delighted with the designate appointments of Sir Dave Lewis to lead the Board and Brian McNamara as CEO. We strongly believe the new company offers an attractive profile for prospective investors, as reflected by the growth outlooks set out at the capital markets day in February 2022. As we move closer to separation, we are also continuing to assess the skills, capabilities and experience the GSK Board will need as a pure biopharma business. I was delighted to welcome Anne Beal to the Board in May. Anne brings extensive healthcare experience as a doctor and entrepreneur combined with a passion for patient advocacy. In January, Dr Harry (Hal) C Dietz, joined the Board. Hal is a world-leading expert in human genetics and Professor of genetic medicine at the Johns Hopkins University School of Medicine in the US. I am confident that with these appointments, and the continued input of Hal Barron from August as a Non-Executive Board Director, the scientific credentials of GSK’s Board are now among the strongest in the industry. I also want to take this opportunity to thank Lynn Elsenhans, who will be stepping down at the separation of the consumer health business in mid-2022. Lynn has made an outstanding contribution to the Board and the development of current strategy over ten years, including notably as Chair of the Corporate Responsibility Committee, which is increasingly at the centre of the Board’s work. She will be missed by all on the Board.

Finally, I would like to thank all employees, partners, shareholders and customers for their support and commitment through the last year and I look forward to what promises to be an exciting 2022 for GSK.

Sir Jonathan Symonds
Chair

Chair’s statement continued

GSK Annual Report 2021

Strategic report

Governance and remuneration

Financial statements

Investor information

CEO’s statement

I am very pleased to report that in 2021, GSK delivered strong operational performance and pipeline progress. At the same time, we completed our multi-year programme of far reaching transformation to tackle long-standing issues impacting the company’s success. We are now ready to deliver the most significant corporate change for GSK in 20 years: creating two new, exceptional companies with ambitious targets for growth and with a clear purpose to positively impact the health and lives of billions of people.

2021 performance provides momentum

Group sales were £34 billion in 2021, up 5% CER. Our products meaningfully helped patients across a range of different disease areas, including respiratory, immuno-inflammation, oncology and HIV; protected people from viruses like shingles and meningitis; prevented hospitalisations and deaths from COVID-19; and helped improve oral health, reduce pain and treat everyday ailments. Strong operational performance enabled us to increase investment in R&D to £5.3 billion and to realise earnings per share in excess of expectations for the year. In addition, we generated over £4.4 billion of free cash flow, supporting investments and a dividend of 80 pence per share for the year. The improvements we have made to our commercial execution and cost base, together with strengthening portfolio and pipeline, mean we now have momentum to deliver a step-change in growth starting in 2022.

Accelerating our innovation

We continue to believe the rapid convergence of science and technology in biopharmaceuticals provides significant opportunity for GSK. It is why our R&D will continue to focus on the science of the immune system, human genetics and use of advanced technologies. This approach is delivering improvements in R&D and our pipeline. In the last 12 months, we reported regulatory approvals for three new medicines, including the first-ever long-acting injectable PrEP treatment option for HIV, as well as starting eight phase III clinical trials. We currently have 22 assets in pivotal clinical studies at the time of reporting. We also concluded more than 20 deals with external partners, securing access to novel clinical programmes in oncology, neurology and HIV; as well innovated technologies, notably through further expansion of our capabilities in human genetics, functional genomics and use of artificial intelligence. These achievements spearhead a strengthening pipeline, 21 vaccines and 43 medicines now in clinical development – many of which have the potential to be first or best-in-class.

Of course, one priority has been to contribute solutions to the COVID-19 pandemic. We have successfully developed a new monoclonal antibody treatment, Xevudy, with our partner Vir Biotechnology. This medicine has proven effective against multiple variants, including Omicron, and we are now securing rapid regulatory approvals worldwide. Through our adjuvant partnerships, we stand ready to supply new vaccines when their data read out. More broadly, we are also increasing investment in our mRNA capability – this major new platform now validated by the pandemic. Never has the role of vaccines been more widely appreciated or understood by the world than right now, and the opportunity for GSK to protect people and deliver growth in a broad range of vaccines remains very significant.

Much of the progress we have seen in R&D over the last four years is due to the outstanding leadership of Hal Barron, our CSO. In August, he will hand over responsibility to Tony Wood, who has been a key partner to Hal. Tony is an outstanding scientist, and with his deep expertise in science, data and new technologies, is perfectly placed to take over and capture the value and opportunities we see with GSK’s R&D approach. We are also delighted that Hal will remain part of GSK as a Non-Executive Board Director.

New purpose and new ambition

With the demerger of Consumer Healthcare, we will establish a new GSK, purely focused on biopharmaceuticals. Last year, we announced a new purpose and new growth ambitions for this new company. GSK’s new purpose is to unite science, talent and technology to get AHEAD of disease Together. We will do this by prioritising innovation in vaccines and specialty medicines, maximising opportunities to prevent and treat disease. Our aim is to positively impact the health of more than 2.5 billion people over the next ten years, deliver stronger and more sustainable returns to shareholders, and be a company where outstanding people thrive.

We have set ourselves ambitious five-year sales and operating profit compounded growth targets, of more than 5% and more than 10% respectively. By 2031, we aim to deliver more than £33 billion in annual sales – this, from sales of existing late-stage pipeline assets, with no contribution yet included from early-stage assets or future business development. These targets represent a new level of ambition for GSK and would deliver top-quartile sector performance. We are embedding these commitments deeply in the company, including in incentive programmes, to drive focus and action.

We ended 2021 strongly, and we enter 2022 with good momentum. This is going to be a landmark year for the company.

GSK Annual Report 2021

A culture for performance and support to succeed

I strongly believe GSK should be a company where people can thrive. Creating the right culture to do this and to deliver our new purpose and performance aspirations is a priority for me and my team. We are focused on GSK being a place where people are ambitious for patients, accountable for impact and do the right thing.We also have an enormous responsibility to inspire and support our people to succeed. We continue to look for ways to invest in our people’s growth and development and to help them balance their work and personal lives. This includes a strong focus on management skills, training and support for mental health and wellbeing, as well as the health and safety of all who work at GSK. Last year, we put in place additional new programmes to support these priorities and we are committed to developing more. The same is true for our approach to inclusion, equity and diversity. We have made good progress against our 2025 aspirational targets for female and ethnically diverse representation in senior roles. We are also taking steps to ensure our clinical trials are representative of the patients we aim to help.

ESG Leader

Operating responsibly is core to GSK. Our aim is to continue to deliver sector-leading ESG performance – as recognised in our latest rankings in the Dow Jones Sustainability Index, the Access to Medicine Index and Antimicrobial Resistance benchmark. This reflects progress across our six core ESG areas: Environment, Access, Global Health, Inclusion and Diversity, Product Governance, Ethics. All of these have clear, long-term goals and ambitions, but we are not complacent and we want to go further. We set carbon net-zero and nature positive goals in 2020 and, recognising the increasing need and importance to provide investors, and other stakeholders, with evidence of tangible ESG performance, we are developing new measures and reporting. Validated by third parties and our own audit teams, we will share this with investors later this year. I hope it will further demonstrate our commitment to best-in-class ESG performance and transparent reporting.

Haleon – a new world-leading consumer health company

Haleon is a compelling prospect. Completely dedicated to consumer health, and with a world-class portfolio of category-leading brands, it offers an attractive proposition. It brings deep human understanding together with trusted science – to deliver better everyday health with humanity. It will be a world leader and, as a new standalone company, will offer prospective investors a highly attractive financial profile of above-market sales growth, sustainable margin expansion and high cash generation. It will have a fantastic leadership team, led by CEO designate Brian McNamara, and a Board led by Sir Dave Lewis who brings a wealth of international consumer sector experience. The creation of Haleon reflects successful delivery of a series of progressive strategic moves we took over the last few years. Altogether, we estimate that through acquisitions, integrations of new businesses and targeted divestments, close to £15 billion of value has been created in this business. It is now time for shareholders to access that value and invest in what we believe will be a strong, highly successful growth-oriented business, capable of delivering sustainable performance and returns.

2022 is a landmark year

The pandemic has shone a spotlight like never before on the difference our industry can make to society. To see how our people – scientists, factory teams, supply experts, those who work with healthcare professionals, and many thousands of others – have risen to the challenge of ensuring patients and people in all parts of the world continue to receive the products they need has been deeply inspiring. It reflects the very deep commitment that people working at GSK have for the people we serve and for each other. Our people are the reason why GSK and Haleon will be successful in years to come. I want to thank them for all they have achieved in 2021 and the momentum they are delivering. I am excited and optimistic for the future. 2022 will be a landmark year for GSK and we are committed to those who rely on us and excited by what we can achieve together.

Emma Walmsley
Chief Executive Officer

CEO's statement continued

GSK Annual Report 2021

	2021 £m	Growth £%	Growth CER%
Turnover	34,114	–	5
Total operating profit	6,201	(20)	(9)
Total earnings per share	87.6p	(24)	(13)
Adjusted operating profit	8,806	(1)	9
Adjusted earnings per share	113.2p	(2)	9
Net cash from operating activities	7,952	(6)
Free cash flow	4,437	(18)

Turnover

Strong commercial execution drives growth across Pharmaceuticals, Vaccines and Consumer Healthcare (excluding brands divested / under review). Group turnover was £34,114 million in the year, stable at AER but up 5% CER. Sales of COVID-19 solutions (sales of Xevudy and pandemic adjuvant) 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.

	2021 £m	Growth £%	Growth CER%
Pharmaceuticals	17,729	4	10
Vaccines	6,778	(3)	2
Consumer Healthcare	9,607	(4)	–
Group turnover	34,114	–	5

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.

GSK Annual Report 2021

Total and Adjusted results

Intangible asset amortisation and impairment

Amortisation of intangible assets excludes computer software and capitalised development costs. Impairment of intangible assets (excluding computer software) and goodwill.# Major Restructuring Costs

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

Transaction-related accounting or other adjustments related to significant acquisitions.

Divestments, significant legal and other items

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 impact of the re-evaluation 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

Additional costs to establish Consumer Healthcare as an independent business, as well as admission listing and demerger costs.

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 59. 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 Annual Reports including the financial statements and notes, in their entirety.

GSK is undertaking a number of Board-approved 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.

Adjusting items	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction-related £m	Divestments, significant legal and other items £m	Separation costs £m	Adjusted results £m
Turnover	34,114							34,114
Cost of sales	(11,603)	701	(33)	15	4	28	27	(10,726)
Gross profit	22,511	701	(33)	15	4	28	27	23,388
Selling, general and administration	(10,975)	426	25	17	282			(10,225)
Research and development	(5,278)	101	355	46				(4,776)
Royalty income	419							419
Other operating (expense)/income	(476)	1,106	(662)	32	–			–
Operating profit	6,201	802	322	626	1,159	(618)	314	8,806
Net finance costs	(756)	2						(753)
Share of after-tax profits of associates and joint ventures	33							33
Loss on disposal of interest in associates	(36)			36				–
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 non-controlling interests								1,006
Profit attributable to shareholders	4,385	643	241	514	668	(1,051)	265	5,665
Earnings per share	87.6 p	12.9 p	4.8p	10.3 p	13.3 p	(21.0) p	5.3 p	113.2 p

Financial performance continued

Adjusted results 2021

	2021		2020			% Growth
	£m	% of turnover	£m	% of turnover
Turnover	34,114	100	34,099	100	–	5
Cost of sales	(10,726)	(31.4)	(10,191)	(29.9)	5	8
Gross profit	23,388	68.6	23,908	70.1	(2)	4
Selling, general and administration	(10,225)	(30.0)	(10,717)	(31.4)	(5)	(1)
Research and development	(4,776)	(14.0)	(4,603)	(13.5)	4	8
Royalty income	419	1.2	318	0.9	32	32
Operating profit	8,806	25.8	8,906	26.1	(1)	9
Net finance costs	(753)		(844)
Share of after-tax profits of associates and joint ventures	33		33
Profit before taxation	8,086		8,095		–	11
Taxation	(1,415)		(1,295)
Tax rate	17.5%		16.0%
Profit after taxation	6,671		6,800		(2)	9
Profit attributable to non-controlling interests	1,006		1,031
Profit attributable to shareholders	5,665		5,769		(2)	9
Earnings per share	113.2 p		115.9 p		(2)	9

How we performed

Cost of sales

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

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

Adjusted R&D expenditure was £4,776 million (14.0% of turnover), 4% higher at AER, 8% higher at CER than in 2020.

Operating profit

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 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.

Tax

Tax on Adjusted profit amounted to £1,415 million representing an effective Adjusted tax rate of 17.5% (2020 – 16.0%).

Non-controlling interests

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

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.# Per f ormance

We de liver g row th by inve sti ng ef fec tive ly in our bu sines s, developing our people a nd ex ecuting competitively. W e put I nn ova t i on, Perfo r ma nc e an d T r ust ﬁr st t o re al ise our am b i tio ns fo r pa t i en ts, s ha re h o l ders an d our peop le . I n 2 0 2 1 we del iver ed a strong per f o r ma nc e, a nd we are on track fo r a su cc essfu l d emerg er t o crea t e two new l ead ing co mpa n ies i n 20 2 2.

2021 objectives

– Continue to deliver on- time, in- full supply of our products
– Improve manager capability to motivat e, focus, dev elop and care for people
– Continue to deliver progress on T rust commitments

Progress

– Mainta ined sector-leading rankings in ES G indi ces , inc ludi ng the D ow Jon es Su sta inab ilit y In dex, A cce ss to M edi cine Index and Antimicrobial Resistance Benchmark
– Mainta ined supply and manufacturing without signiﬁcant disruption throughout the pandemic
– M ade fu rt her pr ogr ess to d eli ver on ne t zero im pact o n clim ate, a nd a net p osi tive im pac t on n ature by 2 030
– Rolled out a new training programme to develop our managers to support them to be g reat m anag ers a nd le ad wi th ca re
– Continued to prioritise diversity , with good progress made against our gender and ethnicity targets to improv e representat ion in senior roles
– WHO recommended wider use of our RTS,S vaccine for children in reg ions with moderate to high m alaria transmission

2022 priority objectives

– Deliver leading ESG performance and effective risk man agement wit h disciplin ed compliance

2021 objectives

– Deliver Inno vation sales with excellent commercial, R&D and supply chain execution in oncology , HIV and vaccines
– Accelerate and strengthen pipeline with robust commercial input, including business development

Progress

– Received three major approv als in 202 1 : Apretude , our long-acting HIV prevention medicine, Jemperli for endometrial cancer an d Xevu dy , for COV ID - 1 9
– Str ong p ipel ine of 21 vac cin es an d 43 medicines, man y of which offer pot ential best or ﬁrst -in-class opportunities for pat ient s and 22 of w hic h are i n pivot al tr ial s
– 20+ d eal s execu ted se cur ing ac ces s to novel clinical programmes including with iT eos in immuno-oncology , Alector in immuno-neurology and Vir Biotechnology in ﬂ u, plu s tech nolo gie s that ex pan d our ca pab ilit ies i n huma n gene tic s and A I /M L

2022 priority objectives

– Deliver Inno vation sales with excellent commercial, R&D and supply chain execution
– Further accelerate and strengt hen pipelin e with ded icated in-ho use e xpertise and robust commercial input, including optimised capital allocat ion and business development

2021 objectives

– Continue t o prioritise spending to deliver gr owt h and re turn o n inves tme nt
– Continue to deliver two-year programme to prepare GSK fo r separation int o two new leading companies
– Build a stronger , more diverse w orkforce for t wo new l ead ing co mpa nie s

Progress

– Strong commercial e xecution across Pharmaceuticals , V accines and Consumer Healthcare
– Pharmaceuticals £1 7 .7 billion + 4% AER, + 10% C ER wit h doub le- digi t grow th i n new and specialty medicines
– + 20% AER, + 2 6% CER – Vacc ine s £6. 8 bill ion - 3% AE R, +2% C ER
– – Consumer Healthcare -4% AER, stable CE R; - 1 % A ER , +4% CE R exclu ding divestments/brands under revie w
– On track to deliver separation plans in mi d-2 022

2022 priority objectives

– De live r mor e than 5 % sal es gro wth a nd more than 1 0% a djusted operati ng proﬁt on a co mpou nd ba sis i n the nex t ﬁ ve year s
– Continue t o prioritise spending to deliver gr owt h and re turn o n inves tme nt
– Deliver a successful demerger in mid- 20 22

Tr u s t

We a r esponsible compan y . We com mit to use o ur scie nce and technology to address health nee ds, m ake our pro duc ts af fordable and a vailable and be a modern emplo yer .

Culture

As we m ove towa rds th e cre atio n of two n ew lea ding c omp ani es, we h ave be en emb edd ing a cu ltur e wher e we are a ll am biti ous fo r pati ents , acc oun tabl e for i mpa ct, a nd con tinu e to do the r ight t hing . We trac k our cu ltur al ch ange w ith a r ange o f indi cato rs , incr eas ingl y emb eddi ng as se ssm ents i n HR pr oce sse s, an d the B oard r ece ive s regu lar up date s. S ee pag es 99 a nd 1 02.

Princip al risks

Ou r ris k mana geme nt fr amewo rk is d esi gned to s upp or t our lo ng-te rm pr iori tie s. Se e pag es 46 an d 1 1 2.

¹ Innovat ion sa les de ﬁned o n page 12

GS K Ann ual R epor t 2021 11

Strategic report
Governance and remuneration
Financial statements
Investor information

Ove r the pa st four ye ars , we have focus ed on em bedd ing a cul ture anc hore d in purp ose an d per form ance . W e’ve made great progress, demonstrat ed b y strong engagement and pride in GS K , whic h has co ntrib uted to impr oved R&D p roduc tivi ty and performance of our commercial teams and in ou r supply cha ins. At t he sam e time, t he impa ct of the C OVID - 1 9 pan demic h as dr iven our te ams to wor k more dy nami call y , wit h a deep er conn ecti on to our pur pose a nd eac h other.

GS K’s purp ose – to uni te scie nce, t alent a nd techn ology to g et Ah ead o f di sea se T og ether – p uts our pe ople at t he hea rt of o ur suc ces s. T o delive r on that pu rpos e, and h elp our ou tsta nding peo ple thr ive, th e focus fo r our cultu re is for G SK to be a pl ace whe re we are a ll ambi tious f or patie nts, ac coun tabl e for impa ct, a nd d o the rig ht thing . Thi s mean s helpi ng our pe ople to co nsta ntly st rive to do thi ngs bet ter and f aster, always f ocuse d on what m atter s mos t. It me ans set ting c lear o bject ive s an d ensur ing acc ount abili ty for re sults , whil e givin g everyo ne the su ppor t or sp ace they n eed to suc cee d. As ever, this me ans do ing ever y thing re spo nsibl y with care and int egrity , because our people, an d people aroun d the worl d, cou nt on us .

We mea sure thi s progr ess th rough a r ange of i ndic ators , loo king at h ow our pe ople ex peri ence GS K as a p lace to work , how th ey embo dy the cul ture, a nd how this a ffe cts our p er forma nce. E ngage ment re mains h igh at 78% , set tling bac k to 20 1 9 leve ls af ter a boos t duri ng the ea rly pha ses o f the p andem ic. As p ar t of chan ges to ma ke our app roach to measur ing culture increasingly dyna mic, w e will augment our ann ual sur vey wi th puls e sur veys, s o that we ca n more qu ickl y ide ntif y are as of su cce ss and a reas of focus .

We are a co mpany that h as re spec t for peo ple at its c ore. T his gi ves us an opp or tunit y to build a n inclu sive cul ture inter nall y and to be a forc e for go od in imp roving i nclus ion and d ivers ity i n soci ety. We conti nue to focu s on build ing a mor e inclu sive cul ture, wit h inclu sion tr ainin g for our pe ople a nd lead ers a longs ide our wo rk to evolve our p olic ies , proce sse s and pr acti ces . We know th at lead ers an d manag ers pl ay a cruc ial rol e in bri nging c ulture to li fe for our p eople , and we c ontinue to devel op our ma nager s throu gh focu sed tr aining , to suppo rt the m to be grea t manag ers: to moti vate their te ams, to h elp the m focus on w hat mat ters m ost, to s uppor t the ir per for manc e and d evelopm ent, a nd to lead w ith ca re for ever yone a s indi vidu als . W e mea sure th e effe ctive nes s of our glo bal manager population through annual One80 feedback and co ntinue to bu ild and r efres h the exp er tise in o ur seni or lea ders , wit h 1 4% of our top 1 1 5 leade rs ap pointed i n 202 1 .

O ur broader HR processes, including re ward and succession pla nning , will c ontinue to b e bas ed on as ses smen ts of both wha t we delive r and how we do i t (ie our c ultura l behavi ours). Our a ppro ach to hybr id work ing – Per for manc e with C hoic e – is an chore d in dri ving in divi dual an d colle ctive p er forma nce, while creating more ﬂexibility for our ofﬁce -based people in how an d wher e they get th eir work d one. T his hel ps them per fo rm at thei r best , bas ed on the ir role , team an d pers onal circumstances.

As pandemic-related restrictions began t o ease in ma ny count ries i n 202 1 , al l of our of ﬁc e-ba sed p eopl e have eit her alr eady c hange d the way they wor k or st ar t ed di scus sing it wi th thei r manag er . In 2021 , al l of our of ﬁc e-ba sed wo rkers (approx imatel y a quar ter of ou r peopl e ) worked s ome par t of the ir week f rom hom e, and we c ontinu ally lo ok at ways to sup por t our pe ople in a ll role t ype s to bala nce th eir work a nd personal liv es.

We know th at the str onges t cultu res ne ed to be buil t from the top d own, th e botto m up and fr om the ins ide ou t t o be suc ces sful . This i s why this ye ar we have be en bri nging pe ople toget her fro m aroun d the worl d, rep rese nting ever y ro le ty pe, bus ines s are a and reg ion, to he lp us acc eler ate the cul ture acr oss th e comp any . W e’ re re ady an d excited to c ontinu e t o make p rogre ss on o ur cultur e in GS K, s o togethe r we can del iver a step c hang e in comp etiti ve grow th and bu ild a suc ces sful c ompa ny that imp roves the l ives of p eople a cros s the world.

Consumer Healthcare culture, see page 43

Ou r cul ture powers our pur pose to ge t Ah ead o f d isease T oget her , dr ives d el ivery of our strategy and makes GSK a pla ce w her e out s tan din g p eo ple th riv e. Our cultur e

12 GS K Ann ual R epor t 2021

T o see how we are progress i ng aga i nst our three l ong- t er m p rio ri t ies, we use ten k ey per f o r ma nc e i n d ic at o rs.

K e y per f or ma nce i nd icato rs

	Innovat ion
	2021	2020	2019
Innovat ion sales
R Ph arma ceut ica ls and Vacc ines – s ale s of prod ucts l aunc hed in th e las t ﬁve yea rs	£6.

Group turnover

R – ﬂat at AER, 5% CER
£34.1bn | £34.1bn | £33.8bn

Profit

R
Total operating proﬁt – down 20% AER, down 9% CER
£6.2bn | £7.8bn | £7.0bn
Adjusted operating proﬁt – down 1% AER, up 9% CER
£8.8bn | £8.9bn | £9.0bn
Total operating margin
18.2% | 22.8% | 20.6%
Adjusted operating margin
25.8% | 26.1% | 26.6%

Free cash ﬂow

R – down 18%
£4.4bn | £5.4bn | £5.1bn

Market share

n/r | n/r | n/r

Top talent and succession plans for key roles

n/r | n/r | n/r

TRUST

	2021	2020	2019
Employee feedback	78%	84%	78%
Supply service level	n/r	n/r	n/r
Corporate reputation	n/r	n/r	n/r

R Linked to Executive LTI awards and annual bonus, see pages 120, 129 and 131.
From 2022, Executive LTI awards and annual bonus will be based on a mix of Total sales growth, Adjusted operating profit growth, pipeline and ESG targets. See pages 122, 124 and 136 to 137.
1 2021 includes products that have beneﬁted from signiﬁcant life cycle innovation.
2 Comparative information reﬂects sales of those products that meet the deﬁnition for 2020.
n/r Not reported externally due to commercial sensitivities.

The GSK Leadership Team (GLT) and our Board review our key performance indicators (KPIs) regularly. We also update our people on progress every quarter. We decide our people’s bonuses based on relevant subsets of our ten KPIs, which we also use to reward our executives’ performance (see pages 120, 129 and 131). We track all our operating KPIs internally, and below we give data for those we report externally. Commercial sensitivities mean we can’t publish data for all operating KPIs (shown as n/r). To report our business performance, we use adjusted, non-IFRS measures, including Adjusted results, free cash ﬂow and CER growth rates (as described on pages 56 and 59).

GSK Annual Report 2021 13
Strategic report | Governance and remuneration | Financial statements | Investor information

A reop ening of the global economy, driven by healthcare innovation

The events of 2021 gave a clear demonstration of the contribution our industry can make to the world. As the pandemic continued, collaborations between companies, governments, regulators and international organisations brought new vaccines and medicines to the world in record time. Regulatory processes got faster and companies invested in R&D to deliver novel products and expanded manufacturing capacity. The rollout of vaccine programmes enabled the global economy to reopen. Later in the year, regulatory approval was granted for COVID-19 treatments. GSK contributed to the global response, through our agreements with the US, EU and a number of other governments to supply our COVID-19 therapeutic, Xevudy (sotrovimab), and our ongoing vaccination development programmes with Sanofi, Medicago, SK Bioscience and CureVac. At the same time, the virus continues to take lives, and the world is still dealing with the economic and social impact of the pandemic. The worst predictions of prolonged economic recession have not materialised, with global economic forecasts predicting growth of 5.9% in 2021 and 4.9% in 2022, although there is some uncertainty about the uniformity of the recovery, the management of debt, and inflationary trends. 1 Similarly, there will be continued economic and social threats posed by new variants such as Omicron. Although global healthcare spending is expected to rise, there will be competing funding demands between front-line staff costs, the ongoing need for pandemic medical products and catch-up programmes to tackle growing waiting lists. Governments and healthcare systems will have to evaluate the cost of new pharmaceutical innovation and its role in helping to address the burden of illness across all therapy areas.

Outlook for the global healthcare market

The pre-pandemic trends in the use of medicines and spending remain relatively constant. In higher income countries, the adoption of new treatments, offset by patent lifecycles and competition from generics and biosimilars, is expected to continue as the main driver of medicine spending and growth. Global medicine spending totalled $1.4 trillion in 2021 and is expected to grow at 3-6% CAGR through 2026, reaching about $1.8 trillion in total market size, excluding spending on COVID-19 vaccines. The US market is forecast to grow by 0-3% CAGR over the next ﬁve years. Spending in the top ﬁve European markets is expected to increase by $51 billion. China is expected to increase its uptake of new and original medicines (growing by $35 billion by 2026), with spending in emerging markets likely to increase by $128 billion. 2 Global spending on vaccines is predicted to grow at 12-15%, reaching $46 billion in 2025. 3 It is forecast that by 2026, specialty medicines will account for nearly 60% of total expenditure in high-income markets, with the remainder, predominantly older and traditional therapies, becoming progressively lower-cost over time. The two leading global therapy areas – oncology and immunology – are forecast to grow 9-12% and 6-9% CAGR respectively through to 2026, lifted by signiﬁcant increases in new treatments and medicine use. It is expected that 100 more oncology treatments will come to market over ﬁve years. 2

Our position

Our 2021 performance suggests that we are well positioned to capitalise on the forecast growth in specialty medicines. Increased investment for key R&D programmes and expanded support for new and ongoing launches has resulted in sales growth driven by strong uptake of new medicines. In 2021, new and specialty medicines grew by 26% CER and we recorded double-digit sales growth in immuno-inﬂammation, respiratory and oncology. We see these results as very encouraging and a demonstration of strong progress against our strategic priorities. These new medicines are at the forefront of an exciting, high-value pipeline we continue to build across the prevention and treatment of disease.

1 IMF, World Economic Outlook: Recovery During a Pandemic, October 2021
2 IQVIA, The Global Use of Medicines 2022, January 2022
3 IQVIA, Global Medicine Spending and Usage Trends Outlook to 2025, April 2021

Our external environment

The world is changing, shaped by major social and economic trends that continue to be inﬂuenced by the COVID-19 pandemic. While the contribution of vaccines, medicines and healthcare has been clearly highlighted this year, challenges remain. We respond to this dynamic environment by working with governments, regulators and industry partners to deliver innovation to healthcare systems that demonstrates value to patients and payers.

14 GSK Annual Report 2021
Our external environment continued

Healthcare environment: opportunities and challenges

Pricing and access

Equal access to healthcare

For governments, equal access to healthcare is a growing policy priority. The challenge of bringing COVID-19 vaccines equitably to the global population highlighted the dilemma. Industry has manufactured and distributed over 11 billion 1 vaccine doses, but they have disproportionally gone to high-income countries. Only 9.6% of people in low-income countries have received at least one dose. 2 Governments attempt to balance immediate access for their respective populations with global health responsibilities. Though global initiatives such as COVAX have helped with access to vaccines, the disparity led some governments and international organisations to question intellectual property (IP) frameworks, most notably the World Trade Organization’s agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) waiver provisions. However, there is concern that any moves to alter IP protections won’t address the problem and could destabilise innovation within life sciences. In turn, this could threaten future collaborations like the ones that were so important in creating the vaccines and treatments used to tackle this pandemic. The need to demonstrate the value of innovation to public and private healthcare payers is growing. Expenditure on pharmaceuticals is heavily scrutinised, with renewed calls for transparency in price setting. However, there has been signiﬁcant moderation of pharmaceutical expenditure over the last decade.# Strategic report

Governance and remuneration

Financial statements

Investor information

Getting the balance right between responsible pricing and sustainable business is fundamental to our Innovation, Performance and Trust priorities. When setting prices for our medicines in mature markets, we use a value-based approach that balances reward for innovation with access and affordability (see page 36). We aim to provide truly differentiated, innovative products that offer effective health outcomes for patients and payers, so that all products deliver value. For more on pricing see our ESG Performance Report

Regulatory environment

Growing flexibility and cooperation

Despite the obstacles posed by the pandemic, regulators and the industry continue to prioritise the supply of essential vaccines and medicines, while also accelerating the development of new products. New regulatory approaches have facilitated innovation, particularly in digital healthcare, cell and gene therapies, complex clinical trials, big data and real-world evidence. Regulators have worked in close cooperation with industry, often across regulatory jurisdictions, through supranational bodies, such as the International Coalition of Medicines Regulatory Authorities. There is the potential for the permanent adoption of regulatory adaptations that support the development and approval of a broader range of new vaccines and medicines. There is also an opportunity to simplify regulatory processes.

Our external environment continued

Across regions, major regulatory initiatives have been announced, including in the UK, China, US and Europe. In the US, negotiations between the industry and the Food and Drug Administration (FDA) about the Prescription Drug User Fee Act (PDUFA) VII have concluded. Potential regulatory innovations covered in the resulting commitment letter are moving on to the legislative process. In the EU, the industry continues to prepare for the European Commission’s revision of general pharmaceutical legislation. The industry is also working with the UK’s Medicines and Healthcare Products Regulatory Agency (MHRA), which is establishing new and enhanced partnerships with regulators outside the EU. Following Brexit, there are still significant regulatory challenges around implementation of the Northern Ireland Protocol. The industry continues to engage with both UK and EU agencies to resolve these.

Our position

GSK closely monitors and engages, where relevant and appropriate, to improve regulation. This happens mainly in the UK, Europe, US, China and Japan. For example, scientific innovation is moving beyond the scope of current regulation and standards, and we continue to learn from our experience with COVID-19. Working with our peers, we are engaging with governments to create a balanced regulatory framework that supports the discovery and delivery of vaccines and medicines developed through emerging technologies and techniques.

Global environment: opportunities and challenges

Changing needs

Ageing populations are increasing global demand for preventive and therapeutic health solutions, and changing the way healthcare is delivered worldwide. The acceleration of digital health and telemedicine have revolutionised the delivery of healthcare over the last two years as patients increasingly managed their own healthcare at home. The global digital health market is expected to reach $484 billion in 2025 at a CAGR of 25%. 1 Patients are becoming more engaged with their healthcare, and companies are adopting more ‘patient-centric’ approaches, focused on patient outcomes, patient satisfaction and user experience. Predictions suggest the global population will grow to 8.5 billion by 2030 (from 7.7 billion, 2019), despite the pandemic decreasing life expectancy in some countries in 2020-21. The number of over-65-year-olds is set to double between 2019 and 2050. 2 More people are living in cities, becoming affluent and living to an advanced age. This is particularly true in China, which is experiencing the world’s fastest-ever expansion of the middle class, with projections that 1.2 billion people will be middle class by 2027. 3 Advances in science and technology will help us respond to the growing demand for healthcare created by changing demographics, greater patient control and the demand for digital health.

Our position

Changing demographics will contribute to rising demand for healthcare, which we can respond to with our diverse portfolio spanning infectious diseases, HIV, oncology, immunology and respiratory disease.

Across markets surveyed by IQVIA, medicines’ expenditure represents only 15% of total healthcare spending and has remained relatively flat even though reliance on pharmaceuticals has increased. 3 Continued genericisation of medicines across therapeutic classes, including cancer, and the increased use of biosimilars is continually improving affordability and access. However, the outlook will continue to be challenging and the demand for data and real-world evidence to support continued reimbursement of new products is likely to increase. We will work with payers to design innovative solutions that manage their risk and uncertainty. There is also likely to be a greater emphasis on health resilience and the role that preventative care can play in improving health outcomes. Health protection interventions, including immunisation, represent significant value in terms of return on investment (this is estimated to be £34 for every pound spent in the UK). 4

US medicines policy

There were several legislative efforts to address drug pricing in the US throughout the year and pricing became a focal point in attempts to pass the $1.75 trillion social safety and climate package (Build Back Better Act) towards the end of the year. 5 The drug pricing reform proposals provided for direct negotiations between the federal government's Medicare Insurance Programme and industry on the price of the ten costliest drugs for diseases, such as cancer and diabetes, that only have one supplier, with new prices taking effect in 2025. The measures sought to address out-of-pocket expenditures for seniors by capping spending at $2,000 per person per year. Companies that raised the price of medicines above inflation for parts B and D of Medicare would be penalised. The inflation cap would also apply to private insurance markets. Though the out-of-pocket measures should improve affordability for seniors, the industry is concerned that, taken together, the package could reduce patient choice and limit access to innovation in the future. With no agreement reached on the exact terms of the Build Back Better Act by the year end, the extent and effect of the drug reform package remained unclear.

European pharmaceutical reform

In Europe, there continues to be considerable scrutiny of drug pricing and a growing trend towards the centralised procurement of vaccines and medicines. A wide-ranging review of EU pharmaceutical legislation began as part of the EU’s pharmaceutical strategy. The strategy is based on four pillars, covering access, competitiveness and innovation, crisis preparedness and a strong EU voice in the world. The review is also looking at improved regulatory procedures and the vulnerability of supply of medicines. Last year, the European Commission centralised the procurement of COVID-19 vaccines on behalf of member states and in 2021 it concluded a joint procurement agreement to purchase monoclonal antibodies.

Beyond Europe, many countries are implementing various reforms ranging from regulatory pathways to cost containment. In China, the government has committed to accelerating patient access to health insurance cover and innovative medicines. China completed an update to its national reimbursement drug list (NRDL) in 2021 and will add new high-value medicines in the future. However, access to the NRDL can result in price reductions – on average, 61% in 2019, 51% in 2020 and 62% in 2021. 6

Our position

We aim to bring our new medicines, vaccines and consumer healthcare products to patients across the world, no matter where they live. We have an industry-leading track record on this, as shown by our continued top ranking in the Access to Medicine Index. We are working to ensure that as medicines become more specialised, we maintain our commitment to access. We will do this by making our products widely available at responsible prices that are sustainable for our business.

1 World Economic Forum, From zero COVID-19 vaccines to 11.2 billion in a year, 4 January 2022
2 Our World in Data, Coronavirus Vaccinations, as at 19 January 2022
3 IQVIA, Drug Expenditure Dynamics 1995-2020, October 2021
4 ABPI, Economic and Societal Impacts of Vaccination, 2020
5 H.R.5376 - Build Back Better Act, 117th Congress, 2021-2022
6 PharmaExec.com, China 2021: The NRDL Readout, January 2022

GSK Annual Report 2021
15# GSK Annual Report 2021

We aim to positively impact the health of over 2.5 billion people over the next ten years with our products. In line with our Innovation priority, we are investing in a pipeline of vaccines and specialty medicines that will meet changing healthcare needs. We believe that new technologies will enable the earlier identification of diseases and we will develop precision medicines that will target treatments to groups of patients most likely to benefit. In vaccines, technological innovation is allowing us to address unmet medical needs across all age groups.

1 Digital Health Global Market Report 2021 – COVID-19 Growth and Change, Research and Markets, March 2021
2 United Nations, World Population Prospects 2019 (Revised), 2019
3 Brookings, China’s influence on the global middle class, Homi Kharas and Meagan Dooley, October 2020

Advances in science and technology

We are at an exciting time in medical discovery, fuelled by the genetic revolution of the last decade combined with the expansion of (patient-driven) healthcare data and advanced technology like artificial intelligence/machine learning (AI/ML). Advances in functional genomics, such as CRISPR gene editing, have already started to redefine what is possible in drug discovery, allowing researchers to unravel the mysteries of biology and help pinpoint novel drug targets with a higher probability of success. This is driving a phenomenon we call the ‘digitisation of biology’, which allows scientists to explore human biology in a way never possible before. It holds much promise for treating diseases previously out of reach, and requires AI and machine learning. Researchers, regulators and payers are also exploring how these technologies can help improve clinical trials and generate better insights on product effectiveness – and even new combinations of products – to improve health. Rapid advances in science and technology are fundamentally changing life sciences R&D. The pandemic has accelerated vaccine innovation, including mRNA technology. This enables the body’s own cells to produce specific proteins, or antigens, so the immune system can prevent or fight infectious disease.

Our position

We are at the forefront of advances in science and technology, working to create innovative solutions to all kinds of healthcare challenges.

Advanced technology platforms – These are central to our R&D approach. We have expertise in AI and functional genomics. Our dedicated global in-house AI team is using machine learning to unlock the potential of complex genetic data with never-before-seen levels of speed, precision and scale. (See page 18 for more details).
Vaccines – We use diverse platform technologies from adjuvants that improve vaccine effectiveness through to mRNA technology. These are at the heart of our pipeline differentiation.
Collaborations – We’re partnering with teams from the cutting edge of fields within and outside pharmaceuticals and vaccines to help steer new science and develop therapeutics. (See pages 17 to 27 for more details).

Responsible business

Society’s expectations of businesses remain high. Companies across all sectors face increased scrutiny on the social and environmental impacts of their operations. At the same time, long-term socio-economic trends continue to drive down trust in business. Organisations must meet expectations on how they engage with – and benefit – society, the economy and the environment. Companies are partnering with policymakers and non-profit organisations on finding new collaborative solutions to complex long-term issues, such as climate change and global health inequalities.

Our external environment continued

Climate change in focus

Recent political and economic challenges may have slowed progress on the UN’s Sustainable Development Goals but the need for action remains urgent. A top priority is addressing environmental issues. Extreme weather events, new scientific data on climate change and civic activism have rapidly advanced the case for sustainable energy solutions and stronger protections for the natural world and biodiversity. The Glasgow COP26 summit was the 2021 focal point for international climate change solutions. It led to the Glasgow Climate Pact, which includes new emissions pledges that, if fulfilled, will limit global warming to about 2.4 degrees above pre-industrial levels.

1 For the first time at COP a plan was also set out for reducing global use of coal – responsible for 40% of annual CO2 emissions.

2 Recognising good ESG management

Societal expectations of business continue to increase, with businesses expected to play their part in addressing some of the biggest challenges facing society. The international investment community is responding to this context by placing higher value on businesses that actively manage ESG risks and opportunities. These businesses are seen to offer a better foundation for long-term, sustainable growth; with good environmental stewardship and climate risk mitigation planning becoming a priority for investors.

Our position

Trust is essential to how we deliver on our purpose and create long-term value for both shareholders and society. We have 13 commitments that support our Trust priority and we are deeply committed to addressing the issues that matter, including pricing and access, global health, the environment, and inclusion and diversity. During 2021, we made good progress across many of these areas. We retain a sector-leading position in the Dow Jones Sustainability Index. Our leading work in improving global health and tackling antimicrobial resistance was recognised by the Access to Medicine Foundation through top rankings in their Access to Medicine Index and AMR benchmark. The WHO recommended our malaria vaccine for wider use in children in regions with moderate to high malaria transmission. We launched new aspirational gender and ethnic diversity targets, to increase representation at senior levels, alongside a review of recruitment processes at all levels to make sure we are reaching and attracting diverse candidates. And we made strong progress on our 2030 climate and nature goals, including large-scale renewable energy investments at two major manufacturing sites, joining a coalition to curb deforestation, and investing in R&D to cut greenhouse gas emissions from our metered dose inhalers by up to 90% (see page 39).

1 Lewis S & Maslin M, Five things you need to know about the Glasgow Climate Pact, World Economic Forum, 15 November 2020
2 Ritchie H and Roser M, CO2 emissions by fuel, Our World in Data, Last accessed 19 January 2022

GSK Annual Report 2021

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Innovation is at the heart of achieving our purpose – to unite science, talent and technology to get Ahead of disease Together.

It’s by discovering and developing new vaccines and medicines that we help patients and make a large-scale, positive impact on human health through prevention and treatment of disease. R&D is the core of our innovation. In 2021, we invested £5.3 billion in R&D – 3.5% AER more than 2020 – to enhance our pipeline of vaccines and medicines. Through our own work, and partnerships with other businesses and academia, we currently have 21 vaccines and 43 medicines in development. Many have the potential to be first or best-in-class. In all we do, we encourage our teams to pursue bold research, backed by data and science and underpinned by clear accountability. We have streamlined our R&D governance to allow us to keep up this pace. In 2021, we switched from separate clinical development organisations for vaccines and medicines to a single combined organisation. This will help us make sure we invest in the programmes with the biggest impact for patients and unlock scientific synergies across prevention and treatment.

Our approach to R&D

To deliver transformational vaccines and medicines, our R&D approach is to focus on the science of the immune system, human genetics and advanced technologies, such as artificial intelligence and machine learning. We prioritise research into vaccines and medicines across our four therapeutic areas of infectious diseases, HIV, oncology, and immunology including respiratory. We also remain open to opportunities outside these core areas where the science aligns with our strategic approach. Our pipeline consists of 64 potential vaccines and medicines with more than 70% that modulate the immune system. In 2021, we moved 19 assets into phase I or phase II trials.

Speeding up the pace of discovery and development

The productivity of our R&D is increasing. Since 2017, we’ve doubled the number of assets in phase III of clinical development to 22 and cut overall cycle times across development by 20%.In addition, in 2022 we anticipate milestones on up to 7 of the 11 potential new vaccines and medicines identified as key future growth drivers, including ApreTude which was approved at the end of 2021 and our respiratory syncytial virus (RSV) vaccine candidate for older adults. This growing pace helps us make a difference to more people’s lives. For instance, Blenrep (belantamab mafodotin), a treatment for multiple myeloma, gained regulatory approval just two years after the start of its first pivotal study. And our COVID-19 treatment, sotrovimab, achieved emergency use authorisation from the FDA just 13 months after our partnership with Vir Biotechnology began in April 2020, when the molecule was still in preclinical phase. Innovation is at the core of what we do. In 2021, we continued to strengthen our pipeline of vaccines and medicines, apply our growing expertise and partnerships in technology and data, and increase the productivity of our R&D. It has been a year of new launches, regulatory approvals and important clinical studies, turning our expertise into transformational vaccines and medicines for patients.

Innovation
* Strong pipeline of 21 vaccines and 43 medicines, many with the potential to be first or best-in-class opportunities for patients, 22 of which are in pivotal trials.
* Approval in the US for ApreTude, our long-acting HIV preventative therapy.
* Xevudy (sotrovimab), our monoclonal antibody treatment for COVID-19, approved or authorised for conditional/temporary use in the US, UK, EU and over 12 other countries.
* Approval for Jemperli, as a treatment for endometrial cancer and certain solid tumours.
* Positive phase III data for daprodustat for patients with anaemia of chronic kidney disease.
* 20+ deals executed securing access to five novel clinical assets.
* Approximately 70% of our targets in research are genetically validated, and published scientific research shows that genetically validated targets are at least twice as likely to become medicines.

Pharmaceuticals and Vaccines highlights

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Innovation continued

Leading progress
We’ve had 13 major new vaccines and medicines approved since 2017. This puts us in the top quartile in our industry. For 2018-20, we had a greater than 90% success rate for our pivotal studies, compared to 77% across the industry. Our 2017-20 number of launches per billion dollars of R&D spending was over 50% better than peer median.

Lifecycle innovation
As well as developing new treatments, we look for innovation across the lifecycle of our existing vaccines and medicines by finding new ways for them to help patients, either on their own or combined with other therapies. Since 2017, we have increased the number of lifecycle projects per asset by 50%. Examples are:
* Benlysta for the treatment of both systemic lupus erythematosus and lupus nephritis.
* Nucala, our anti IL-5 biologic, which is now also approved in the US and Europe for severe eosinophilic asthma, hypereosinophilic syndrome, eosinophilic granulomatosis and polyangiitis and chronic rhinosinusitis with nasal polyps.
* Our shingles vaccine, Shingrix, which was approved for wider use in several markets including the US and Canada.
* Expansion of our clinical trial programme for Zejula into new indications such as breast and lung cancer.
* The contribution of Trelegy Ellipta to respiratory disease and lung health continues to evolve. Trelegy has expanded the indicated use from chronic obstructive pulmonary disease (COPD) to include asthma in the US.

Strategic partnerships – joining forces to make progress
Through strategic partnerships and business development, we join forces with commercial and academic partners to open up new avenues of discovery or advance the development of new potential medicines. In 2021 alone, we announced more than 20 partnerships and collaborations that provided us access to five novel clinical assets, including with iTeos in immuno-oncology, Alector in immuno-neurology and Vir Biotechnology in flu. We have also invested in technologies that expand our capabilities in human genetics and artificial intelligence/machine learning (AI/ML).

Genetics, genomics and technology
The success of our R&D rests not just on finding new treatments, but on getting better at how we find them. The key to that is combining genetics, genomics and advanced technologies. To fulfil our purpose to Get Ahead of Disease Together, we prioritise genetically validated targets to increase our probability of successfully delivering an approved vaccine or medicine. Approximately 70% of our targets in research are genetically validated and published scientific research shows that genetically validated targets are at least twice as likely to become medicines. We’re now able to harness advanced technologies to convert insights from human genetics and genomics to improve the probability of success for R&D.

Making better predictions to help patients
The last decade has seen a revolution in genetic data and genomics. AI and machine learning help us find patterns in data on a larger scale and far more quickly than before. This is leading to the ‘digitisation of biology’ and is allowing us to better understand the root cause of many diseases. At GSK we partner with the world's best minds and leading institutions in these areas. We are also investing in our own capabilities including our London AI hub, which is using biomedical information, AI/ML and computing platforms to unlock new insights from our genetic and clinical data. With these capabilities we have found new potential combinations for existing therapies, such as Blenrep in combination with a gamma secretase inhibitor, which could allow for greater patient benefit.

Forming the right partnerships in genetics and genomics
Our collaboration with consumer genetics and research company 23andMe has yielded more than 40 novel research programmes, one of which is now in phase I for the treatment of cancer. We’ve also worked with the UK Biobank since its founding and have joined the UK’s most recent bioresource, Our Future Health. Additionally, we are supporting newer datasets that feature diverse populations, such as the Genomics and Health Consortium in East London and the Black Representation in Genetic Research Study with 23andMe. In late 2021, we announced a five-year collaboration with the University of Oxford which will focus on neurodegenerative diseases. The new Institute will leverage advanced technologies to build on insights from human genetics to accelerate the most promising areas for drug discovery.

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In genomics, our partners include the world’s preeminent experts: the Broad Institute in Boston and the Laboratory for Genomics Research (LGR), which we established with the University of California in 2019. They’re helping us find genetically validated drug targets by investigating areas including genetic variations and their consequences for the function of cells. Working with the pioneers of CRISPR technology at LGR, we’re uncovering new knowledge about disease mechanisms for immunology, oncology and neurology in 12 different programmes. Meanwhile, our work with UK biotech Adresstia is leveraging a new area called synthetic viability to find novel drug targets in hard to treat diseases like frontotemporal dementia (FTD). We are also funding PhD studentships at multiple universities and institutes, including the Crick Institute, the University of Adelaide in Australia and University of Oxford, Stanford University, Cambridge’s Centre for AI and Medicine, and Warwick University. This will help make sure we have sustained talent pools and the right skills in the coming years.

Using AI/ML to build scale and speed
In 2021, we started a new partnership with King’s College London using AI/ML to understand why some patients respond to cancer treatment, while disease progresses in others. The technology will tell us more about the role of tumour genetics, the tumour microenvironment and response to therapies. In addition, the technology will aid the creation of tools to help make better clinical decisions for personalised treatment. NVIDIA’s Cambridge-2 supercomputer is performing a similar role for us in immuno-oncology by fusing different datasets and building large-scale models to help us determine the best treatment for patients. And the largest ever chip processor for AI, built by Silicon Valley start-up Cerebras, is helping us construct larger-scale genetic models that learn from DNA to help deconstruct how genes operate in different disease contexts.Extensive vaccine platform technologies

Our work in vaccine platform technologies, with the broadest portfolio in the industry, enables us to select the most promising technology approach (or combinations of different platform technologies) to develop new vaccines previously not thought possible. Platform technologies such as adjuvants, bioconjugation, generalised modules for membrane antigen (GMMA) and adenovirus vectors can be used to make vaccines against a range of different pathogens and allow for a tailored approach to deliver success. This includes mRNA, a key focus area for our development as we see it as a critical platform technology and major opportunity for the future of vaccines. We’re investing in it significantly, including through our collaboration with CureVac and by building on our in-house end-to-end mRNA development and manufacturing capabilities. We are focusing our efforts on modified and non-modified mRNA technologies optimised for high protein expression to improve mRNA potency and tolerability.

Digitisation, machine learning and AI are helping us speed up the vaccine research and manufacturing process. In 2021, we announced a successful proof of concept of a digital twin approach for vaccine manufacturing with Siemens and Atos. The digital twin uses machine learning and modelling to provide new insights for optimising the development and manufacturing of vaccines.

Infectious diseases

The world faces a persistent threat from infectious diseases that not only claim lives but also put strain on healthcare systems. Almost half the vaccines and medicines in our pipeline address infectious diseases. We are targeting several new launches by 2026, including our vaccine candidate for RSV in older adults, and gepotidacin, an antibiotic to treat uncomplicated urinary tract infections (uUTI). Both have the potential to be first and best-in-class. We also aim to complete five proof of concept studies for new vaccine candidates by 2023. Those that successfully demonstrate proof of concept will be ready to move to registrational clinical trials.

In 2021, we moved multiple vaccine candidates into clinical trials. They include a meningitis ABCWY second generation vaccine and vaccine candidates for Klebsiella pneumoniae, cytomegalovirus (CMV) and new strains of varicella (chickenpox). Our latest trials also include protein-based, adjuvanted COVID-19 vaccines, which we are developing in collaboration with other companies.

Innovation continued

20 GSK Annual Report 2021

Innovation continued

Our combined expertise in vaccines and medicines means we are uniquely positioned to focus on connections between treatment and prevention. Examples include:

COVID-19, for which we are working on both treatments and vaccines
RSV and respiratory conditions, through our efforts to develop RSV vaccines for the populations most at risk, as well as to develop future respiratory medicines
Hepatitis B, through our antisense oligonucleotide and vaccine technologies in development
Influenza, for which we are developing vaccines and antibodies

The close collaboration in R&D across our research areas helps us innovate in areas where multiple tools might be required, such as antimicrobial resistance (AMR) or pandemic response. By drawing on the crossover between our work in vaccines and pharmaceuticals we enhance our ability to develop innovative solutions to meet patient needs.

Shingles

Around one in three people will develop shingles in their lifetime. In 2017, our Shingrix vaccine signalled a step change in preventing this painful and potentially serious illness. It’s the first non-live shingles vaccine, and it combines a specific subunit antigen with an adjuvant to sustain the immune response.

In 2021, we continued to expand access to Shingrix. We launched it in nine new markets: Australia, Singapore, Hong Kong & Macau, Italy, Spain, Denmark, Finland, Austria and the UK. Switzerland followed in early 2022. Regulators in the US, Canada, Australia, Hong Kong and Singapore also extended the indication for the vaccine to adults 18 years and older at increased risk. Shingrix is the first shingles vaccine indicated for this expanded use. We also achieved regulatory approvals for the vaccine in South Korea, Brazil, Switzerland and Taiwan, including for the 18 + at increased risk population. We gained new recommendations for the vaccine in Italy, Spain, Australia and Switzerland. In addition, the US’s National Comprehensive Cancer Network (NCCN) Survivorship Guidelines were updated to preferentially recommend Shingrix for cancer survivors aged 50 years and older, and the NCCN Guidelines on the Prevention and Treatment of Cancer-Related Infections were updated with Shingrix recommendations for autologous hematopoietic cell transplantation (HCT), multiple myeloma and lymphoma patients. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines were also updated to recommend shingles vaccination to protect against shingles in adults with COPD aged 50 years and older.

RSV

Respiratory Syncytial Virus (RSV) is a very common virus and a leading cause of acute respiratory infections. In older adults, RSV can exacerbate underlying conditions and lead to pneumonia. It causes 360,000 hospitalisations and 24,000 deaths in over-60s each year in high-income countries, yet remains one of the major infectious diseases without a vaccine. RSV is the leading cause of severe respiratory infections in infants and causes more hospitalisations than influenza in this vulnerable group.

Our programme to help prevent RSV consists of two candidate vaccines, the most advanced of which is being tested in adults aged 60 years and over. It uses a recombinant pre-fusion F antigen combined with our AS01 adjuvant. The AS01 adjuvant is a key ingredient in Shingrix and boosts the immune response, helping to overcome the challenges associated with protecting older people. We anticipate phase III data on this candidate vaccine in the first half of 2022.

We stopped enrolment and vaccination in trials of our RSV maternal candidate vaccine in February 2022 following feedback from the Independent Data Monitoring Committee (IDMC). Further analysis to better understand safety data from these trials is ongoing. We have stopped developing a phase II RSV paediatric candidate vaccine based on an adenovirus vector, which was not using the pre-fusion F antigen, because it was unlikely to meet our efficacy target. We are currently investigating new technologies to address this important medical need.

Meningitis

About 1.2 million people develop invasive meningococcal disease (IMD) every year, with infants, young children and adolescents particularly vulnerable. Even with early diagnosis and adequate treatment, 5% to 10% of patients with bacterial meningitis die, often within 24 to 48 hours of symptoms starting. Left untreated, meningitis is fatal in up to 50% of cases and can cause brain damage, hearing loss or disability in 10% to 20% of survivors.

We are a leader in IMD protection, with over ten million patients vaccinated in 2021 alone. Bexsero, our meningitis B vaccine, and Menveo, our meningitis ACWY vaccine, together help protect against most IMD cases. In 2021, GSK filed a submission to the FDA for a fully liquid version of Menveo. This would simplify administration of the vaccine by healthcare providers.

We are developing two MenABCWY pentavalent (5-in-1) vaccines, which would mean just one vaccine, rather than two, could be used to help protect against all five major disease-causing serogroups. The first generation MenABCWY vaccine candidate is in phase III clinical trials and was created by combining the technologies we have used to develop our existing Bexsero and Menveo vaccines. In 2021, we also started a phase I/II trial of a second generation pentavalent candidate for broader age indications and strains.

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Innovation continued

COVID-19

Globally, more than 400 million cases of COVID-19 have been recorded since the outbreak emerged, resulting in the deaths of over five and a half million people. With our partners, we have been developing treatments as well as several vaccines.

Treatment – harnessing monoclonal antibodies

Alongside vaccines, effective treatments are critical to support patients and communities through the next phases of the pandemic. Some COVID-19 patients are at a higher risk of hospitalisation and death due to risk factors such as old age or comorbidities. For these patients, it will remain important to have access to early, effective treatment options including monoclonal antibodies.# Through our collaboration with Vir Biotechnology, which began in 2020, we developed Xevudy (sotrovimab) – a SARS-CoV-2 monoclonal antibody that works to prevent the virus from entering and infecting healthy cells within the body.

In the first half of 2021, GSK and Vir announced results from COMET-ICE, a phase III trial that investigated intravenous (IV) infusion of sotrovimab in adults with mild or moderate COVID-19 at high risk of progression to severe disease. Sotrovimab is authorized for emergency use in the US and, under the brand name Xevudy, has been granted a marketing authorisation in the EU. It has conditional or provisional marketing authorisations in Great Britain, Switzerland, Australia and Saudi Arabia. It has also been approved via Japan’s Special Approval for Emergency Pathway. Temporary authorisations for sotrovimab have also been granted in several other countries.

Sotrovimab binds specifically to a region of the spike protein that is less likely to change, increasing the potential that it may remain effective against variants that emerge over time. Data from preclinical in vitro studies demonstrate that sotrovimab retains activity against all tested variants of concern and interest to date, including Delta and Omicron. Along with Vir, we are continuing to progress the clinical development programme for sotrovimab and are exploring more convenient methods of administration. In November, we received positive results from the COMET-TAIL trial investigating the intramuscular (IM) route of administration of sotrovimab as an early treatment for mild-to-moderate COVID-19 in high-risk, non-hospitalised adults and paediatric patients (12 and over). Knowing that the greatest need for effective prophylactic treatments is likely to come from immuno-compromised people, GSK and Vir are also supporting clinical studies speciﬁc to this population.

COVID-19 vaccines – using technology to boost immune response

We are working with several companies on COVID-19 vaccines using our proprietary adjuvant technology. Adjuvants can make vaccines more effective by boosting and extending the body’s immune response. They also make it possible to produce more doses with less antigen, enabling the production of more vaccine doses to address global needs.

Following positive phase II data, our vaccine collaboration with Sanofi began phase III trials in May 2021, in parallel with a programme of booster studies. In December 2021 we announced positive preliminary results showing that a single booster dose of the adjuvanted recombinant protein-based COVID-19 vaccine candidate delivered consistently strong immune responses across all primary vaccines received. And, in February 2022, we announced our intention to submit applications for regulatory approval of the vaccine in the US and Europe following the positive readouts of both the booster and primary phase III trials with this vaccine candidate.

In December 2021 we reported positive phase III data for the adjuvanted plant-based vaccine we are developing with Medicago, building on positive phase II results announced earlier in the year. Based on these data, the vaccine, Covifenz, was approved in Canada in February 2022.

A third vaccine using our adjuvant technology is in development with SK Bioscience. If successful, we intend to distribute this vaccine globally through the COVAX facility. The GBP510 vaccine, a self-assembled nanoparticle vaccine targeting the receptor-binding domain of the SARS-CoV-2 spike protein, started phase III trials in August 2021. We are also developing second generation mRNA COVID-19 vaccine candidates using modified and non-modified RNA vaccine technologies as part of our collaboration with CureVac. In August and November 2021 we announced encouraging results from a range of pre-clinical studies.

Other infectious diseases

Diphtheria, tetanus and pertussis

In Europe, healthcare providers can now give Boostrix, our combination tetanus, diphtheria and pertussis vaccine, together with one additional vaccine such as Shingrix, or an unadjuvanted or inactivated seasonal influenza vaccine. This will save patients multiple vaccination visits and make healthcare more efficient.

Chronic hepatitis B

Over 300 million people suffer from chronic hepatitis B, and each year around 887,000 die from the decompensated cirrhosis or liver cancer it can cause. Our candidate vaccine, currently in phase I/II, is a targeted immunotherapy combining different technologies, including our adjuvant AS01 also used in Shingrix and in our RSV candidate vaccine for older adults. It aims to activate functional virus-specific T-cell and B-cell responses and restore immune competence against hepatitis B virus (HBV). This immune restoration could lead to a functional cure of chronic hepatitis B, which is defined as controlling the virus without eradicating it from the body. A functional cure could reduce the risk of long-term complications of chronic hepatitis B infection, liver inflammation and cancer. We expect proof of concept data in 2023.

We are also developing bepirovirsen, an HBV antisense oligonucleotide, which has the potential to be a first-in-class functional cure for chronic HBV and is designed to restore the immune system’s natural ability to eliminate infected liver cells and provide long-term control of HBV. Our phase IIa programme demonstrated that bepirovirsen can reduce hepatitis B surface antigen after four weeks of treatment. We anticipate data from our ongoing phase IIb programme in 2022.

Cytomegalovirus

CMV is a serious health risk for babies. Most infants with congenital CMV are asymptomatic at birth but still at risk of long-term health problems, including hearing and sight loss, delayed development and seizures. In the US, CMV is the leading infectious cause of birth defects. About one in 200 babies is born with congenital CMV infection, and about one in five of those will have long-term health problems. There’s currently no approved vaccine, but we are working to change that with an adjuvanted subunit vaccine that entered phase I/II trials in 2021.

Antibiotics and antimicrobial resistance

Antimicrobial resistance (AMR) is an urgent threat to public health. By undermining the effectiveness of antibiotics, it currently contributes to 700,000 deaths every year globally, a figure that is expected to increase significantly unless action is taken. We’re focusing on organisms with the highest risk of developing AMR as characterised by the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO).

Medicines – developing new mechanisms

We are developing gepotidacin, a novel mechanism topoisomerase inhibitor, for uncomplicated urinary tract infections (uUTI) and gonorrhea, in partnership with the Biomedical Advanced Research and Development Authority (BA2RDA) in the US. This is the first time a new oral antibiotic has addressed these infections in over 20 years. Gepotidacin is currently in phase III.

Vaccines – targeting resistant pathogens

We are using new scientific insights and technologies, including adjuvants, mRNA, bioconjugation and generalised modules for membrane antigens (GMMAs) to target pathogens that create a significant health burden and are likely to develop antibiotic resistance. We have four vaccines in clinical trials, against Staphylococcus aureus, Clostridium difficile, Shigella and Klebsiella. We also have other programmes that could have a major impact by reducing cases of diseases directly or indirectly contributing to AMR, including RSV and tuberculosis.

Staphylococcus aureus is often resistant to antibiotics, with multiple drug-resistant strains already in circulation. In the US, methicillin-resistant strains cause more than 300,000 cases in hospital patients, and an estimated 10,600 deaths. In 2021, our candidate vaccine to prevent primary and recurring soft skin tissue infections from this pathogen entered phase II.

In the US, Clostridium difficile causes more than 200,000 cases in hospital patients and leads to around 12,800 deaths every year. In 2021, we progressed the phase I first-time-in-human study of our candidate vaccine against this pathogen.

Klebsiella pneumoniae can cause severe infections in the lungs, bladder, brain, liver, eyes and blood, as well as types of meningitis. There is no approved vaccine, and resistance to many treatments is growing. Our candidate vaccine, developed with Limma Tech, started clinical development in July 2021. If it succeeds, it could help prevent most Klebsiella-associated infections in people who are at highest risk, including older people with underlying conditions like diabetes, kidney disease or chronic liver disease. The vaccine is a tetravalent bioconjugate including O-antigen to target the serogroup causing most infections.We combine the antigens with our proprietary adjuvant system, which has shown, with vaccines like Shingrix, that it can help provide strong immune responses in people of all ages including older adults. Shigella causes over 200,000 deaths every year and is the second leading cause of diarrheal death globally after rotavirus. There is currently no widely available licensed vaccine to protect against Shigella; and the related threat of growing anti-microbial resistance is a significant issue. We started a phase I trial of a quadrivalent Shigella vaccine candidate based on our innovative GMM A technology. This is a unique approach to creating bacterial vaccines by replicating the surface characteristics of the bacteria through membrane vesicles.

Early science and additional collaborations

Our partnerships in infectious diseases include our work with CureVac on mRNA vaccines, not only against COVID-19, but also five additional targets including seasonal and universal flu.

Building our understanding of the microbiome in chronic diseases

We have developed collaborations with two companies to generate scientific insights and turn them into innovation in microbiome engineering and optimisation for new therapies. In October 2021, we expanded a collaboration with Viome Life Sciences that started in 2019, investigating the role of the microbiome in chronic diseases. It combines our expertise in immunology with Viome’s mRNA analysis and AI platforms to give us new insights into chronic diseases, cancers and aging. We aim to generate data on how pathogens cause or exacerbate chronic diseases, including autoimmune inflammatory conditions and immuno-oncology. This will help us build a predictive model to tell us more about targets for therapies that build on vaccine technology to prevent and even reverse chronic diseases.

With Elege BioSciences, we are focusing on developing ways to treat acne. This means using Elege’s CRISPR and bacteriophage technology to remove unwanted bacteria while leaving beneficial bacteria intact.

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Innovation continued

HIV

HIV is an urgent global health threat with 1.5 million new cases each year, including 38,000 new cases in the US and 22,000 new cases in the EU. However, of the 38 million people living with HIV, 55% of the world’s cases, over 20 million people, come from sub-Saharan Africa.

Our work in HIV is through ViiV Healthcare, the world’s only specialist HIV pharmaceutical company, which we majority own, with Pfizer and Shionogi as shareholders. Our goal is to limit the impact of HIV on people’s lives by treating, preventing and ultimately curing it.

We are developing long-acting medicines that have the potential to dramatically change people’s experience by giving them an alternative to daily medicine. We are also working on long-acting therapies to prevent HIV.

Replacing daily medicines with long-acting regimens

Our aim is to offer innovative choices that help address the evolving needs of people living with HIV. Despite incredible progress made with current oral HIV medicines, some people living with HIV face challenges taking pills every day. We are transforming the lives of people living with HIV by reducing the number of days they take treatment from 365 to 12 or 6 per year. This spares them the daily reminder of living with HIV, as well as relieving the pressure of having to take medicine every day.

In January 2021, we received FDA approval for Cabenuva, the first-ever complete, long-acting, injectable regimen for HIV, offering people living with HIV in the US a new approach to care. Studies show Cabenuva dosed once-monthly is as effective as three-drug oral regimens that patients currently take every day. We received approval for dosing once every two months in the US in early 2022. In Europe, the regimen is approved as the combination of Vocabria (cabotegravir) and Rekambys (rilpivirine), with dosing every two months. Launching this innovative treatment regimen has established ViiV Healthcare as the industry leader in developing long-acting HIV medicines.

Giving patients a two-drug regimen option

Integrase inhibitors are the gold standard in HIV treatment and our medicine dolutegravir is the most widely prescribed in the world. More than 21.3 million people living with HIV – almost 3 in 4 of those currently on HIV medicine – are now taking a dolutegravir-based regimen.

Our two-drug regimen oral therapies Dovato and Juluca, based on dolutegravir, have been shown to be as well tolerated and effective as three-drug regimens. This allows people living with HIV to maintain viral suppression while taking fewer HIV drugs over their lifetime.

We have a robust and industry-leading clinical trial programme that is driving confidence in two-drug regimens. Our goal is to make Dovato the most successful dolutegravir-based regimen because it has fewer reactions to drugs and reduces exposure to antiretrovirals. We now have more than three years of efficacy and safety data for Dovato which sets the bar very high for two-drug oral treatment regimens. Both the US and European Treatment Guidelines include Dovato as recommended for most adult patients who are new to therapy as well as for stably suppressed patients who need a switch in their HIV therapy.

Supporting people living with HIV with a range of options

No single medicine works for all people living with HIV, so we offer innovative choices that help address their evolving needs. Our portfolio of approved antiretroviral medicines offers a range of therapeutic options and includes Tivicay and Triumeq, which contain dolutegravir.

In 2021, we received European marketing authorisation for the first-ever dispersible tablet formulation of dolutegravir in the form of Tivicay, a treatment for children from four weeks old and over three kilogrammes living with HIV in Europe. We also made a regulatory submission to both the FDA and EMA for approval of a new dispersible tablet formulation of the fixed-dose combination of abacavir, dolutegravir and lamivudine (Triumeq) and to lower the minimum weight at which a child can be prescribed this medicine.

In Europe, we received approval in February 2021 for Rukobia (fostemsavir), a first-in-class HIV attachment inhibitor. This addresses an unmet need for heavily treatment-experienced adults with HIV-1 who aren’t responding to current antiretroviral treatment and have exhausted all other options. The European approval followed US approval in 2020, when it was fast-tracked as an FDA breakthrough therapy.

Preventing HIV with long-acting cabotegravir PrEP

Preventing HIV is essential. This has been reinforced by the US Government’s goal to reduce acquisition of HIV by 75% by 2025. In December 2021, the FDA approved ViiV Healthcare’s Apretude, the first and only long-acting injectable pre-exposure prophylaxis (PrEP) option to reduce the risk of sexually acquired HIV-1. Studies, reported in 2020, showed the once-every-two-month regimen was superior to daily pills, with effectiveness three to nine times higher (in men and women, respectively) than the oral medicine in preventing HIV acquisition.

¹hiv.gov/hiv-basics/overview/data-and-trends/global-statistics

24 GSK Annual Report 2021

Increasing our ambition for patients

Our pipeline includes a number of medicines with new mechanisms of action that could be combined with our integrase inhibitor, cabotegravir, to create medicines to further extend the interval between doses. We have two objectives. One is to produce the world’s first self-administered long-acting medicine for people who want to take medicine at home. The other is to develop an ultra-long-acting regimen, with dosing intervals of three months or longer.

We have a 20-year history of success in developing integrase inhibitors for HIV, including dolutegravir and cabotegravir, through the collaboration with our shareholder Shionogi. This year we signed an exclusive collaboration and licence agreement with Shionogi for a third-generation integrase inhibitor, a preclinical candidate called VH148. We believe it will give us the potential to offer medicines with longer dosing intervals than cabotegravir. This could anchor our future pipeline of innovative, long-acting therapies for HIV beyond 2030.

Also in 2021 we announced a licensing agreement with life sciences company Halozyme for its recombinant human hyaluronidase called PH20. When PH20 is injected subcutaneously, it creates a temporary expansion under the skin, allowing increased volumes of medicine to be delivered, without added discomfort to the patient. With the ability to give a larger dose, we hope to expand the interval between doses. This opens up opportunities to combine cabotegravir with other products in our pipeline to create ultra-long-acting regimens for treatment and prevention of HIV.In particular, there’s potential for us to use this technology to increase the dosing interval of cabotegravir for prevention from every two months to as long as every six months. Our ultimate goal remains to find a cure for HIV. We are continuing to progress our unique industry/academic partnership with the University of North Carolina at Chapel Hill through our jointly-owned QURA Therapeutics and we expect to start a phase I trial for a cure medicine in 2022.

Oncology

Cancer is second only to heart disease as the world’s biggest killer. We develop transformational cancer medicines with life-changing potential for patients. We have accelerated research into areas including synthetic lethality and next generation immuno-oncology agents, drawing on our own expertise in functional genomics and the science of the immune system, and that of our partners. In 2021, we had our oncology medicine Jemperli (dostarlimab) approved for patients. This means we have three marketed therapies, a further nine assets in development, and numerous pre-clinical targets. This represents rapid progress since 2018, when we had no approved medicines and just eight assets in development, the most advanced of them in phase I.

Blood cancers

Multiple myeloma is the third most common blood cancer worldwide – more than 175,000 people develop it every year. Blenrep (belantamab mafodotin) is our treatment for patients who have relapsed or refractory multiple myeloma, and who have received at least four other therapies. It’s the first therapy of its kind, as a humanised antibody drug conjugate targeting the protein B-cell maturation antigen (BCMA). In 2020, Blenrep received regulatory approval in the US and Europe following the pivotal DREAMM-2 trial, which demonstrated deep and durable responses in patients with advanced multiple myeloma. After launching in the US and Germany, we expanded to another six EU countries in 2021 as well as the United Kingdom and Hong Kong. We are continuing our DREAMM trials to understand the potential for Blenrep to be used in earlier lines of treatment, as a monotherapy and in combination with standard and novel therapies, as well as exploring dosing and scheduling modifications. For example, in the DREAMM-5 platform study, we are investigating a novel combination of treatments with nirogacestat, a gamma secretase inhibitor (GSI), and isatuximab, a CD38 targeting monoclonal antibody.

Gynaecologic cancers

Gynaecologic cancers are some of the most common cancers affecting women. In 2020, nearly 1.4 million women around the world were diagnosed with a gynaecologic cancer.

Approval for Jemperli to treat endometrial cancer

In 2020, there were over 400,000 new cases globally of endometrial cancer (a cancer that begins in the lining of the uterus). Patients have limited treatment options if their cancer progresses after first-line therapy. In April 2021, Jemperli (dostarlimab), received accelerated approval in the US for certain patients with dMMR endometrial cancer and conditional approval in Europe for certain patients with dMMR or MSI-H endometrial cancer. It treats advanced or recurring endometrial cancer that has worsened despite previous treatment with platinum-based chemotherapy. Jemperli activates the immune system to better attack cancer cells. In August 2021, Jemperli received accelerated approval in the US for patients with dMMR solid tumours that have progressed despite earlier treatment. This means Jemperli is now available to patients with confirmed dMMR solid tumours and those who have no satisfactory alternative treatment options.

Innovation continued
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Innovation continued

We are also investigating Jemperli as a first-line treatment in combination with chemotherapy for patients with advanced or recurring endometrial cancer. The RUBY phase III trial is evaluating the combination of Zejula and Jemperli as a maintenance treatment (see below).

Treating ovarian cancer with Zejula

More than 300,000 women were diagnosed with ovarian cancer in 2020. Our treatment Zejula (niraparib) is an oral, once-daily poly (ADP-ribose) polymerase (PARP) inhibitor monotherapy maintenance treatment for women with advanced ovarian cancer, regardless of its biomarker status, who have responded to platinum-based chemotherapy. In 2020, it received approval as a first-line maintenance treatment in the US and the EU. We are evaluating Zejula in other pivotal trials, assessing activity across multiple tumour types and exploring combinations of Zejula with other therapeutics. Our pivotal FIRST phase III trial is studying Zejula in combination with Jemperli as a treatment for first-line ovarian cancer.

Other solid tumours

Exploring Zejula for the treatment of lung and breast cancer

We are currently conducting phase III trials with Zejula for lung and breast cancer. Our phase III lung cancer trial, ZEAL, is investigating Zejula as a first-line maintenance therapy for patients with advanced non-small cell lung cancer (squamous and non-squamous histologies), after they have received platinum-based chemotherapy. The trial is studying the efficacy and safety of Zejula in combination with the standard of care treatment. Our phase III breast cancer trial, ZEST, is exploring the efficacy and safety of Zejula as an early-stage treatment. The trial uses circulating tumour DNA technology for the first time in a pivotal breast cancer study. This offers the potential to detect tumour cells earlier at the molecular level and identify women at higher risk of recurrence. This means therapy with Zejula could start when the burden of disease is still low and may create an opportunity to more effectively slow or stop the cancer’s progress.

Harnessing cell therapy

Cell therapy is an important avenue for treating cancer. We’re addressing this with our own cell therapy programme for solid tumours, which combines strategies across research, clinical development and supply chain to address patients’ unmet needs. Our lead cell therapy asset in development is letretresgene autoleucel (lete-cel; GSK3377794), a T-cell receptor T-cell therapy (TCR-T) which harnesses the immune system to develop a personalised treatment. It does this by extracting a patient’s T-cells, which are then genetically modified to express a T-cell receptor (TCR) that targets the NY-ESO-1 antigen found in various solid tumours. The IGNYTE-ESO phase II trial is evaluating lete-cel in patients with synovial sarcoma and myxoid/round cell liposarcoma. This is on an accelerated development path after receiving European PRIME and FDA breakthrough status. We are also focused on developing the next generation of cell therapies, which include approaches and technologies that could further enhance anti-cancer activity. Through a collaboration with Lyell Immunopharma, we are exploring more ways to enhance T-cells’ ability to attack and kill tumour cells by further engineering cells that could be longer-lasting and more potent. We are also collaborating with Immatics Biotechnologies to build our capabilities in cell therapy for solid tumours so more patients can benefit from this kind of treatment.

Early science and other collaborations

Across our R&D in oncology, we invest in new technologies and partnerships to push the boundaries of combating cancer. One of the most important areas is immuno-oncology. Additionally, functional genomics helps us identify new treatment targets in synthetic lethality, an approach to cancer treatment that targets only genetic mutations in cancer cells, not healthy cells.

Continuing advances in immuno-oncology

Immuno-oncology is a fast-developing area, but the search for new targets is important, as so far less than 30% of patients respond to certain immuno-oncology treatments. Through our work, we are aiming to help the immune system recognise and kill cancer cells more effectively. We’re studying how combinations with our treatment Jemperli can enhance anti-tumour activity utilising the CD226 axis, that is expressed on the surface of T-cells and natural killer cells, including the checkpoints CD96, TIGIT and PVRIG. We are the only company with access to antibodies targeting all three CD226 axis checkpoints. GSK6097608 (anti-CD96) is in phase I development as a monotherapy and combined with Jemperli. In June 2021, we partnered with iTeos Therapeutics to further develop a TIGIT antibody, GSK4428859A, currently in a phase Ib safety trial also in combination with Jemperli.

Exploring the potential of functional genomics in synthetic lethality

Our internal work on functional genomics has identified more than ten target candidates in research for evaluation in the field of synthetic lethality.# Innovation continued

Immunology including respiratory

Our focus on the science of the immune system helps us develop medicines for immune-mediated conditions like lupus, rheumatoid arthritis and a range of inflammatory diseases. For more than 50 years, we have also produced innovative medicines helping millions of people with respiratory conditions to breathe more easily.

Helping more lupus patients with Benlysta

Benlysta (belimumab) is the first and only biologic approved for both the chronic autoimmune disease systemic lupus erythematosus (SLE) and lupus nephritis (LN), the kidney inflammation caused by lupus. It is a monoclonal antibody that targets BLyS, an underlying cause of SLE and LN, and reduces autoantibody levels to help control the disease. In 2021, we received approval for Benlysta in adult patients with active lupus nephritis in several markets including Brazil, EU member states and Japan. In 2022, we also received approval in China for this indication. This followed US approval for this use in 2020.

Moving towards a new way to treat rheumatoid arthritis

As many as 1% of people worldwide suffer from rheumatoid arthritis (RA), a chronic inflammatory disease that can cause pain, joint swelling and inflammation that can lead to acute and chronic disability. The needs are great, with only about 30% of RA patients achieving remission despite use of targeted therapies currently available, and around 40% of patients reporting daily pain, which can be debilitating. In early-stage trials, otilimab, our novel monoclonal antibody targeting GM-CSF, demonstrated rapid and substantial improvement in pain, and has now moved to phase III studies. We expect results of three pivotal studies by the end of 2022. With positive pivotal trial results, otilimab could become the first new medicine for RA in a decade.

Finding new disease targets in immuno-neurology

Focusing on human genetics and the science of the immune system has given us unique insights to pinpoint potential targets for patients with neurodegenerative diseases. In July 2021, we announced a partnership with Alector to develop two monoclonal antibodies (AL001 and AL101) for neurodegenerative diseases including frontotemporal dementia (FTD), amyotrophic lateral sclerosis (ALS), Parkinson’s disease and Alzheimer’s disease. Both antibodies are designed to raise levels of progranulin, which regulates immune activity in the brain. AL001 is in a pivotal phase III trial for people with, or at high risk of developing, FTD due to a mutation in the progranulin gene. It is also in a phase II trial in patients with ALS. AL101, in development for Parkinson’s disease and Alzheimer’s disease, is in a phase Ia trial with healthy volunteers. In November 2021, Alector announced encouraging new data from the open label INFRONT-2 phase II trial. These data showed a consistent slowing of clinical progression in patients with FTD who were treated with AL001 compared to historical, matched FTD subjects, with both groups having the progranulin gene mutation. There was a trend towards normalisation or stabilisation of disease-associated biomarkers. The INFRONT-3 phase III trial is currently enrolling FTD patients with a mutation in the progranulin gene to confirm the phase II data. The partnership brings together Alector’s immuno-neurology expertise and our R&D focus on the science of the immune system and human genetics, as well as our drug development capabilities.

Growing our respiratory portfolio and tackling eosinophil-driven diseases

We have one of the broadest portfolios of respiratory medicines in our industry, and it continues to grow. Since 2012, we have launched five new inhaled therapies as well as a biologic, Nucala (mepolizumab), the first-in-class monoclonal antibody that targets interleukin-5 (IL-5). We have been leading research into eosinophil-driven diseases like asthma for more than 25 years. These are inflammatory conditions associated with elevated levels of eosinophils, a type of white blood cell, and can occur in a range of tissues and organs. Our trials have studied how Nucala could change the lives of people affected by conditions such as severe eosinophilic asthma (SEA), hypereosinophilic syndrome (HES), eosinophilic granulomatosis with polyangiitis (EGPA) and chronic rhinosinusitis with nasal polyps (CRwNP). By targeting IL-5, Nucala reduces the number of eosinophils, which, in excessive numbers, can cause inflammation. These trials have led to important new approvals for Nucala, addressing unmet needs for a broad group of patients. In 2021, the FDA approved Nucala for adults with CRSwNP, a common, chronic condition which can cause difficulty breathing and sleeping, and interfere with taste and smell. With this approval, Nucala is now indicated in the US for four eosinophil-driven diseases. In November 2021, we received approvals for Nucala in Europe for CRSwNP, HES and EGPA. In January 2022, we received FDA approval to extend the marketing authorisation for Nucala to include a specific paediatric presentation in a pre-filled safety syringe, enabling healthcare professionals or caregivers to administer Nucala at home to appropriate patients. We are also awaiting European approval for this indication.

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Innovation continued

Nucala is also in a phase III trial to determine whether it can help patients with COPD with high eosinophil counts, about 40% of COPD patients, who are at increased risk of exacerbations. Additionally, we are focused on developing depemokimab, a long-acting anti-interleukin-5 (IL-5) monoclonal antibody. A current phase III programme is assessing its safety and efficacy in severe asthma with an eosinophilic phenotype. So far, results show it can reduce and suppress eosinophil levels for longer periods than other anti-IL-5 monoclonal antibodies. This would mean treatment could be extended to one injection every six months.

Early-phase portfolio

In 2021, we started a phase Ib trial for an existing IL-18 monoclonal antibody for atopic dermatitis and a phase I trial for a novel monoclonal antibody targeting IL-7 for multiple sclerosis. Both of these were informed by our access to genetic databases that identified the indications with the highest probability of success. We also completed a worldwide licence agreement with Arrowhead Pharmaceuticals for GSK4532990 (ARO-HSD), a genetically validated, investigational RNA interference (RNAi) therapeutic currently in phase I/II development for patients with non-alcoholic steatohepatitis (NASH). The agreement covers the medicine’s development and commercialisation outside of greater China. Our phase I pipeline also consists of other molecules targeting the immune system for coeliac disease, osteoarthritis pain and neuro-degenerative disease.

Opportunity driven

Alongside our balanced portfolio across key therapy areas, we are also led by the science to pursue other opportunities.

Transforming the treatment of anaemia

Over 700 million people suffer from chronic kidney disease worldwide, and an estimated one in seven of them suffers from anaemia. Many have limited treatment options today. Daprodustat has potential as a novel oral treatment in dialysis and non-dialysis settings. If approved daprostat could bring ease of use as an oral treatment with potential to improve on the current injection-based standard of care and work to effectively manage haemoglobin levels. Daprodustat is based on compelling human genetics and Nobel Prize-winning science that demonstrated how cells sense and adapt to oxygen availability. It is already approved in Japan under the name Duvroq. In 2021, data read out positively from five phase III studies. Each independently met their primary efficacy and safety endpoints, demonstrating that daprodustat improved or maintained patients within their target haemoglobin ranges and also showed, in the primary safety analysis of the intention-to-treat population, similar rates of major cardiovascular events when compared to the injection-based standard of care, ESA therapy, within each trial. Data from the ASCEND programme will be used to support regulatory filings with health authorities worldwide.Innovating for patients with primary biliary cholangitis We are also developing linirixabat, an ileal bile acid transporter (IBAT) inhibitor, for the treatment of cholestatic pruritus in patients with primary biliary cholangitis (PBC), a condition in which there is a significant unmet need with no new pharmacologic therapy since the 1960s. Following data from the GLIMMER phase IIb trial, in 2021 we initiated the GLISTEN phase III trial. The GLIMMER study was the first time 23andMe helped us to identify, recruit and enrol patients who had opted to participate in research. The GLISTEN phase III study will also use the 23andMe database to help match patients. It is also our first US pivotal trial that allows assessment of participants at home by using technology with a home-based app to track progress. Following the FDA Orphan Drug Designation, in 2021 linirixabat also received a positive decision on Orphan Drug Designation from the European Commission.

28 GSK Annual Report 2021

Pipeline overview

We have 64 assets in development, of which 22 are late-stage.

Only the most advanced indications are shown for each asset.
1 In-licence or other alliance relationship with third party.
2 Additional indications also under investigation
3 GSK contributing pandemic adjuvant
4 In phase I/II trial
5 Transition activities underway to enable further progression by partner
6 In potentially registrational phase II trial
7 Phase III trial in patients with progranulin gene mutation
8 GSK has exclusive option to co-develop post phase II
† Enrolment and vaccination stopped in February 2022. Further analysis to better understand safety data from these trials is ongoing.

NSCLC: non-small cell lung cancer; UTI: uncomplicated urinary tract infection; GC: gonorrhea; SS: synovial sarcoma; MCLs: myxoid/round cell liposarcoma

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Pharmaceuticals
Our performance

Pharmaceuticals turnover in the year was £17,729 million, up 4% AER, 10% CER. Sales of Xevudy (sotrovimab), the monoclonal antibody treatment for COVID-19 of £958 million contributed approximately 6 percentage points to Pharmaceuticals growth. By December 2021, less than a year since the first pivotal phase III data, sotrovimab was being used to treat COVID-19 patients. We had sold or reserved over 1.7 million doses through agreements with the EU and over a dozen other countries including the US, UK, Japan, Australia, Canada, Singapore and UAE. 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. Our broad portfolio includes new products Cabenuva, our long-acting injectable treatment, Apretude, our long-acting injectable for HIV prevention, and Rukobia, for highly treatment experienced patients. We maintained our lead position in respiratory, amid higher demand during the pandemic and strong commercial execution. Respiratory sales were up 21% AER, 28% CER, to £2,863 million, with sales of Trelegy and Nucala each exceeding £1 billion per year for the first time. Approvals and launches for more eosinophil-driven disease indications for Nucala, and increased uptake of the therapy’s home administration options, also boosted performance. Trelegy Ellipta, now in 48 markets, further increased its market share in chronic obstructive pulmonary disease, and made gains in asthma, aided by approval in Japan in late 2020. See Group financial review on page 62 for more detail. Oncology continued to show strong double-digit sales growth. Sales of Zejula were £395 million, up 17% AER, 22% CER, impacted by ongoing lower diagnosis rates due to the COVID-19 pandemic, particularly in the US. Blenrep 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. Immuno-inflammation sales of £885 million grew 22% AER, 29% CER with Benlysta sales up 22% AER, 29% CER to £874 million, benefiting from lupus nephritis launches in US and Japan in H2 2020. Sales of Established Pharmaceuticals decreased 11% AER, 6% CER to £7,757 million.

Adapting to the COVID-19 pandemic

The COVID-19 pandemic continued to affect healthcare systems globally. It has seen the interruption of usual care in many healthcare facilities, and a delay in diagnosis and subsequent treatments. Patients with pre-existing medical conditions remain particularly vulnerable. Amidst the ongoing restrictions on access to customers we continued to perform strongly across markets in areas like oncology. We used online and digital tools to maintain strong engagement with healthcare professionals and continued to meet the needs of our patients through patient support programmes.

Performance

Strong financial performance in 2021 was driven by first-class commercial execution and strong uptake of new products.
Pharmaceuticals highlights
– Total 2021 turnover £17.7 billion, +4% AER, +10% CER
– Sales of new and specialty pharmaceuticals £10 billion +20% AER, +26% CER
– Sales of Xevudy £958 million reflecting the ongoing fulfilment of contracts across the world and most significantly in the US
– Strong commercial execution of key growth products, including Trelegy and Nucala, which exceeded £1 billion in sales for the first time
– Better digital capabilities to support more effective engagement with healthcare professionals, higher productivity and a more efficient supply chain
Read more below

Vaccines highlights
– Total 2021 turnover £6.8 billion, -3% AER, +2% CER
– COVID-19 pandemic sales for Vaccines £447 million including pandemic adjuvant sales of £444 million
– Shingles: Shingrix sold in 17 countries, including nine markets launched during 2021
– Meningitis: increased market share in the US for Bexsero and Menvio
– Maintained market share for key products despite significant disruption from COVID-19
– Excellent supply performance; our Shingrix supply is fully unconstrained
– Accelerated our digital transformation, helping to drive data-driven decisions in manufacturing and supply
Read more on page 31

30 GSK Annual Report 2021

Driving growth over the next decade

Our portfolio of pharmaceuticals is made up of innovative and established medicines and we have leading global positions in respiratory disease and HIV.# We are developing our presence in other specialty therapy areas, including oncology and immuno-inflammation. Our broad portfolio supplies innovative and high-quality medicines, making a positive impact on the lives of millions of patients. Over the next five years we expect specialty medicines to be a key driver of GSK’s growth. This will be complemented by our newly defined General Medicines business which contains all of our primary care brands, including Trelegacy, Anoro and our classic and established products which will support our broader investment in innovation and R&D. Our HIV business is also positioned for growth as we remain innovation leaders. We anticipate continued growth in our long-acting injectable therapies, with Cabenuva for the treatment of HIV and Apretude for HIV prevention. Looking beyond 2026, we have multiple opportunities to sustain growth with our late-stage assets and we’re excited about our early-stage pipeline of further innovative long-acting medicines.

Strengthening our capabilities and organisation

We want the best and brightest people in our specialty medicines marketing and medical teams. In 2021, a continued focus on appointing the right leaders led to us naming new general managers in 12 more countries (64 in all since 2017). We’re attracting top external people with the right expertise to compete. In oncology alone, we hired more than 300 people (109 in commercial, 208 in R&D) in 2021, 117 of them into leadership positions. Leadership changes are improving the interface between commercial and R&D functions, where early commercial input to select and develop pipeline assets can create lasting value. Optimised policies and collaboration between marketing, medical and sales teams have made our sales force more effective and competitive across key markets. Changes to our sales incentives policy made a positive impact in our sales teams, with higher engagement and personal accountability. Internal audits show we achieved this without compromising our ethical standards in engagements with healthcare professionals (HCPs). In January 2021, we introduced individual targets for more of our sales representatives to drive competitiveness. We have used data and predictive analytics to deliver engaging customer interactions, and monitor and improve sales performance and market share.

Transforming interactions with healthcare professionals and patients

It’s essential for us to maintain a strong connection with HCPs, so we can meet their needs, and those of their patients. As with many businesses, the pandemic has accelerated how we use technology to make ourselves more effective commercially. We’ve increased our use of virtual calls to keep HCPs informed about clinical data, launches and products in our pipeline. This helps them understand the science behind our products, and how best to use them. In 2020, we ran successful pilots on how best to engage with HCPs in a coordinated way across online and traditional channels. In 2021, we scaled this up, with up to 15 brands in 23 markets now using a data-led, automatically orchestrated mix of traditional and digital promotion. In 2022, we’ll deploy and refine this further. Using novel data sets in our commercial analytics and orchestration engine will let us tailor what we deliver, plus how and when, to each HCP. Our global, data-driven customer experience programme has been recognised externally, winning three silver awards in the International Customer Experience Awards 2021, and helps us improve competitiveness. In the EU, digital investment has led to an immediate 118% increase in HCPs attending webinars. And in China, we’re reaching ten times more HCPs through WeChat than through our website alone. As well as virtual meetings and educational activities, we’ve brought clinical experience to customers through our global speakers’ programme. This follows feedback from HCPs, who told us they like to receive information in a peer-to-peer setting from expert practitioners. We continue to engage with patients through patient support programmes. Benlysta Cares is our US programme with information and guidance, including text reminders, help with benefits and savings, nurses support and exclusive content to help patients taking Benlysta get the most from their treatment. By September 2021, we’d enrolled over 150% more patients than we had by the same time in 2020. Benlysta Cares has been shown to help more patients stick with the treatment. In 2021, the US Patient Engagement Liaison (PEL) team ran 262 patient education programmes with over 300,000 patients across all diseases. The PEL partnered with our national and local patient advocacy groups (PAGs) to give patients more disease awareness and resources so they can have productive conversations with care providers. China Yinchuan COPD patient support programme is China’s first digital COPD patient management programme enabled by big data, 5G and the internet of things (IoT). We’ve worked with the National Healthcare Commission (NHC) to embed smart digital technology in inhalers that helps doctors make sure patients follow their prescriptions.

Performance continued

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Investing in our supply chain

Our supply chain transformation continues in line with our portfolio’s shift to innovative specialty care products. New ways of working in response to the pandemic, and agile resource allocation to prioritise return on investment, helped us make more savings. This sets GSK up to be leaner, more productive and more financially efficient. Investing in facilities, people and manufacturing partnerships will continue to help us launch specialty medicines rapidly and accelerate delivery across our portfolio. The new facility at our Barnard Castle (UK) site will start manufacturing medicines in the first quarter of 2022. Over the coming years, it will support manufacturing of the majority of the key existing and new biopharmaceutical assets in our pipeline. Since 2019, we have invested £88.4 million in the expansion of our next generation biopharma manufacturing facility in Upper Merion, Pennsylvania, which is set to open in 2022. Our expanded facility in Rockville, Maryland, will begin commercial supply in 2023. A streamlined supply chain helps us control costs and allocate capital more effectively, with a bigger share now directed to specialty medicines. We have simplified our network and central functions, completing the divestment of the site in Poznań, Poland and the closure of Xochimilco, Mexico. Our commercial and supply chain teams are collaborating on initiatives to lower cost of goods sold (COGS), protect margin and increase profit. This work includes reducing active pharmaceutical ingredient costs, optimising capacity, improving processes and working with suppliers. By simplifying our portfolio, we’ve also reduced the brands we sell from over 450 to 247 in four years, and SKUs by 15%. Investing in automation and AI/ML is improving efficiency by reducing variability in our supply chain, as demonstrated by us being on track to reach top-quartile days in inventory outstanding (DIO), which frees up working capital. We expect more digital investments in the next three years to help us improve planning productivity and accuracy, and reduce our inventory.

Keeping supply consistent and dependable

Our success rests on maintaining a high-quality and reliable supply of products for patients and consumers. We reduced total costs in the supply chain as we continue to increase productivity and simplify our supply network. Cost reductions together with sales growth have improved the gross profit margin by 1.2%. We strengthened our internal and external quality oversight model and modernised our quality management system, which will simplify ways of working. We have improved deviation rates, and our pharmaceutical supply chain has continued to be in our industry’s top quartile for FDA recalls per £1 billion of sales. All 70 regulatory inspections of Pharmaceuticals sites were satisfactory. Because our safety performance is critical to our success we’ve taken extra measures to make serious incidents less likely and strengthen our safety culture. These include deploying Life Saving Rules to help all employees understand and apply basic safety rules to their work, launching an operational safety leadership programme and strengthening our safety monitoring systems. Reliability of our supply has improved from a median performance of 95% on-time, in-full in 2018 to 97% in 2021. This was despite COVID-19 disruption. As well as applying supply chain segmentation, we’ve also improved performance by investing in technology like Resilinc, a tool using AI to highlight emerging supply chain risks, and piloting digital twins to optimise planning and increase operational efficiency.We’ve accelerated our data, digital and analytics (DDA) adoption and use of enterprise systems for managing data and documents and planning operations. They include value chain mapping for supply chain planning, and cognitive supply chain models to lower logistics costs.

Vaccines

Performance

Vaccines 2021 turnover was £6,778 million in the year, down 3% AER, but up 2% CER. As anticipated, our Vaccines business faced significant disruption during 2021, given governments’ prioritisation of COVID-19 vaccination programmes and measures to contain the pandemic. This resulted in lower demand for routine adult vaccination, including Shingrix and hepatitis vaccines.

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

Shingrix decreased 13% AER, 9% CER to £1,721 million. Sales fell in the US and International. Sales grew in Europe, driven by Germany and launches in the UK, Spain and Italy. Shingrix was sold in 17 countries, including nine markets launched during 2021.
Hepatitis vaccines sales were down 20% AER, 16% CER to £460 million, adversely impacted by the de-prioritisation of routine US adult vaccination, increased hepatitis B vaccine competition and unfavorable CDC stockpile movements in the US, and by COVID-19-related travel restrictions in Europe and International.
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.

See Group financial review on page 64 for more detail.

Adapting to the COVID-19 pandemic

The pandemic continued to dominate 2021 as highly transmissible variants emerged and countries around the world cycled in and out of stay-at-home orders. Countries with access to COVID-19 vaccines made them available to their adult populations and then children. Healthcare systems had to adapt significantly to enable this huge vaccination endeavour, which had repercussions across many aspects of health provision, including a lower priority on vaccines for diseases other than COVID-19. The pandemic also meant we did not always have as much access to customers as usual. Despite this, we maintained our market share for key vaccines in strategic countries. We held virtual meetings with HCPs and attended other events virtually to provide educational support and material about vaccination. We continued to inform people about the importance of immunisation through disease awareness and branded campaigns for meningitis, shingles, and diphtheria, tetanus and pertussis (DTP).

Driving growth over the next decade

Our portfolio of marketed vaccines is the broadest in the industry. It includes more than 20 vaccines, helping to protect people worldwide from a range of diseases throughout their lives, including meningitis, shingles, flu, polio, measles and many more – and 90% of our vaccines by sales have an efficacy level of above 90%. In commercial terms, vaccines tend to have a longer life cycle than medicines and can generate significant revenues over decades. For example Engerix, our vaccine to help prevent hepatitis B virus infection, has been available for more than 30 years and will remain an important part of our portfolio. In November 2021 the CDC’s Advisory Committee on Immunization Practices voted unanimously to recommend hepatitis B vaccination for all adults aged 19 to 59 years.

Vaccines is expected to be one of the largest drivers of growth for GSK, with high single-digit percentage sales growth (CAGR) anticipated over the 2021-2026 period. We aim to double revenues of Shingrix, our shingles vaccine, in that five-year period, and to double both meningitis and flu vaccine sales in the next decade, helping to protect millions of people from these diseases. By 2026, we plan to launch several new vaccines, including our programme to help prevent RSV through the vaccination of older adults, a significant medical and commercial opportunity. We will support these goals by drawing on our strong manufacturing capability and scale, as well as our global reach and commercial execution. Another area of focus has been attracting and retaining the right people in strategic areas and further strengthening our capabilities, including mRNA which is now the focus of approximately 250 of our people.

Digital capabilities

We continue to build our capabilities through Vaccine Virtual Days, bringing HCPs together, bringing us closer to our customers and sharing scientific discourse from the world’s leading experts in vaccines. Through our new eCongress platform, we extended the second edition of this event to HCPs from more than 150 countries, including China, and offered translations in eight different languages. This attracted over 11,000 registrants, and we received a Net Promoter Score (HCP feedback score) that was above the industry standard. The event played a role in helping to improve and protect public health everywhere.

We also continue to work with Philips on its Pregnancy+ and Baby+ apps. Our partnership with Philips is live in 12 countries, reaching approximately 30 million parents and continues to be an effective tool for educating parents about the vaccines in our paediatric portfolio. Following this success, we launched a digital partnership in the fourth quarter of 2021 focused on adults. This time the partnership is with San Francisco-based Nextdoor, a neighbourhood network used by almost one in three households in the US.

Global momentum behind vaccination

COVID-19 vaccination programmes required countries and populations to adapt and learn – and we believe this will have a positive long-term impact on vaccinations more widely, particularly for adults. Attitudes to vaccination have shifted as well – our research among people aged 50 years and older in eight of our largest vaccine markets in 2021 showed an increase in positive attitudes to vaccination as a result of the pandemic.

There is a real opportunity for healthcare systems to harness this momentum because the need for vaccination remains strong. In the US, we commissioned and published a report with Avalere Health which showed that adolescents and adults may have missed more than 37 million doses of recommended vaccines between January 2020 and July 2021, compared to 2019. These findings demonstrate how routine immunisation in 2021 continued to lag below pre-pandemic levels. The original Avalere report was followed by the CDC’s own analysis of missed vaccine doses, and calls from government, public policy groups and the media to prioritise the recovery of vaccination rates for diseases other than COVID-19.

Supply performance

We continue to strengthen our manufacturing capability to make sure we support the growth of our vaccines portfolio. Despite the supply chain disruptions caused by the pandemic, in 2021 we had another very strong year for supply performance. We are proud of the fact that all our strategic vaccines sites are approved by multiple regulatory agencies including the FDA.

In 2021, our network of 12 manufacturing sites, in nine countries, produced and delivered 767 million doses. Throughout the year we continued to invest in this network, modernising and automating our filling and packaging activities, building our mRNA production capabilities and adding launch capacity for pipeline products such as RSV. We are also investing in the infrastructure needed for the future with a planned lyophilisation (freeze drying) unit at our site in Wavre, Belgium, which will support our manufacturing capacity for priority products and our innovation pipeline.

We have worked across our supply chain to reduce our end-to-end lead times, improve our agility in the marketplace and more effectively manage demand uncertainty. This close cooperation, from the shop floor to delivery to the end-customer, allows us to make better-informed decisions by sharing data, to free up cash through increased efficiency and to be more competitive in tenders with our customers. By redesigning our supply chains, we are reducing lead times and making sure we have the right inventory at the right place to win in the marketplace. This is part of a multi-year effort to use our working capital more effectively. We continue to apply a co-development model where colleagues in R&D and manufacturing work hand-in-hand to scale up production as effectively and efficiently as possible.# Using our science and technology to address health needs

Commitment Progress in 2021

New medical innovations

Develop differentiated, high-quality and needed medicines, vaccines and consumer healthcare products to improve health.

– 2021 saw three major approvals for medicines, eight phase III starts and have 64 vaccines and medicines in our pipeline. For more details, see the Innovations section on pages 17 to 28.

Global health

Improve global health impact through R&D for infectious diseases that affect children and young people in low-income countries, focusing on HIV, malaria and TB.

– Our commitment to improve global health impact through R&D for infectious diseases and access to medicines and vaccines has been recognised in the Access to Medicines Index (ATMI) where we have ranked number one for the last seven years, every year since its inception.
– Our RTS,S/AS01e malaria vaccine is the first and only vaccine shown in long-term clinical trials to reduce malaria in children. In 2021, the WHO recommended broader deployment of the vaccine, to reduce illness and deaths in children in sub-Saharan Africa and other regions with moderate to high malaria transmission. This followed new data which showed that the vaccine, in combination with seasonal antimalarials, lowers clinical episodes of malaria, hospital admissions with severe malaria and deaths by around 70% compared to antimalarials alone. In December 2021, Gavi announced its decision to provide funding for the procurement and introduction of the vaccine into routine child immunisation programmes in Gavi eligible countries.
– We made good progress in improving availability of age-appropriate HIV treatment options for children around the world. A generic dolutegravir dispersible tablet was made available in key sub-Saharan African countries, less than a year after US FDA approval of this treatment. This work was facilitated by our public-private partnership with the Clinton Health Access Initiative, Unitaid and two generic manufacturers: Mylan (now part of Viatris group) and Macleods.
– Shigella is the second biggest cause of morbidity and mortality from diarrhoea worldwide after rotavirus, and no approved vaccine is widely available. In late 2021, the first subjects were vaccinated with our quadrivalent shigella vaccine candidate, in a first-time-in-human, clinical phase I/II study. Our goal is to develop an affordable vaccine giving broad protection against the most prevalent shigella serotypes.
– We have the richest pipeline focused on global health priority diseases in the industry, including ten medicines and vaccines currently in clinical development.
– We launched a collaboration with Novartis in 2021, Project Africa Gradient, to support scientific research on the link between genetic diversity and patients’ response to malaria and tuberculosis drugs in three African regions.

Health security

Help the world to better prepare for future disease outbreaks with pandemic potential, and tackle antimicrobial resistance.

– We have taken a broad approach to developing COVID-19 solutions. To see how we have applied our science to finding COVID-19 innovations, see page 21.
– We were one of five companies to sit on the Pandemic Preparedness Partnership Steering Group, convened by the UK Government in 2021, bringing together industry, international organisations and experts to advise G7 governments on how to speed up the response to a future pandemic. The Trinity Challenge, of which we were a founding member, also announced the winners of its inaugural competition to find innovative ways to better predict and prevent outbreaks of disease, using data and analytics. Winners included the VaccineLedger, which tracks vaccines from manufacture to patient, using blockchain technology.
– Our commitment to preventing antimicrobial resistance (AMR) was recognised by the Access to Medicines Foundation’s AMR Benchmark, with GSK an industry leader for the third consecutive time in 2021. The benchmark highlighted in particular the diversity and depth of our R&D pipeline, particularly our AMR-relevant vaccines.

An ongoing example is how we are preparing for an accelerated launch of our RSV candidate with investment in Wavre in both clinical and commercial activities. We have made great strides in unlocking capacity and getting the most from our existing assets. A good example of this is our shingles vaccine, Shingrix, where we have improved yield and throughput across the supply chain. Reductions in lead times also mean we are now fully unconstrained on Shingrix supply, which will support our growth aspirations. We have also met our COVID-19 commitments, scaling our pandemic adjuvant production to respond to fluctuating demand. This agility meant we delivered on our adjuvant agreements, and pandemic adjuvant sales made an important contribution to our revenue. (For more about our COVID-19 solutions, see page 21.)

At the same time, we’ve continued to accelerate our digital transformation, including investment in a manufacturing execution system. More than 50 production lines at ten sites are switching from paper batch recording to electronic. The system will be deployed over the next three years, with benefits including operational efficiency, lead-time reduction, and improvements in compliance, yield and stability. This investment, along with many others, will accelerate data-driven decisions in manufacturing and supply. Examples of data analytics and technology improvements include robotic automation of our material handling activity, ‘bots’ to replace repetitive manual tasks, and automating the visual inspection of syringes and vials using AI/ML. We are also embedding Lean Six Sigma tools and techniques into our processes, systems and capabilities to improve our ways of working. The investments we’re making in our manufacturing facilities and people will help us in many ways, for example ensuring that we have the right mRNA capabilities and talent in place. Together, these investments will help make our manufacturing ready to support a bright future in Vaccines.

Trust is one of our three long-term priorities.

The more trust we build, the better we perform and the more value we create for shareholders, our people and society.

Our Trust priority

Our Trust priority covers our work across ESG factors, and it’s integral to our overall strategy. Our approach to ESG helps us deliver sustainable performance and long-term growth, as well as building trust with our stakeholders (see Stakeholder engagement on page 44). It also reduces risk to our operations (see Risk management on page 46) and helps us make a positive social impact.

We have 13 commitments in the ESG areas where we can make the biggest difference. The commitments help us respond to challenges and opportunities in our industry and broader society (see External environment on pages 13 to 16). They also contribute to many of the UN Sustainable Development Goals, especially Goal 3: to ensure healthy lives and promote wellbeing for all, at all ages.

gsk.com: Our contribution to the SDGs

External benchmarking

We have maintained our acknowledged leadership in ESG, and this continues to be a key driver in our goal to deliver health impact and shareholder returns. Detailed below is how we perform in key ESG ratings that we are frequently asked about by investors.

Dow Jones Sustainability Index (DJSI): 1st in pharmaceutical industry group for 2021
S&P Global Sustainability Award: Gold Class 2022
Access to Medicine Index (ATMI): Ranked 1st in ATMI in 2021, and an industry leader in the 2021 Antimicrobial Resistance Benchmark
FTSE 4Good: Member of FTSE4Good Index since 2004
CDP: A- in Climate Change, B in Water, B in Forests (palm oil and timber) and Supplier Engagement Leader
Sustainalytics: Low risk rating
MSCI: AA rating
Vigeo Eiris: Ranked 2nd in the pharmaceuticals sector

ESG governance

Our Board-level Corporate Responsibility Committee (CRC) oversees our progress against our commitments and how we’re addressing the views and expectations of our stakeholders. The GLT and senior management are responsible for delivery of our Trust commitments and report regularly to the CRC on progress (see page 104).

Our approach to reporting

In this section, we report highlights of our 2021 progress against each of our 13 Trust commitments. We provide more detailed reporting and data on each commitment in our ESG Performance Report. This report also includes our UN Global Compact Communication on Progress, Global Reporting Initiative index, Sustainability Accounting Standards Board index and assurance statements for our social and environmental data.

gsk.com: ESG Performance Report# Trust continued

For full details of our progress against these commitments, please see our ESG Performance Report

GSK Annual Report 2021

Making our products affordable and available

Commitment	Progress in 2021
Pricing	Improve the health of millions of people each year by making our products available at responsible prices that are sustainable for our business – In developed markets, pricing of all our new products reflects the value they deliver to patients, healthcare systems and wider society compared to available alternatives, and supports our work to meet future healthcare needs. We offer patient support and, in the US during 2021, provided prescribed vaccines and medicines to more than 87,000 low-income uninsured, underinsured, and Medicare Part D patients through GSK and ViiV Healthcare’s Patient Assistance Programs Foundation. – For pricing in low income countries (LICs) and lower middle income countries (LMICs) we use innovative pricing structures to extend product reach. Our vaccines business has a tiered pricing model based on World Bank gross national income country classifications, and we do not file patents for our medicines or enforce historic patents in low-income countries (LICs).
Product reach	Use access strategies to reach 800 million underserved people in lower income countries with our products by 2025 – Our access strategies continued to reach many more underserved people in lower income countries. We made good progress against our target in 2021, and have now reached over 323 million people with our products using access strategies. These strategies include our advanced market commitments to provide our vaccines to lower income countries through Gavi. Our partnership with Gavi includes supplying Cervarix, a critical tool in lower income countries for addressing cervical cancer, Synflorix, our pneumococcal vaccine, and Rotarix our vaccine against rotavirus, the most common cause of severe diarrhoeal disease in children under five. – In 2021, we also made a commitment to supply Rotarix through the Humanitarian mechanism for civil society organisations serving the vaccination needs of refugee and other emergency situations. This builds on our existing commitment to the Humanitarian Mechanism for Synflorix. – ViiV Healthcare has voluntary licensing agreements with generic manufacturers. These have allowed at least 21.3 million people living with HIV across 119 LICs and LMICs access to a generic product containing dolutegravir by the end of 2021. – We have donated over ten billion albendazole tablets, including 526.4 million in 2021, to support efforts to end lymphatic filariasis and control intestinal worms in school-age children.
Healthcare access	Partner to improvedisease prevention, awareness and access to healthcare services for 12 million people by 2025 – We have a number of partnerships with NGOs and multilateral organisations to improve disease prevention, awareness and access to healthcare services. By 2021, these programmes reached 13.9 million people. Over the next year we’re developing an ambitious global health strategy for GSK which will include setting a new target. – Our partnership with Save the Children increased its emergency preparedness and response capability, investing in data analytics and early-action protocols to provide efficient and timely healthcare in crises. Our partnerships with Save the Children, Amref Health Africa and CARE International have trained more than 108,000 front-line health workers since 2011. They reached over 17.3 million people with prevention and treatment for infectious diseases, plus providing maternal/child healthcare, vaccination, hygiene sanitation and nutrition. – ViiV Healthcare’s Positive Action programme aims to explore ways to support people-centred and community-led interventions to help meet the UN targets to end AIDS by 2030. In 2021, the programme reached approximately 274,000 people and funded 66 grants across 28 countries.

Trust continued

For full details of our progress against these commitments, please see our ESG Performance Report

GSK Annual Report 2021

Strategic report | Governance and remuneration | Financial statements | Investor information

Trust continued

Being a modern employer

Commitment	Progress in 2021
Engaged people	Achieve and maintain a competitive employee engagement score by 2022 – In early 2022, we launched a new all-company survey focused on purpose, strategy, engagement and culture progress. Engagement remains high at 78% and above the general industry benchmark, settling back to 2019 levels after an extra boost during the early phases of the pandemic.
Inclusion and diversity	Accelerate our progress on inclusion and diversity, including aspirational targets for female and ethnically diverse representation in senior roles by the end of 2025, and recognition as a disability confident employer and in LGBT+ indices – Our aspiration is that women hold at least 45% of VP and SVP roles by the end of 2025. In 2021, women held 40% of roles at VP and above, up from 38% in 2020. The FTSE Women Leaders ranking showed that we are in the top 10% of FTSE 100 companies based on the proportion of women on our Board and in leadership positions¹. We also published our fifth annual UK ‘gender pay gap’ report in 2021, which showed that we continue to outperform the national average. – Our aspiration is to have at least 30% ethnically diverse leaders in our roles at VP and above in the US and at least 18% in the UK, by the end of 2025. Our representation as at 31 December 2021 showed that we had 12.9% ethnically diverse leaders in VP and above roles in the UK, up from 11.1% in 2020. In the US, we had 27.1% ethnically diverse leaders in roles at VP and above, up from 23.2% in 2020. This progress is supported by our rigorous focus on equal employment opportunity. We have launched programmes such as Accelerating Difference – Ethnic Diversity, which supports the development of ethnically diverse employees, building on their strengths and addressing development gaps through individual and group coaching. From 2023 we will publish GSK’s ‘ethnicity pay gap’ data for the UK. – We have developed a three-year plan to increase our disability confidence. As part of this we have rolled out our workplace adjustments programme to our biggest markets, making it available to over 40% of our employee population so far. We also signed up to the International Labour Organization’s Global Business and Disability Network, to promote the inclusion of people with disabilities in workplaces. – We continue to be recognised in global LGBT+ indices, including being designated as a Best Place to Work for LGBTQ+ Equality in the Human Rights Campaign Foundation’s 2021 Corporate Equality Index.
Health, wellbeing and development	Be a leading company in how we support employee health, wellbeing and personal development – GSK’s Leadership Team has continued to oversee our COVID-19 response, including the health, wellbeing and engagement of our employees in all our locations. We continuously monitor the impact of COVID-19 on our employees and as public health vaccination programmes continue, we’re helping to educate and raise awareness about them. Where there are no public health vaccination programmes available, we have committed to offer vaccinations at minimal cost to our employees and their eligible dependents. – We continued to make mental health training available for all our employees, and 66% of managers have completed it since it launched in 2019. We make confidential support available through our global Employee Assistance Programme, and we successfully piloted a new wellbeing programme focused on resilience strategies and energy management and will continue to implement a global rollout in 2022. – We run health and safety training for our people, which covers how to identify and take measures to reduce workplace risks. In 2021, our reportable injury and illness rate remained at 0.16 per 100,000 hours worked and there were no fatalities. – All our employees have access to our internal development portal – the Keep Growing Campus. This offers extensive development courses, videos and articles on a range of topics, including decision making, building change capability, coaching, influencing others and health and wellbeing. In 2021, our people completed 84,493 leadership and business courses.# Trust continued

Being a responsible business

Commitment

Progress in 2021

Reliable supply

Commit to quality, safety and reliable supply of our products for patients and consumers.

– It’s a priority to make sure there is a high-quality and reliable supply of our products for patients and consumers. This has continued to be of high importance throughout the pandemic, which has put increased strain on global supply chains. For more on how we manage continuity of supply, see pages 31 and 33.
– Our quality management systems allow for continuous improvement, helping us to keep up high standards for product quality and safety. In 2021, we had 171 external regulatory inspections at our manufacturing sites and local operating companies – many conducted virtually because of the pandemic. We respond to all inspection findings, no matter how minor. We also ran 1,833 quality audits of suppliers, and 312 audits of clinical trials run by, or on behalf of, GSK to assess their quality and safety. Where we find areas to improve, we create improvement plans and track their progress.

Ethics and values

Operate an ethical, values-driven culture, in which any issues are responded to swiftly and transparently.

– Everyone at GSK has to complete training on what the company expects from them. In 2021, we renamed this mandatory employee code of conduct training ‘Working at GSK’ and improved the content to focus on risk and compliance, as well as diversity and creating an inclusive workplace. In 2021, 99.4% of employees and 92.9% of contract workers completed this training.
– Anyone inside or outside GSK can raise concerns or speak to an independent third party through our Speak Up reporting channels, confidentially or anonymously, without fear of retaliation. We continue to take every concern raised seriously, and review every report to identify whether we need to investigate formally. If investigations show an employee has breached our policies, we take action.
– In 2021, we changed the way we report disciplinary data and expanded the scope to include cases which were initiated in previous years. In 2021, 2,065 employees had concerns raised against them, with an additional 757 employees with concerns raised from prior year’s open cases. We disciplined 1,176 employees (298 of whom initially had concerns raised in previous years), an increase from 2020 primarily driven by late completion of mandatory training. Of these, 265 either left voluntarily or were dismissed, and 923 received a written warning. In other cases, we took action short of a written warning. At the end of 2021, we had 427 cases awaiting investigation or a disciplinary decision.
– During 2021, we undertook an independent assessment of our approach to managing human rights, to help us better understand how we can continue to improve how we manage our priority human rights areas. The assessment showed that there is good understanding of our human rights impacts and we will be reviewing and addressing the findings in the year to come.
– How our third parties act can have a direct impact on us meeting our priorities. It is important to manage our relationships with them well, including the way we choose, contract and monitor them. Our Third-Party Oversight (TPO) programme evaluates and mitigates the risks introduced through engaging third-parties to provide goods or services for GSK. We complete assessments for the portion of our third parties that may present greater potential risk, for example, interactions with government officials or annual transfers of value above certain pre-defined limits. In 2021, we ran more than 12,800 assessments of these higher risk third parties across more than 20 risk areas, identifying over 55% as high-risk in one or more areas. Most of these third parties are goods and services providers (70%), contract manufacturers and external suppliers (2%) or distributors and wholesalers (9%). We are evaluating our TPO programme to simplify the upfront assessment and broaden its focus to risk management throughout the third-party relationship, using user feedback and findings from our ongoing monitoring.

For full details of our progress against these commitments, please see our ESG Performance Report.

Data and engagement

– In 2021, we simplified our privacy notices and made them easier to access through a portal on all our websites. Privacy is a key part of the mandatory ‘Working at GSK’ annual training that all our people have to complete. This helps employees to understand that everyone at GSK is responsible for handling personal information in the right way.
– Our patient panels give us insights and advice, as well as building trusting, long-term relationships with patients and carers that help us develop medicines that meet patients’ needs. In 2021, we ran panels in disease areas including cancer, rheumatoid arthritis and hepatitis B.
– As part of our commitment to data transparency for our clinical studies, we have published 2,776 clinical study reports and 6,239 summaries of results. We have listed 2,550 studies for data sharing via www.vivli.org and www.clinicalstudydatarequest.com.
– We want our clinical trials to be as representative and accessible as possible, reflecting the patient populations with the disease including age, race, ethnicity, sex and gender. Over the past five years, we have endeavoured to improve patient diversity in our clinical trials by implementing training and support to personnel at investigator sites including awareness training on conducting clinical trials in under-served communities. In 2021, we formed a Global Demographics and Diversity team to coordinate our learning about epidemiology, burden of disease and health equity, and how they relate to age, sex, gender, race and ethnicity, so we can apply these lessons when planning our trials.

Environment

Have a net zero impact on climate and a net positive impact on nature by 2030.

Climate

– To achieve our ambitious net zero goal we have set targets across our value chain carbon footprint. The targets have been accredited by the Science Based Targets initiative as aligning to a 1.5°C pathway.
– In 2021, we reduced our operational carbon emissions (scope 1 and 2) by 15% compared to 2020, primarily through increased use of renewable energy¹. In September 2021, we announced a £50 million investment in UK and US manufacturing sites to secure renewable power generation. This includes new wind turbines and a 20-year power purchase agreement to supply solar electricity for our Irvine facility in Scotland, and solar energy for our Oak Hill facility in New York.
– In 2020 (our latest available data), emissions from our suppliers, logistics and people using our products (scope 3) reduced by 8% reflecting the evolution of our product portfolio and reductions in business travel and commuting as a result of the pandemic. Our metered dose inhalers for asthma and COPD account for 40% of our carbon footprint so in 2021 we started an R&D programme to find a lower-impact propellant that could reduce emissions from them by about 90%.

Nature

– Collaboration is an important part of our strategy and during the year we joined nine other global pharmaceutical companies to launch the Energize programme. This is the first collaboration of its kind to use the scale of a single industry’s global supply chain to drive greater use of renewable electricity. We were a Principal Partner of the UN Global Climate Change Conference (COP26) in Glasgow and we championed the need for action on climate and nature to protect health. We also joined the Health Systems Task Force of the Sustainable Markets Initiative to drive collective action in digital healthcare, supply chains and patient care pathways to accelerate the shift to net zero.
– We make our Climate-Related Financial Disclosure on pages 49 to 52 along with our energy and carbon emissions data. GSK’s carbon reduction pathway to become net zero by 2030 can be found on gsk.com.

¹ Energy and carbon emissions data is provided in our Climate-related financial disclosure on pages 49 to 52.# GSK Annual Report 2021

ESG Performance Report

Trust continued

Being a responsible business

Continued Commitment: Progress in 2021

Environment

We are involved in developing standardised guidance on measuring our impact on nature through working with the Science Based Targets for Nature Initiative and the Task Force on Nature-related Financial Disclosures (TNFD). We will achieve our net nature positive goal by reducing our environmental impacts across water, materials and biodiversity and investing in protecting and restoring nature.
In 2021, we reduced overall water use in our operations by 16% compared to 2020, and by 21% in sites in high water stress regions. 91% of our sites are now good water stewards, in line with the Alliance for Water Stewardship’s definition. During the year, we joined the Water Resilience Coalition (WRC), partnering to develop our approach to water neutrality in water-stressed regions and to deliver water resilience projects on the ground. Our Cape Town site in South Africa is the first in our network to embark on the journey towards water neutrality, and we are working with the WRC and local partners to address shared water challenges by clearing alien plant species and replanting local flora to create greater resilience in the basin.
In 2021, we reduced the waste from our sites by 7% and recovered 43% of these materials through circular routes like reuse or recycling. Consumer Healthcare launched 40 million recycle-ready toothpaste tubes in over 20 markets.
In 2021, we piloted our approach to biodiversity at our Stevenage site in the UK, working in partnership with Kew Gardens to deliver a 39% increase of biodiversity at the site. We aim to have measurable and effective biodiversity plans in place across all GSK sites by 2025.
In 2021, we joined the public-private Lowering Emissions by Accelerating Forest Finance (LEAF) coalition which contributes high-quality emissions reductions by supporting countries to protect their tropical forests from deforestation.

For full details of our progress against these commitments, please see our ESG Performance Report.

GSK Annual Report 2021 41

Strategic report

Governance and remuneration

Financial statements

Investor information

Consumer Healthcare

Our future standalone Consumer Healthcare business, Haleon, which is on track to separate from GSK in mid-2022, will be a new world leader focused on consumer healthcare.

A sector more relevant than ever

Global consumer healthcare is a growing, £150 billion-plus market. Events of the last two years have underscored the industry’s importance. The pandemic, which continues to have an impact across the world, means consumers are focusing more on health and wellness, whether it’s managing their symptoms, or proactively looking after their wellbeing with vitamins, minerals and supplements.

Self-care supports healthcare

The burden on healthcare systems is increasing, driven by an ageing population and a rising middle class population. The consumer healthcare sector, particularly over-the-counter (OTC) products, plays an important role in addressing this challenge. Data shows that for every $1 spent on OTC medicines in the US, the healthcare system saves over $7 which amounts to $146 billion annually.

The opportunity for a standalone consumer healthcare company

The consumer healthcare sector’s role in supporting broader public health presents a significant opportunity for a standalone company focused on consumer healthcare. In 2018, we announced our plan to separate our Consumer Healthcare business as a UK-listed company through a demerger. Since then, we have made significant progress in preparing for that separation, which is due to happen in mid-2022. In June 2021, we confirmed our intention to separate through a demerger. In July 2021, Brian McNamara was named as CEO-designate for the new Consumer Healthcare company, and in December 2021 Sir Dave Lewis was appointed Chairman designate. In February 2022 we laid out our strategic priorities, key growth drivers, detailed financial information and the name, Haleon, for the future Consumer Healthcare business. See gsk.com for information.

Passing key milestones and looking ahead

Despite the challenges we’ve all faced during the pandemic, we successfully completed the integration of Pfizer Consumer Healthcare in 2021 with no delay to timings as well as over-delivering on our synergy targets. This was a complex integration which impacted multiple parts of our business including commercial, manufacturing and R&D. The completion marked a major milestone in our separation planning.

Our new Consumer Healthcare company, Haleon, will be UK-based and listed, and in October 2021 we announced proposals for new company headquarters to be located in Weybridge at a newly built campus which will also feature an innovation centre. Due to open at the end of 2024, subject to consultation and planning approvals, our ambition is for it to reflect our ambitious sustainability targets that we set out in 2020.

We are set up for success. We have grown from a business with about £6 billion in annual sales and an operating margin of 11.3% in 2015, to one with sales of £9.6 billion and an operating margin of 23.3% in 2021; a world-leading consumer healthcare business.

An industry-leading portfolio

As a world leader in consumer healthcare, we hold leadership positions in the five categories that we operate in: oral health¹; vitamins, minerals and supplements (VMS); pain relief; respiratory health; and digestive health. Our growth strategy is based on prioritising investment in our nine power brands and a number of other strategically important brands concentrated in key countries and regions. Our previously described operating model has been designed to drive the performance of these brands. Through the divestment of low growth brands, we have a focused portfolio. Geographically, we are number one or two in 70% of the OTC and VMS markets we operate in.² This includes our priority markets in the US and China.

Consumer Healthcare had 26 first-market launches for new innovations in 2021
Total 2021 turnover £9.6 billion –1% AER, +4% CER (excluding brands divested/under review)
E-commerce represented 8% of total sales
Delivered 3.7 billion consumer healthcare products
Committed to producing one billion recyclable toothpaste tubes by 2025
Significant investment in on-site solar power towards goal to source 100% of our electricity from renewable sources by 2025
Announced growth ambitions of 4-6% annual organic sales growth in the medium term, sustainable moderate margin expansion and high cash conversion

¹ Therapeutic oral health segment
² Nicholas Hall's DB6 Consumer Healthcare (OTC / VMS) Database, 2020 Store and E-commerce sales

GSK Annual Report 2021 42

2021 performance

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.

See Group financial review on page 65 for more detail.

Science-based innovation to address unmet consumer needs

Innovation continues to be a driver of growth. In 2021, we delivered major innovations based on trusted science and human understanding to meet the needs of consumers across the world. In total, we delivered 26 first-market launches of new innovations, and more than 350 brand-market launches overall.

Our research shows that a third of tooth sensitivity sufferers are searching for a trusted, long-lasting solution to address the cause of the pain, rather than just treat the symptoms. To address this key consumer need, we innovated to develop and launch Sensodyne Repair and Protect Deep Repair in more than 25 markets.# Strategic report

Consumer health care continued

Th is is a pro duct s cienti ﬁc ally pr oven to prov ide de ep and ta rgete d repai r withi n the dent ine tubu les – hol es in the t issu e bene ath the tooth e name l that are t he sour ce of the p ain – wh ile als o provi ding lon g-la sting p rotecti on fro m sensitivity . In o ral he alth , we have also ex pand ed our Gu m Hea lth expe rt of feri ng unde r our paradonta x brand i n the US . Rese arch s hows a thir d of peo ple glo bally s uf fer fro m bleed ing gum s, whi ch may be a si gn of gum d isea se. O ur paro donta x Act ive Gum Re pair inn ovation is c linic ally p roven to help r evers e the ear ly sig ns of gum di sea se. I t also st rengt hens th e appe al of the br and to more consumers with gum problems by reinforcing our credentials with den tal experts. Th e COVI D- 1 9 pa ndemi c has a lso acc eler ated a co nsume r shi ft towa rds gre ater pro activ ity i n manag ing thei r heal th and wellness, with research high lighting that 22% of consumers, in the US f or example, t ook more supplements in 202 0 than they did i n the pri or year. Rese arc h also un covere d that mor e than 85% o f Centr um consumers fa vou r solutions which are more ta rgeted th an a mult ivit amin. B ase d on this i nsight , we laun ched tailored solutions that are scientiﬁcally blended for Centr um in a num ber of key ma rkets . In Aus tral ia we moved b eyond ‘ the mult ivit amin’ and l aunch ed a new Centrum Beneﬁts range with multi-ingredien t combinat ions in order t o cat er for consumer nee ds acr oss mi nd, bod y and be aut y inclu ding Mi nd & Me mor y , Res t & Renew, Imm une Def ence & Re cover y and C olla gen Bo ost & Gl ow . In Ch ina we suc ces sful ly launc hed Centrum Dual Probiot ics , a proposition th at is specially designed t o app eal to th e growin g consu mer tre nd arou nd gut he alth a nd the b ody's s elf-de fence p ower . In the U S, we co ntinue d to inn ovate in new for

mats by exp anding t he Centrum Minis and Cent rum Gummies por t folios , incl uding th e launc h of Centrum Organic Mult igummies . Thes e innovati ons he lp us evolve th e br and fro m a singl e multiv itam in pill a nd brin g a numbe r of personalised so lutions – al l based o n trust ed sc ience and info rmed b y c linic al dat a. We have conti nued to se e an inc reas ed inter est in o ur Emergen-C b rand in t he US, a s con sumer s cont inue to loo k for ways to sup por t thei r immune h ealt h. Our r esea rch reve aled t hat co nsume rs are l ooki ng to bota nica ls, fo r their na tural qu aliti es, in or der to sup por t their we llne ss goa ls. We laun ched a for mulati on whic h comb ines th e natura l goodn ess o f plant- ba sed bot anic als a nd all the n utrie nts fro m our cor e Emergen-C for mula wi th antiox idan ts, B an d C vita mins and e lect roly tes . We also c ontinu e to invest in l oca lly rel evant innova tion. I n Chi na, o ne of our key ma rkets , we launc hed Contac Multi- Symptom . This in novation , the big gest OTC la unch (by s ales) for ou r busin ess i n China i n 202 1 , pr ovide s fast r elief f rom multiple cold and ﬂu sympt oms. Cont ac Mul ti-Sympt om co mpris es thr ee acti ve ingre dient s in a sing le pill to re lieve seven c old an d ﬂu symp toms: fever, heada che, s neezin g, run ny nos e, limb p ain, s ore thr oat and na sal c onge stio n.

Investment in digital driving growth

Th e pande mic ha s also s een an ex plos ion in di gita l comme rce and d igita l engag ement . W e have be en well po sitio ned to capture t hat digital oppo rtunity. E-c ommer ce sa les gr ew in the mid - 20% r ange in 2021 vers us 2020. O verall , e-c omme rce re pres ents 8% of to tal sa les . We saw goo d grow th in so me of our key e- com merc e market s including China. We also inve sted in c apa biliti es aro und digi tal me dia . A sig niﬁc ant pr opor tio n of our tota l adver tis ing spe nd is now in digi tal me dia , allow ing us to be m ore ef ﬁc ient an d effe ctive i n targeting ou r consumers.

Consumer he althc are continued

GS K Ann ual R epor t 2021

Strategic report

Governance and remuneration

Financial statements

Investor information

Consumer he althc are continued

A purpose and culture guiding all we do

We ser ve hund reds of m illion s acros s the wor ld and , throug h our b rand s, have a sig niﬁc ant ef fec t on thei r ever yday hea lth. Our f uture s tand alone c ompa ny will be r ooted in a p urpos e to del iver bet ter ever yday he alth w ith huma nit y . This w ill guid e ever y thing we d o and the ch oice s we make. Our s ucc ess de pend s on cre ating the right cu lture. A s a consumer healthcare business, it’s clear that what w e do matters. Our c ulture s tar ts wi th always d oing the r ight th ing. Ac ting wi th integ rit y is non- negot iable , and that m eans we c an al ways be pro ud of how we op erate. O ur cultu re focu ses on t hree behaviours :

Go beyon d – this is a bout ou r hunger a nd des ire, o ur drive to be be tter, to move with p ace, a nd to outpe rf orm the competition.
Do wha t mat ters most – th is is ab out pri oriti sing th e imp or tant thi ngs an d chall enging t he unne ces sar y.
Keep it hu man – th is is ab ou t our ded icati on to the consumers and cust omers we serve. But, equally important, it ’ s abou t our ded icati on and c ommit ment to ea ch other, which demands un matched understanding and empath y .

Bui lding th e right c ulture s tar ts wi th having a d ivers e work forc e and c reati ng an inc lusive e nviron ment wh ere co lleag ues c an thr ive. We believe t hat incl usio n and dive rsit y (I& D ) lea ds to bus ines s succ es s by unlea shin g the enor mous p otentia l of all our p eople a nd str engthe ning ou r abilit y to res pond to th e dif fer ing nee ds of our p atient s and co nsume rs. Our commitment to accelerate our progress on I&D remains a priority , includ ing w orking to wards aspirational targets f or female and ethnically d iverse representation in senior roles by the e nd of 2025.

Running a responsible business

Havi ng a stro ng ESG st rategy a nd per for manc e will be a c riti cal exp ectat ion our f uture s tanda lone c ompa ny . It is an i ntegra l par t of how we li ve our pur pos e – t o del iver bet ter ever yday he alth wit h human ity – a nd a key pilla r of our st rategy. ESG is increasingly impor tant to our stakeholders. The health of t he world affects the health of people. People ca n ’t e njoy bet ter ever yday he alth in a wo rld wh ere our environmen t is un der threat and society is increasingly unequal and divi ded, with heigh tened economic inequal ity manifesti ng its elf in gr owing h ealth i nequa litie s. T he focus o f our ESG str ategy is t herefo re to tack le the e nviron ment al and so cial bar rier s to ever yday hea lth.

Environment al: by tack ling c arb on emis sion s and cli mate cha nge, deve lopi ng more s usta inabl e pack aging a nd using trusted in gredients which are sustainably sourced, we are ta king s teps to cre ate a hea lthy envir onmen t for peo ple to live i n.
Social: by improving health inclusivity; tackling the bias, discrimination and prejud ice which holds people back from ever yday he alth an d educ ating an d empowe ring pe ople tow ards better , sustainable self-care, w e will help creat e a he althy so cial e n vir onmen t for peo ple to live in .
Go vernance: by deﬁ ning our s trateg y and gover nanc e to reﬂect increasing stakeholder expectations ; supported b y the app ointm ent of a Bo ard le d by Sir Dave Lew is, w ho brin gs a wealth of int ernational consumer sector experience.

Thi s year, we have step- chan ged ac tion on s usta inabi lity, inc luding s igni ﬁca nt invest ment in o n-site s olar powe r as pa rt of our g oal to so urce 1 00 % of our el ectr icit y from r enewab le sou rces by 2025 , comm itti ng to make a bi llion toot hpas te tubes rec yclab le by 2025 and ac hievin g full pa lm oil der ivati ves acc redi tation b y 2025. Thro ugh our O trivin Actions to Breathe Cle aner P roje ct, we ar e cam paign ing to help c hildr en lea rn mor e abou t air pol lution a nd ide ntif y the be st way to minim ise our ex posu re to it. We sc aled up o ur educ ation o n this topi c to a broader population through a high proﬁle presence a t the 202 1 CO P26. In 2022, a head o f beco ming a st anda lone co mpany, we will co ntinue ou r work to deﬁ ne our S ocia l Sust ainab ilit y Strateg y and Governance, reﬂecting increasing stakeholder expectations.

GSK Ann ual R epor t 2021

Stakeholder engagement

Eng aging an d bu ildi n g tr ust wi t h a br oad ra nge o f stakeh o l ders is vital for our long-ter m s uccess . He re, we sum mari se who ou r key stake holde rs ar e, how we eng age wi th them, w hich i ssue s mat t er mo st to them a nd how we’re res pondi ng. T o s ee how we en able th e Boar d and man ageme nt to unde rsta nd sta kehold ers’ vi ews and i nclud e them in decision making, see our section 1 72 stat ement on page 1 1 6.

Patients and consumers

Ins ight s fro m pat ient s and c onsum ers e nabl e us to deve lop products that better meet their needs.

How we e ngag e
* Advisory boards, disease-speciﬁc pa tient panels and P atient Adv ocacy Leaders Summits to provide patient insight s.
* Eng age ment a nd sup por t for pa tien t group s ( dis clos ed on G SK .co m ), an d initi ative s that e mpowe r patie nts to ge t involv ed in me dici ne development.
* Market research including consumer sensory labs.

Wh at mat te rs to p atie nt s and co nsume rs
* Dif f erentiat ed product in nova tion based on patient and consumer needs.
* Access to a reliable supply of h igh-quality products.
* Pricing of healthcare products, particularly out -of -pock et e xpenses.

Wh at we’re d oing
* Strengthening our pipeline o f innov ative products.
* Ma int ainin g high s tan dard s for pr oduc t qua lit y and sa fet y .# Stakeholder engagement continued

Governments and regulators

We work with governments and regulators to advocate for policies that encourage innovation and promote efficient management of healthcare spending.

How we engage

Meeting with regulatory bodies throughout the development process to ensure high-quality new products.
Engaging with government health agencies to demonstrate the value of our products for patients and economies.
Working with governments to protect and strengthen the operating environment for life sciences innovation and new medicine and vaccine launches.
Participating in international efforts to address global health threats, such as the pandemic.

What matters to governments and regulators

Investment in innovation and life sciences.
Scientific funding and collaboration.
Medicines pricing and reimbursement.
Public health threats – COVID-19 and antimicrobial resistance (AMR).
Investment in preventive health and strengthening health systems.

What we’re doing

Engaging in US policy pricing/reimbursement debates and, with PhRMA, commenting on legislative proposals for healthcare reform.
Partnering across industry and governments to tackle AMR.
Engaging with governments, including the US, UK and EU regarding production and procurement of COVID-19 vaccines and treatments.

NGOs and multilateral organisations

We work with partners to improve access to healthcare services and our products, and to advocate for the policy environment in which we can be successful and deliver on our ambitions for patients.

How we engage

Working with non-governmental organisations (NGOs) and partners to research and develop products to address global health challenges.
Collaborating with NGOs and generic manufacturers to sustainably supply our products to lower income countries.
Partnering to strengthen health systems in lower income countries and drive progress on global health priorities.

What matters to NGOs and multilateral organisations

Access to vaccines and medicines.
UN SDGs and WHO targets for specific disease areas.
Universal health coverage and the future of health systems.
Financing for global health, including COVID-19 solutions.

What we’re doing

Focusing on our unique role as a global health partner to develop products where we have scientific expertise.
Partnering with organisations that have complementary capabilities and reach to create sustainable models that share risk, including our partnership with Gavi to support access to vaccines in lower income countries.
Leveraging our community investment programmes to support our scientific expertise and deliver greater impact for patients.

Suppliers

We work with thousands of suppliers, large and small, who provide goods and services that support us in delivering a reliable supply of high-quality, safe products for our patients and consumers.

How we engage

Regular direct engagement with suppliers to ensure they support GSK’s strategies and targets.
Engaging with suppliers through our Third-Party Oversight programme and by conducting in-depth audits.
Participating in forums such as the Pharmaceutical Supply Chain Initiative and the Consumer Goods Forum to improve supply chain sustainability.

What matters to suppliers

Prompt payment to agreed terms.
Understanding GSK policies to ensure compliance.
Opportunities to innovate and grow the relationship.

What we’re doing

Engaging with suppliers to develop improvement plans and track progress when we identify areas for improvement.
Providing proactive support through our third-party EH&S team in countries where our priority suppliers are located.

Our people

We involve and listen to our people to increase employee engagement, drive business performance and retain talented people.

How we engage

Regular interactive broadcast events with the GLT and other senior leaders.
Facilitating dialogue and collaboration through our internal communications platforms, Works Councils, Employee Forums and Employee Resource Groups.
Providing feedback to managers via the global all-company survey and One80 questions.

What matters to our people

Our purpose and being able to see the difference we make.
Having a great line manager.
Feeling understood and valued.
Being part of an inclusive and diverse workplace.

What we’re doing

Fostering a culture of accountability and ambition, underpinned by integrity and humanity.
Launched new leadership programmes to help managers motivate, focus, care for and develop their teams.
Campaigns and programmes to support safety, mental wellbeing and enable work-life balance.
Driving our diversity and inclusion activities in support of new aspirational targets.

Risk management

Our risk management and internal control framework is well-embedded, mature, and continuously reviewed and overseen by the Board.

Identifying, evaluating and managing risk

Our risk management and internal control framework is well-embedded and provides the ability for the Board to evaluate and oversee how the company manages principal and emerging risks in line with our long-term objectives. We have a company-wide policy that sets out the requirements, roles and responsibilities for the management and governance of risks, controls and supporting guidance on the essential elements of our internal control framework. We routinely evaluate our framework for improvements.# Our governance

The Board oversees our risk management system and establishes our risk appetite, supported by the Audit & Risk Committee (ARC). The Corporate Responsibility Committee (CRC) and Science Committee further assess the effectiveness of risk management strategies pertinent to their defined remits. Our Risk Oversight & Compliance Council (ROCC) helps the ARC and CRC to oversee the risks, and the strategies used to address them. Risk management and compliance boards across the Group promote the ‘tone from the top’. They also establish our risk culture and oversee the effectiveness of risk management activities, as well as communicating information about internal controls. Our business is accountable for delivering on its objectives in line with its established risk appetite. An Enterprise Risk Owner is responsible for each principal risk, with oversight by a GLT member. Risk owners report risk and mitigation to ROCC, the GLT and the appropriate Board committee. Legal and Compliance support these efforts by advising on our business strategies, activities, risks and controls, and Audit & Assurance provides assessments of the adequacy and effectiveness of our framework.

Considering current and emerging risks

Our risk assessment process considers the likelihood and impact of risks, and the timescale over which a risk could occur. We consider both current and emerging risks that could affect our ability to achieve our long-term objectives. Emerging risks are those on the three-year horizon, in line with our viability statement. We also define risks in this way if we need to know more about how likely they are to materialise, or what impact they’d have if they did. We will evaluate if additional investigation is required before classifying them as principal risks. Risk management and compliance boards at all levels of the organisation identify emerging risks on an ongoing basis, and ROCC discusses emerging risks at each meeting. We also scan the risk horizon throughout the year to identify external trends that may be opportunities and/or emerging risks and monitor our business activities and internal environment for new, emerging and changing risks. ROCC conducts an annual risk review to assess principal and emerging risks for the company. This review is supported by extensive analysis of external trends and insights, senior level interviews and recommendations from risk management and compliance boards and risk owners. ROCC shares this annual review with the ARC and Board for assessment and this forms the basis for the following year’s risk management focus.

Putting risk management plans in place

We define enterprise risk plans that include a description of the risk, its context, our assessment, risk appetite, how we will treat the risk, and the actions businesses need to take in line with our internal control framework to mitigate the risk. They also enable our Board committees to assess the effectiveness of our risk management strategies. This year, along with our annual business risk reports, we continued quarterly reporting of risks to ROCC and the Board committees, to drive more dynamic, data-driven discussions, agile risk management strategies and oversight. We report on existing control measures, implementation, emerging risks, external insights and out-of-tolerance key risk indicators, where tolerance aligns to risk appetite. We include risks and mitigations associated with COVID-19. Our risk management framework complements our culture and Speak Up processes in ensuring that risks are actively and effectively identified and mitigated. It also provides reasonable assurance against material misstatement and mitigates potential losses that could arise in the ordinary course. Each business monitors its most important risks and takes action to address issues. Our annual confirmation exercise checks that key risks are well managed, or actions are in place to address gaps, at each business. Business continuity planning is embedded in our framework. Our principal risks include controls for responding to problems within their risk plans. We also have business continuity planning for our critical processes, so we can continue business operations in the event of a crisis.

Changes to our risks for 2022

In our November 2021 annual risk review, the ROCC agreed our principal risks for 2022 which remain largely unchanged, with the evolution of Privacy to Data Ethics and Privacy, Non-Promotional Engagement to Scientific and Patient Engagement, and Transformation and Separation to Separation. Additionally, we agreed that Environmental Sustainability will be managed under our ESG areas of focus. Also we identified two new emerging risks, Geopolitical Tensions and Healthcare Reform, which will be evaluated during 2022 before being classified as principal risks. The table on the following pages shows our current principal risks and respective trends, assessments and mitigation activities for the year. These are not in order of significance. For full risk definitions, potential impact, context and mitigating activities please see Principal risks and uncertainties on pages 275 to 287. Viability statement, see page 53. Risks associated with COVID-19, see page 54. ARC report, see page 111. Internal control framework, see page 112. GSK Annual Report 2021 47 Strategic report Governance and remuneration Financial statements Investor information

Risk	Trend	Assessment and mitigation activities
Patient safety	The macro risk level is stable but remains challenging. Public awareness of drug safety has increased following media coverage of the safety and efficacy of COVID-19 vaccines and therapies in 2021. Misinformation and negative characterisations of the industry have fuelled vaccine hesitancy. Highly publicised information security threats and data breaches require us to consider how we securely collect safety information from external sources.	GSK’s risk exposure is stable. Our portfolio is evolving, with a greater focus on advanced therapy medicinal products that may require specialised pharmacovigilance. We need to carefully balance resources to execute routine pharmacovigilance while we manage change initiatives including the separation of the Consumer Healthcare business, the accelerated pace of drug development and the simplification of our safety processes.
Product quality	The macro risk has increased following COVID-19, with regulators resuming multiple on-site inspections to check that product quality expectations are met. There continues to be a focus on data governance and data integrity requirements, and on evaluation of products for the presence of nitrosamines.	GSK's risk exposure has increased, as we need to respond to the heightened inspectorate presence. We have launched inspection readiness programmes to ensure full preparedness. We have continued to invest in technology and digital platforms to further strengthen our controls around good data management practices. Governance and control strategies have been deployed for timely nitrosamine evaluations. All these mitigations will require focus and diligence as GSK undergoes significant organisational change.
Financial controls and reporting	The external environment remains challenging due to political uncertainty, proposed increases in the obligations of directors and auditors, increasing threats of cyber attacks (information security) and fraud, and increasing environmental disclosure requirements.	GSK’s risk exposure has remained stable due to our ongoing focus on the resilience of personnel and the testing of our internal control framework. We implement optimal risk mitigation through transformational programmes, technology, centralised processes, and risk and control assessments, and maintain effective tax and treasury strategies. We continually strengthen our control frameworks and collaborate with external bodies on standard setting.
Anti-bribery and corruption (ABAC)	The macro risk level for bribery and corruption remained unchanged in 2021. We continued to see the ongoing impact of the pandemic on governments, people and businesses; rigorous anti-bribery and corruption standards aided by improved technology; and continued enforcement with focus on third-party intermediaries.	GSK’s risk exposure is unchanged as we continuously improve our Anti Bribery and Corruption programme to ensure appropriate controls, training, capability building, awareness raising, strong monitoring and use of data analytics.
Commercial practices	COVID-19 consequences continue to impact the macro level. Competitive pressure has increased in many therapy areas and market segments. Future innovation requires successful launches of key medicines and products. Vaccination rates have been impacted by accessibility and political issues. Governments remain focused on initiatives to drive medicine and vaccine costs down for consumers.	GSK’s risk exposure level remains stable due to our mature and robust control environment.

Non-promotional engagement

The macro environment for non-promotional activities and scientific engagement with HCPs and patients is stable. It continues to be characterised by complex, dynamic disease areas and treatments with increased patient-centric focus, increasing diversity of engagement platforms, and the continued increase in virtual engagements since the pandemic. GSK’s risk exposure has remained stable. Our digital practices continued to develop and modernise, and we have applied our internal principles and policies, designed to mitigate risk, to this rapidly evolving environment. We have internal networks to foster collaboration and best practice sharing, as well as the identification of emerging risks associated with non-promotional activities, so we can conduct them in compliance with GSK’s values and policies, local laws and regulations.

Risk management continued

2021 Principal Risks summary

48 GSK Annual Report 2021

| Risk | Trend # Established, specialized teams across GSK are working together to deliver our environmental strategies and embed them as business as usual including:

The GSK Sustainability Council chaired by Regis Simard which includes leaders from business units and global functions, including manufacturing, R&D, procurement and facilities management, ethics and compliance and ﬁnance, who all play a key role in delivering our environmental strategy. The Council is supported by a dedicated Programme Steering Team, which is run by the Global Sustainability Team who also provide specialist expertise and advice to the business.
The Programme Steering Team who co-ordinate the sustainability programme and associated workstreams and have oversight for monitoring performance and progress of the enablers to deliver the sustainability programme.
The Capital Allocations Board (CAB) which includes the CFO and Group Financial Controller who review climate-related capital expenditure as part of their annual planning and capital allocation process.
The Finance Sustainability Network includes leaders from across Finance, Sustainability and Procurement and focuses on key ﬁnancial enablers to deliver the sustainability programme.

Strategy and Risk Management Methodology and Assumptions

Since 2019 we have disclosed long-term risks from climate change across the value chains of key products that account for approximately 40% of revenue. In 2021, we expanded our assessments with a focus on risks to our own manufacturing operations and we have developed a three-year plan to further embed climate-related analysis across signiﬁcant areas of our business.

We used two climate scenarios based on internationally recognised data sets:

business-as-usual (BAU): assuming little to no mitigation leading to 3-5°C of warming by 2100.
low-carbon future: assumes that the global temperature increase by 2100 is limited to well below 2°C by rapid changes in legislation and technology.

During 2021, using the enterprise risk plan we carried out scenario analyses on the risks and opportunities, prioritising physical and transitional risks and opportunities according to the likelihood and the magnitude of the potential impact to GSK’s manufacturing operations and staff. Each risk and opportunity was analysed and the potential impact on our proﬁt was classiﬁed as either low (<£100 million), medium (£100 million-£300 million) or high (>£300 million).

We consider climate-related issues within the time horizons used in our strategic and capital planning processes: short-term (less than 12 months); medium-term (1-3 years); and long-term (3-10 years). We have focused on climate risks out to 2030, with no material risks identiﬁed as falling into short or medium term.

We have tested the resilience of GSK’s climate-related strategy taking into consideration different scenarios and the risks and opportunities identiﬁed. As a result, we are continuing to improve our management of climate-related risks and opportunities.

https://www.gsk.com/media/7180/gsk-carbon-glidepath-010921.pdf
Scenarios are based on IPCC Representative Concentration Pathways 2.6, 4.5 and 8.5, the IEA World Energy Outlook 2018 New Policy Scenario, Current Policy Scenario and Sustainable Development Scenario; and data sets from WWF and WRI for water stress and flood risk modelling

Summary of GSK’s risks and opportunities

Risk management continued

Physical risk/ description	Scenario	Risk management	Potential proﬁt impact/ timeframe	Metrics	Targets
Increasing levels of water stress which reduces the availability of water for our operations. GSK uses freshwater as the main source of water to manufacture medicines, vaccines, and consumer health products. If water availability was restricted at a factory then production operations would be interrupted.	BAU and low carbon	We have performed water stewardship risk assessments for all our manufacturing sites and we have identiﬁed ten sites in our current network that are currently in areas of high-water risk. We are developing plans for these sites to become water neutral by 2030 and will partner with other organisations to address shared water challenges. We are currently piloting this approach in our Cape Town site working with partners including WWF and the Water Resilience Coalition. The TCFD process has helped us develop a watch list of additional sites potentially under long-term threat and we will monitor changes to the risk levels and update our site water risk assessments appropriately.	Low: <£100m / Long: 3-10 years	Sites that have achieved water stewardship* Water use in our operations Sites and supplier sites that have achieved water neutrality	Achieve good water stewardship at 100% of our sites by 2025 Reduce overall water use in our operations by 20% by 2030 Be water neutral in our own operations and at key suppliers in water stressed regions by 2030
Increasing frequency of extreme weather events causing disruption. Extreme weather events such as ﬂooding, storms etc can result in short-term interruptions to manufacturing and other operations.	BAU and low carbon	We have performed risk assessments for our manufacturing and other operations and have business continuity plans in place which are reviewed annually to respond to the impact of extreme weather events including adopting appropriate mitigation plans. The TCFD process has helped us identify a watch list of sites that are in places where the ﬂood risk is expected to increase over time. However, the risk from ﬂooding remains very low. GSK has a well-established loss prevention and risk engineering programme to identify a range of risks that could impact our sites and where ﬂood risks exist, we have taken action to mitigate the risk.	Low: <£100m / Long: 3-10 years	Sites that have business continuity plans 100% of sites have a response to extreme weather events in their business continuity plans	100% of sites have a response to extreme weather events in their business continuity plans
An increased number of very hot days (> 35° C) resulting in reduced productivity. Extreme heat could result in heat stress affecting our staff.	BAU	GSK has operations in countries that already experience very hot temperatures periodically. We already control the temperature and humidity inside our buildings. As part of our EHS control framework, sites conduct risk assessments on very hot days including adaptations for outside work.	Low: <£100m / Long: 3-10 years	Scope 1, 2 and 3 carbon emissions	Net zero emissions across all operations by 2030 Net zero emissions across our full value chain by 2030)

Risk Management

A speciﬁc and dedicated environmental sustainability enterprise risk management plan has been put in place (for more details see Risk management on page 46). The risk management plan covers expectations that GSK is addressing its impact on the environment, and that the environment has increasing impacts on operational resilience such as access to energy, water and the natural resources used in products, along with any anticipated cost increases from regulatory changes or environmental taxes.

An internal control framework has been established for environmental sustainability, including the appointment of dedicated senior leaders for environmental sustainability to ensure that governance processes are in place and effective. Our performance in reducing carbon emissions, energy and water utilisation, and waste will continue to be delivered and managed by our mature programmes and will be enhanced by including further eco-design considerations into products and packaging.

* As deﬁned by the Alliance for Water Stewardship

Transitional risk/ description

Transitional risk/ description	Scenario	How the risk is managed	Potential proﬁt impact/ timeframe	Metrics	Targets
Regulations governing the use of high global warming potential (GWP) substances are being updated in the UK, EU and US. This could lead to increasing cost and restrictions on the use of the high GWP propellant (HFA 134a) in our Metered Dose Inhaler (MDI) products.	BAU and low carbon	We have started an R&D programme to ﬁnd a lower-impact propellant that could reduce emissions from our metered dose inhalers by about 90%. We already have a portfolio of Dry Powder Inhaler products that do not use propellants that are not impacted by this risk. We are monitoring the evolving regulations governing the use of ﬂuorinated gases and will review our assessments in future declarations.	Medium: £100m to £300m/ Long: 3-10 years	Scope 3 carbon emissions	Net zero emissions across all operations by 2030 Net zero emissions across our full value chain by 2030)
There is uncertainty over future regulatory policy responses to address climate change that countries around the world will develop including carbon pricing. We anticipate that carbon pricing on operational carbon emissions will come into force in some regions in the medium to long term which could increase our operating costs.

We are transitioning to 100% renewable electricity by 2025 and are starting to investigate options for renewable heat technology to reduce our carbon emissions from energy. Our sales fleet aim to transition to electric vehicles by 2030, further reducing our scope 1 carbon emissions. Shadow carbon pricing has been embedded in the capital investment process at $100 per tonne and is driving conversations and decisions around carbon emissions at all levels of the organisation.

Low: <£100m / Long: 3-10 years
Scope 1&2 carbon emissions
Net zero emissions across all operations by 2030

| Opportunities Scenario | How the opportunity is managed # Viability Statement

These metrics have been subject to sensitivity analysis, which involves flexing a number of the main assumptions underlying the forecasts both individually and in combination, along with mitigating actions that could realistically be taken to avoid or reduce the impact or occurrence of the underlying risk. The future separation of the Consumer Healthcare Joint Venture with Pfizer, if approved by the Board and shareholders, is likely to occur within the period covered by the viability assessment. The Directors have therefore considered the ability of the Group to continue in its current form (ie the scenario in which the demerger does not proceed) for the three-year period ending 31 December 2024 as well as the viability of new GSK if the demerger proceeds as planned. The following hypothetical downside scenarios have been evaluated:

Scenario 1: Business performance risks.

These include key performance risks, including lower sales from new products; greater adverse impact from generic competition and other competitive launches to other GSK products; as well as possible supply and manufacturing challenges.

Scenario 2: External and macroeconomic risks.

This scenario reflects incremental risks to the business driven by outside factors, such as more intense competition, increased pricing pressure in both the US and Europe as well as the potential impact of material negative changes in the macro-economic and healthcare environment.

Scenario 3: Principal risks.

This scenario includes a severe assessment of the potential loss impact from the principal risks related to patient safety, product quality, supply chain continuity and environmental sustainability as well as anti-bribery and corruption and any consequent regulatory actions or fines, all of which could fundamentally threaten our operations. These risks are managed through mitigating activities described on pages 275 to 287.

Scenario 4: Put option exercise.

This scenario evaluates the additional funding requirements assuming the earliest potential exercise of the outstanding put option held by our partner in the HIV business.

Scenario 5: Demerger of the Consumer Healthcare Joint Venture (CH).

The final scenario focuses on the impact of the CH demerger in early Q3 2022 as well as the downside assessment of scenarios 1 to 4 applied to new GSK’s cash flows. The three-year review also makes certain assumptions about the normal level of capital recycling likely to occur and considers whether additional financing facilities will be required and the respective level of funding flexibility and headroom.

The results of this stress testing show that certain combinations of these hypothetical scenarios could increase funding demands on GSK and require mitigating changes to the Group’s funding strategy. However, in light of the liquidity available to the Group and based on this analysis, the Directors have a reasonable expectation that, even under these most severe stress tests, the Group with or without demerger will be able to continue in operation and meet its liabilities as they fall due over the three-year period of assessment.

54 GSK Annual Report 2021

Non-financial information statement

The following aligns to the non-financial reporting requirements contained in sections 414CA and 414CB of the Companies Act 2006.

Description of the business model

The value we create

Social matters

Global health 35
Health security 35
Affordability and availability 36

Employees

Employee engagement 37
Diversity 37
Wellbeing and development 37
Gender pay gap 37

Ethics and values

Board diversity 83
Human rights 38
Data and engagement 39
Third parties 38

Anti-corruption and bribery

Ethics and values 38
Reporting and investigating concerns 38
Anti-bribery and corruption 47

Environmental matters

Carbon, water and waste 39
Climate-related financial disclosure 49

Policy, due diligence and outcomes

Summary of our principal risks 47
Principal risks and uncertainties 275
Viability statement 53
Audit & Risk Committee report 111

Non-financial key performance indicators

Key performance indicators 112

Our policies

All of our public policies, codes and standards are available on gsk.com

Risk management continued

Employees by gender

	Male	Female	Total
Board	8	5	13
Management*	10,148	9,553	19,701
All employees	47,751	42,345	90,096

Senior managers as defined in the Companies Act 2006 (Strategic Report and Directors’ Report) Regulations 2013

Risks associated with COVID-19

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.

In this section

Reporting framework 56
Our approach to tax 60
Financial performance 61
Adjusting items 70
Cash generation and conversion 73
Financial position and resources 74
Treasury policies 79
Critical accounting policies 80

Group financial review

GSK Annual Report 2021 55

Strategic report
Governance and remuneration
Financial statements
Investor information

56 GSK Annual Report 2021

Total and Adjusted results

The Group financial review discusses the operating and financial performance of the Group, its cash flows and financial position and our resources. The results for each year are compared primarily with the results of the preceding year.

Total 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 59. 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 Annual Reports, including the financial statements and notes, in their entirety.

Adjusted results

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 and capitalised development costs)
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 disposals 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 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 amortisation of intangible assets except for computer software and capitalised development costs, 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 its 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 is undertaking 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 are materially larger than more regularly occurring individual matters. They also include certain major legacy matters. Reconciliations between Total and Adjusted results, providing further information on the key Adjusting items for 2020 and 2021 are set out on page 70 and for the five years to 2021 are set out on pages 263 to 268. 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.

Reporting framework

Group financial review

GSK Annual Report 2021 57

Group financial review continued

Governance and remuneration

Financial statements

Investor information

Historical record of Adjusting items

The reconciliations between Total and Adjusted operating profit over the last five years can be summarised as follows:

	2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Total operating profit	6,201	7,783	6,961	5,483	4,087
Intangible asset amortisation	802	775	777	580	591
Intangible asset impairment	322	263	83	116	688
Major restructuring	626	1,532	1,105	809	1,056
Transaction-related items	1,159	1,308	345	1,977	1,599
Divestments, significant legal and other items	(618)	(2,823)	(299)	(220)	(119)
Separation costs	3	14	68	–	–
US tax reform	–	–	–	–	666
Adjusted operating profit	8,806	8,906	8,972	8,745	8,568

The analysis of the impact of transaction-related items on operating profit for each of the last five years is as follows:

	2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Novartis Consumer Healthcare Joint Venture put option	–	–	–	65	8986
Contingent consideration on former Shionogi-ViiV Healthcare JV (including Shionogi preferential dividends)	1,026	1,114	31	1,188	556
ViiV Healthcare put options and Pfizer preferential dividends	48	(52)	(234)	(58)	(126)
Contingent consideration on former Novartis Vaccines business	27	172	76	58	10
Release of fair value uplift on acquired Pfizer inventory	–	91	366	–	–
Other adjustments	58	(17)	10	6	131
Transaction-related items	1,159	1,308	345	1,977	1,599

Full reconciliations between Total and Adjusted results for 2017 – 2021 are set out on pages 266 to 268. Further explanations on the Adjusting items for 2021 are reported on page 70.

Reporting framework continued

Non-controlling interests in ViiV Healthcare

Trading profit allocations

Because ViiV Healthcare is a subsidiary of the Group, 100% of its operating results (turnover, operating profit, profit after tax) are included within the Group income statement and then a portion of the earnings is allocated to the non-controlling interests owned by the other shareholders, in line with their respective equity shareholdings (Pfizer 11.7% and Shionogi 10%). Each of the shareholders, including GSK, is also entitled to preferential dividends 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. Remeasurements of the liabilities for the preferential dividends allocated to Pfizer and Shionogi are included within other operating income/(expense).

Acquisition-related arrangements

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. 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. Because 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.

Group financial review continued
58 GSK Annual Report 2021

The cash payments are reflected in the cash flow statement partly in operating cash flows and partly within investing activities. The tax relief on these payments is reflected in the Group’s Adjusting items as part of the tax charge. The part of each payment relating to the original estimate of the fair value of the contingent consideration on the acquisition of the Shionogi-ViiV Healthcare joint venture in 2012 of £659 million is reported within investing activities in the cash flow statement and the part of each payment relating to the increase in the liability since the acquisition is reported within operating cash flows.

Movements in contingent consideration payable to Shionogi were as follows:

	2021 £m	2020 £m
Contingent consideration at beginning of the year	5,359	5,103
Remeasurement through income statement	1,026	1,114
Cash payments: operating cash flows	(721)	(751)
Cash payments: investing activities	(105)	(107)
Contingent consideration at end of the year	5,559	5,359

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.

Exit rights

Pfizer may request an IPO of ViiV Healthcare at any time and if either GSK does not consent to such IPO or an offering is not completed within nine months, Pfizer could require GSK to acquire its shareholding. Under the original agreements, GSK had the unconditional right, so long as it made no subsequent distribution to its shareholders, to withhold its consent to the exercise of the Pfizer put option and, as a result, in accordance with IFRS, GSK did not recognise a liability for the put option on its balance sheet. However, during Q1 2016, GSK notified Pfizer that it had irrevocably given up this right and accordingly recognised the liability for the put option on the Group’s balance sheet during Q1 2016 at an initial value of £1,070 million.Co nsistent with this revised treatment, at the end of Q1 2016 GSK also recognised liabilities for the future preferential dividends anticipated to become payable to Pfizer and Shionogi on the Group’s balance sheet. The closing balances of the liabilities related to Pfizer’s shareholding are as follows:

| Pﬁzer put option | 1,008 | 960 |
| Pﬁzer preferential dividend | – | 1 |

Under the original agreements, Shionogi could also have requested GSK to acquire its shareholding in ViiV Healthcare in six-month windows commencing in 2017, 2020 and 2022. GSK had the unconditional right, so long as it made no subsequent distribution to its shareholders, to withhold its consent to the exercise of the Shionogi put option and, as a result, GSK did not recognise a liability for the put option on its balance sheet. However, during Q1 2016, GSK notified Shionogi that it had irrevocably given up this right and accordingly recognised the liability for the put option on the Group’s balance sheet during Q1 2016 at an initial value of £926 million. In Q4 2016, Shionogi irrevocably agreed to waive its put option and as a result GSK de-recognised the liability for this put option on the Group’s balance sheet directly to equity. The value of the liability was £1,244 million when it was de-recognised. GSK also has a call option over Shionogi’s shareholding in ViiV Healthcare, which under the original agreements was exercisable in six-month windows commencing in 2027, 2030 and 2032. GSK has now irrevocably agreed to waive the first two exercise windows, but the last six-month window in 2032 remains. As this call option is at fair value, it has no value for accounting purposes.

Settlement with Gilead Sciences Inc. (Gilead)

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 made an upfront payment of $1.25 billion to ViiV Healthcare which was received on 15 February 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 impact of the settlement with Gilead 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 251 for an explanation of the post balance sheet event impact.

Reporting framework continued

GSK Annual Report 2021 59

Group financial review continued

Strategic report
Governance and remuneration
Financial statements
Investor information

Free cash flow

Free cash flow is defined as the net cash inflow 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 73.

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.

Return on capital employed

Return on capital employed is calculated as total profit before taxation as a percentage of average net assets over the year.

Net debt

Please see Note 29 ‘Net Debt’ for the calculation of net debt.

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.

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.

Reporting framework continued

Group financial review continued

60 GSK Annual Report 2021

Our approach to tax

Business makes a major contribution to the public purse through its tax contribution. This includes direct taxes (such as corporate income tax) and indirect taxes (such as VAT and customs duties) as well as other taxes (such as employment taxes and property taxes). It is therefore important that companies explain their approach to tax. This helps inform dialogue about tax and tax policy. We are supportive of efforts to ensure companies are appropriately transparent about how their tax affairs are managed. As part of that, our Tax Strategy is set out in detail within the Public policies section of our website. We support the exchange of country-by-country reporting (CBCR) data between tax authorities as, validated against existing information held on taxpayers, it will support their ability to ensure multinational groups pay the right amount of tax in the right places.

As a global healthcare company, we have a substantial business and employment presence in many countries around the world and pay a significant amount of tax. This includes corporate income tax and other business taxes, and tax associated with our employees. We also collect a significant amount of tax on behalf of governments along our supply chain, including from our employees. We are subject to taxation throughout our supply chain. The worldwide nature of our operations means that our cross-border supply routes, necessary to ensure supplies of medicines into numerous countries, can result in conflicting claims from tax authorities as to the profits to be taxed in individual countries. This can lead to double taxation (with profits taxed in more than one country). Profits are recognised in territories by reference to the activities performed there and the value they generate. To ensure the profits recognised in jurisdictions are aligned to the activity undertaken there, and in line with current OECD guidelines, we base our transfer pricing policy on the arm’s length principle and support our transfer prices with economic analysis and reports. We do not engage in artificial tax arrangements – those without business or commercial substance. We do not seek to avoid tax by the use of ‘tax havens’ or transactions we would not fully disclose to a tax authority.We have a zero-tolerance approach to tax evasion and the facilitation of tax evasion. Tax risk in all countries in which we operate is managed through robust internal policies, processes, training and compliance programmes. Our Board of Directors and the Audit & Risk Committee are responsible for approving our tax policies and risk management arrangements as part of our wider internal control framework. We seek to maintain open and constructive relationships with tax authorities worldwide, meeting regularly to discuss our tax affairs and real-time business updates wherever possible. We also monitor government debate on tax policy in our key jurisdictions so that we can understand and share an informed point of view regarding any potential future changes in tax law. Where relevant, we provide pragmatic and constructive business input to tax policy makers either directly or through industry trade bodies, advocating reform to support economic growth and job creation as well as the needs of our patients and other key stakeholders. In 2021, the Group corporate tax charge was £346 million (2020 – £580 million) on profits before tax of £5,442 million (2020 – £6,968 million) representing an effective tax rate of 6.4% (2020 – 8.3%). We made cash tax payments of £1,291 million in the year (2020 – £1,655 million). In addition to the taxes we pay on our profits, we pay duties, levies, transactional and employment taxes. Our Adjusted tax rate for 2021 was 17.5% (2020 – 16.0%). The rate has benefited from the closure of open issues with tax authorities in various jurisdictions. Following separation of the Consumer business and subject to any material changes in our product mix, or other material changes in tax regulations or laws in the countries in which we operate, the Group's average effective Adjusted tax rate in the medium term is expected to be around 16%. The Group's Total tax rate for 2021 of 6.4% (2020 – 8.3%) was lower than the Adjusted tax rate mainly due to enactment of an increase in the UK corporate income tax rate from 19% to 25% resulting in an increase in the value of balance sheet tax assets. Due to the magnitude, GSK has reported this credit as an Adjusting item in 2021 so that it does not obscure the key trends in the Group’s performance for the period. The OECD and the EU continue to develop new policies which will not only lead to a substantially increased tax compliance burden but may, in the case of the OECD’s project to ‘Address the Tax Challenges of Digitalisation’, fundamentally change the international corporate tax landscape and therefore the tax profiles of multinational companies, including GSK, by: (i) reallocating countries’ taxing rights for the largest and most profitable multinationals; and (ii) set a new minimum global corporate tax rate of 15%. This project achieved political consensus during 2021, with a plan for effective implementation in 2023. However, the detailed rules are still under discussion and it is not therefore possible to accurately forecast the impact for GSK at this stage. Further details about our corporate tax charges for the year are set out in Note 14.

GSK Annual Report 2021 61
Group financial review continued
Strategic report
Governance and remuneration
Financial statements
Investor information

Adjusted operating profit (£bn)	Total operating profit (£bn)	AER growth (1) %
£8.8bn	£6.2bn
	£34.1bn
		0 2 4 6 8 10
		2021 2020 2019
		8.8 8.9 9.0

	AER growth (20)%	CER growth (9)%
			0 2 4 6 8 10
			2021 2020 2019
			6.2 7.8 7.0

The Total results of the Group are set out below.

	2021 £m	% of turnover	2020 £m	% of turnover	Growth £%	Growth CE R%
Turnover	34,114	100	34,099	100	–	5
Cost of sales	(11,603)	(34.0)	(11,704)	(34.3)	(1)	2
Selling, general and administration	(10,975)	(32.1)	(11,456)	(33.6)	(4)	–
Research and development	(5,278)	(15.5)	(5,098)	(15.0)	4	7
Royalty income	419	1.2	318	0.9	32	32
Other operating (expenses)/income	(476)	(1.4)	1,624	4.8
Operating proﬁt	6,201	18.2	7,783	22.8	(20)	(9)
Net finance costs	(756)		(848)
Share of after-tax proﬁts of associates and joint ventures	33		33
Loss on disposal of interest in associates	(36)		–
Proﬁt before tax ation	5,442		6,968		(22)	(10)
Taxation	(346)		(580)
Proﬁt after tax ation for the year	5,096		6,388		(20)	(9)
Proﬁt attributable to shareholders	4,385		5,749
Earnings per share (p)	87.6p		115.5		(24)	(13)
Earnings per ADS (US$)	2.42		2.98

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 page 70.

	2021 £m	% of turnover	2020 £m	% of turnover	Growth £%	Growth CE R%
Turnover	34,114	100	34,099	100	–	5
Cost of sales	(10,726)	(31.4)	(10,191)	(29.9)	5	8
Selling, general and administration	(10,225)	(30.0)	(10,717)	(31.4)	(5)	(1)
Research and development	(4,776)	(14.0)	(4,603)	(13.5)	4	8
Royalty income	419	1.2	318	0.9	32	32
Adjusted operating proﬁt	8,806	25.8	8,906	26.1	(1)	9
Adjusted proﬁt attributable to shareholders	5,665		5,769		(2)	9
Adjusted earnings per share (p)	113.2p		115.9		(2)	9

Group turnover (£ bn)	AER growth 0%	CER growth 5%
			0 5 10 15 20 25 30	2021 2020 2019
			35	34.1	34.1	33.8

GSK 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 and other non-IFRS measures are defined on pages 56 and 59.

Group financial review continued 62
GSK Annual Report 2021
Pharmaceuticals

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 R&R 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.

Pharmaceuticals Financial performance continued
Group turnover by business

	2021 £m	2020 £m	Growth £%	Growth CE R%
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
	34,114	34,099	–	5

Group turnover by geographic region

	2021 £m	2020 £m	Growth £%	Growth CE R%
US	15,093	14,556	4	10
Europe	7,838	8,164	(4)	(2)
International	11,183	11,379	(2)	4
	34,114	34,099	–	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.

Pharmaceuticals turnover

	2021 £m	2020 (revised*) £m	Growth £%	Growth CE R%
Respiratory	2,863	2,360	21	28
H IV	4,777	4,876	(2)	3
Immuno-inﬂammation	885	727	22	29
Oncology	489	372	31	37
Pandemic	958	–	–	–
New and Specialty	9,972	8,335	20	26
Established Pharmaceuticals	7,757	8,721	(11)	(6)
	17,729	17,056	4	10
* GSK has reviewed the presentation of its pharmaceuticals products and from 1 January 2021 has moved sales of Arnuity Ellipta, Incruse Ellipta and Relvar/Breo Ellipta from the Respiratory therapeutic area to the Established Pharmaceuticals therapeutic area. Comparative information has been revised onto a consistent basis.

Group turnover
Turnover (£bn)
AER growth 0%
CER growth 5%
0 5 10 15 20 25 30
£17.# Group financial review continued

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 for 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.

Financial performance continued

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 unfavorable CDC stock pile movements in the US, and by COVID-19 related travel restrictions in Europe and International.

Sales of DTaP-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.

Vaccines	2021 £m	2020 £m	Growth £%	Growth CER%
Meningitis	961	1,029	(7)	(2)
Influenza	679	733	(7)	(2)
Shingles	1,721	1,989	(13)	(9)
Established Vaccines	2,970	3,231	(8)	(4)
Total Vaccines	6,331	6,982	(9)	(5)
Pandemic Vaccines	447	–	–	–
Total	6,778	6,982	(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.

Financial performance continued

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 benefited 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.

Consumer Healthcare turnover
| | 2021 £m | 2020 £m | Growth £% | Growth CER% |
| :------------------------------------ | ------: | ------: | --------: | ----------: |
| Oral health | 2,732 | 2,753 | (1) | 5 |
| Pain relief | 2,276 | 2,219 | 3 | 7 |
| Vitamins, minerals and supplements | 1,512 | 1,506 | – | 4 |
| Respiratory health | 1,133 | 1,209 | (6) | (1) |
| Digestive health and other | 1,803 | 1,824 | (1) | 4 |
| | 9,456 | 9,511 | (1) | 4 |
| Brands divested/ under review | 15 | 522 | (71) | (69) |
| | 9,607 | 10,033 | (4) | – |

	2021 £m	2020 £m	Growth £%	Growth CER%
US	3,179	3,408	(7)	(1)
Europe	2,468	2,619	(6)	(3)
International	3,960	4,006	(1)	4
	9,607	10,033	(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 Europe sales were stable on a CER basis. Both regions were particularly negatively impacted by the historically low cold and flu season during Q1 2021.

Turnover (£bn)
£9.6bn
28% of Group turnover

AER growth (4)%
CER growth 0%

0 2 4 6 8 10
2021
2020 9.6
2019 10.0
9.0
Consumer Healthcare

Financial performance continued
Group financial review continued
66 GSK Annual Report 2021

Cost of sales
| | 2021 £m | 2020 £m | Growth £% | Growth CER% |
| :---------------------------- | ------: | ------: | --------: | ----------: |
| Total cost of sales | (11,603) | (11,704) | (1) | 2 |
| Adjusted cost of sales | (10,726) | (10,191) | 5 | 8 |

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
| | 2021 £m | 2020 £m | Growth £% | Growth CER% |
| :----------------------------------------------- | ------: | ------: | --------: | ----------: |
| Total selling, general and administration | (10,975) | (11,456) | (4) | – |
| Adjusted selling, general and administration | (10,225) | (10,717) | (5) | (1) |

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
| | 2021 £m | 2020 £m | Growth £% | Growth CER% |
| :----------------------------- | ------: | ------: | --------: | ----------: |
| Total research and development | (5,278) | (5,098) | 4 | 7 |
| Adjusted research and development | (4,776) | (4,603) | 4 | 8 |

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.# Financial performance continued

Group financial review continued

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 58). 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.

Financial performance continued
Group financial review continued
68
GSK Annual Report 2021

Net finance costs

	2021 £m	2020 £m
Finance income
Interest and other income	26	39
Fair value movements	2	5
	28	44
Finance expense
Interest expense	(746)	(822)
Unwinding of discounts on provisions	(2)	(3)
Remeasurements and fair value movements	–	(4)
Finance expense on lease liabilities	(31)	(40)
Other finance expense	(5)	(23)
	(784)	(892)

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.

Profit before tax

Taking account of net finance costs, the share of profits of associates and loss on disposal of interest in associates, profit before taxation was £5,442 million compared with £6,968 million in 2020.

Taxation

	2021 £m	2020 £m
UK current year charge	13	230
Rest of world current year charge	1,044	1,177
Charge in respect of prior periods	17	266
Total current taxation	1,348	1,273
Total deferred taxation	(1,002)	(693)
Taxation on total profits	346	580

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 2021. 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 £460 million (2020 – £374 million) and an increased allocation of ViiV Healthcare profits of £196 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 remeasurement charges on the contingent consideration liabilities.

Financial performance continued

GSK Annual Report 2021 69

Group financial review continued

Strategic report

Governance and remuneration

Financial statements

Investor information

Dividends

The Board has declared four interim dividends resulting in a total dividend for the year of 80 pence, in line with the dividend declared for 2020. See note 16 to the financial statements, ‘Dividends’.

Dividend policy

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.

Guidance and Outlook

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.

In June 2021, GSK announced that it expected new GSK to deliver sales growth and adjusted operating profit growth of more than 5% and more than 10%, respectively, CAGR at constant exchange rates over the five year period 2021-2026 (with 2021 as the base year). These financial outlooks exclude any contribution from COVID-19 related revenues. New GSK expects to improve adjusted operating margin from the mid-20s % in 2021 to over 30% by 2026 and cash generated from operations is expected to exceed £10 billion by 2026. By 2031, new GSK aims to deliver sales of more than £33 billion (at constant exchange rates).

Medium term outlooks were 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.

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.

Financial performance continued

Group financial review continued

70 GSK Annual Report 2021

Adjusted results reconciliation

31 December 2021

	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Divestments, significant legal and other items £m	Separation costs £m	Adjusted results £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 administration	(10,975)	426	25	17	282			(10,225)
Research and development	(5,278)	10	1	355	46			(4,776)
Royalty income	419							419
Other operating (expense)/income	(476)	110	6	(662)	32	–		314
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 of associates and joint ventures	33							33
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%
Profit after taxation	5,096	643	241	514	963	(1,051)	265	6,671
Profit attributable to non-controlling interests	711	295						1,006
Profit attributable to shareholders	4,385	643	241	514	668	(1,051)	265	5,665
Earnings per share	87.6p	12.9p	4.8p	10.3p	13.3p	(21.0)p	5.3p	113.2p
Weighted average number of shares (millions)	5,003

Adjusted results reconciliation

31 December 2020

	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Divestments, signiﬁcant legal and other items £m	Separation costs £m	Adjusted results £m
Turnover	34,099							34,099
Cost of sales	(11,704)	699	31	66	71	116		(10,191)
Gross profit	22,395	699	31	66	71	116		23,908
Selling, general and administration	(11,456)	118	659	(23)	16	68		(10,717)
Research and development	(5,098)	75	214	20	6			(4,603)
Royalty income	318							318
Other operating (expense)/income	1,624	1,215		(2,839)		–		68
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 of associates and joint ventures	33							33
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%
Profit after taxation	6,388	625	216	1,242	1,079	(2,804)	54	6,800
Profit attributable to non-controlling interests	639	392						1,031
Profit attributable to

Group Financial Review Continued

Major Restructuring and Integration

Within the Pharmaceuticals sector, the highly regulated manufacturing operations and supply chains and long life cycle 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. Major restructuring costs are those related to specific Board-approved Major Restructuring Programmes and are excluded from Adjusted results. Major Restructuring Programmes, including integration costs following material acquisitions, are those that are structural and are of a significant scale where the costs of individual or related projects exceed £25 million. Other ordinary course smaller-scale restructuring costs are retained within Total and Adjusted results.

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


	Cash £m	Non-cash £m	Total £m	Cash £m	Non-cash £m	Total £m
2018 major restructuring programme (incl. Tesaro)	18	9	27	10	5	15
Consumer Healthcare Joint Venture integration programme	17	3	20	18	4	22
Separation Preparation restructuring programme	371	59	430	625	216	841
Combined restructuring and integration programme	8	(23)	(15)	39	11	50
Total Major restructuring charges	414	48	462	692	236	928

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.

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

	2021 £m	2020 £m
Pharmaceuticals	233	671
Vaccines	(40)	214
Consumer Healthcare	19	374
Corporate and central functions	374	273
Total Major restructuring charges	626	1,532

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

	2021 £m	2020 £m
Cost of sales	15	67
Selling, general and administration	426	659
Research and development	46	206
Other operating income/(expense)	–	–
Total Major restructuring charges	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.

Adjusting Items Continued

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 £m	2020 £m
Contingent consideration on former Shionogi-ViiV Healthcare Joint Venture (including Shionogi preferential dividends)	1,026	1,114
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 57.

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 189. 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 d eferr ed ta x cre dit ar ises d ue to dif fer ence s bet ween gr oup valu e and the m arket val ue of the assets transf erred. Separation costs Fro m Q2 2020, the G roup s tar ted to rep or t additi onal c osts to prepare for establishment of the Consumer Healthcare bus ines s as an i ndepe ndent e ntit y ( “S epar ation co sts”). T otal Sep arati on cos ts incu rred i n 202 1 were £ 3 1 4 mill ion (2020 – £68 mill ion ). This includ es £38 million relat ing t o transaction costs including preparatory admission costs ( costs rela ting t o ach ieve a listi ng). T o tal se parat ion co sts are e stim ated to be £6 00 - 700 m illion , excluding transacti on costs . Adjusting items continued GS K Ann ual R epor t 2021 73 Group ﬁn ancial review continued Strategic report Governance and remuneration Financial statements Investor information A sum mar y of the c onsol idated c ash ﬂ ow statem ent is se t out b el ow.

	2021 £m	2020 £m
Net cash inﬂow from operating activities	7,952	8,441
Net cash inﬂow/(outﬂow) from investing activities	(1,777)	2,161
Net cash outﬂow from ﬁnancing activities	(7,589)	(10,132)
Increase in cash and bank overdrafts	(1,414)	470
Cash and bank overdrafts at beginning of year	5,262	4,831
Increase in cash and bank overdrafts	(1,414)	470
Exchange adjustments	(29)	(39)
Cash and bank overdrafts at end of year	3,819	5,262
Cash and bank overdrafts at end of year comprise:
Cash and cash equivalents	4,274	6,292
Overdrafts	(455)	(1,030)
	3,819	5,262

Capital expenditure and ﬁnancial investment Ca sh paym ents for t angib le and in tangi ble ﬁxe d ass ets amo unted to £2, 93 1 milli on ( 2020 – £2, 239 milli on ) and dis posa ls rea lise d £89 8 milli on ( 2020 – £1 , 582 milli on ). Ca sh paym ents to acq uire eq uity i nvestm ents am ounted to £ 1 62 mill ion ( 202 0 –£ 4 1 1 mil lion ) , primarily relating to Vir B iotec hnolo gy , and s ales o f equit y inves tments r eali sed £202 mil lion (2020 – £3 ,269 mi llion). Fr ee cash ﬂow Fre e cas h ﬂow is the a mount o f cas h gener ated by the G roup after meeting our obl igations for cont ingent consideration, interest, tax and dividends paid t o non-control ling in terests, and a fter c apit al exp enditu re on pro per ty, plan t and equ ipmen t and intangible assets.

	2021 £m	2020 £m
Free cash inﬂow	4,437	5,406

T o tal ca sh paym ents to Sh ionog i in relat ion to the V iiV Healthcare contingent considera tion liabil ity in the year w ere £ 82 6 mill ion (2020 – £8 58 milli on ), of whic h £7 2 1 mill ion was r ecog nise d in ca sh ﬂows fr om ope rating a ctivi ties a nd £ 1 05 million was recognised in contin gent considerat ion paid wit hin inves ting c ash ﬂow s. Th ese pay ments a re dedu ctibl e for tax purposes. Reconciliation of net cash inﬂow from operating activities to free cash ﬂow A rec onci liatio n of net ca sh inﬂ ow from o perat ing act iviti es, whi ch is the c lose st equ ivale nt IFR S mea sure to fr ee ca sh ﬂow, is sh own bel ow .

	2021 £m	2020 £m
Net cash inﬂow from operating activities	7,952	8,441
Purchase of property, plant and equipment	(1,172)	(1,226)
Purchase of intangible assets	(1,759)	(1,013)
Proceeds from sale of property, plant and equipment	143	68
Proceeds from disposal of int angible assets	772	1,255
Interest paid	(786)	(864)
Interest received	27	39
Dividends from associates and joint ventures	9	31
Contingent consideration paid (reported in investing activities)	(114)	(120)
Contribution from non-controlling interests	7	3
Distributions to non-controlling interests	(642)	(1,208)
Free cash ﬂow	4,437	5,406

Futur e cash ﬂow Ove r the lon g t er m, we expe ct that f uture c ash ge nerate d from ope ratio ns will b e suf ﬁci ent to fund o ur oper ating a nd debt ser vi cing c osts , norm al levels o f capi tal ex pendi ture, o bligat ions under e xisting licensing agreements, e xpenditu re arising from restructuring programme s and other rout ine outﬂows including ta x, pension contribution s and d ividends, subject t o the ‘P rinc ipal r isks an d unce rt ainti es’ disc usse d on page s 27 5 to 287 . W e may fro m time to tim e have addi tiona l deman ds for ﬁna nce, s uch as f or acqu isiti ons, i nclud ing potent ially a cquir ing increase d ownership interests in t he ViiV Healthcar e business where a minority shareholder hold p ut options. W e hav e access to mult iple so urce s of liqui dit y from sh or t and lon g-term c apit al mar kets and ﬁ nanc ial ins tituti ons for su ch nee ds, in a dditi on to the cash ﬂow from operation s. Investment appraisal and capit al allocation We have a stron g fram ework for c apit al all ocati on, in cludin g a boa rd to gover n the all ocati on of ca pita l betwe en our bus ines ses . W e utili se a co nsiste nt cas h retur n on inves ted capital (CROIC) me thodology t o prioritise inv estment across the G roup a s a whole , so that we c an mor e ef fecti vely co mpare the r eturns f rom eac h of the bu sine sses a s we allo cate c apita l bet ween t hem. We als o cons ider th e impac t on EPS a nd our credit proﬁle where relev ant. Cash generation and conv ersion Group ﬁn ancial review continued 74 GS K Ann ual R epor t 2021

	2021 £m	2020 £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
Total equity	21,342	20,808

Property, plant and equipment Our b usine ss is s cien ce-b ase d, techn ology -intens ive and h ighly reg ulated by gove rnme ntal au thori ties . W e all ocate si gniﬁ cant ﬁnancial resourc es t o the renewal and maintenance of our propert y , plant and equipment to minimise risks of interrupt ion t o production and to ensure compliance with regula tory standards. A numb er of our p roce sse s use ha za rdou s materi als. Th e t ota l cost o f our pro per ty, plan t and equ ipmen t at 3 1 De cemb er 202 1 was £20 , 7 78 millio n, with a n et book v alue of £9,932 million. Of t his, land and buildings represented £3 , 66 7 mill ion, p lant an d equipm ent £ 4,55 8 millio n and as sets i n co nstru ction £1 , 70 7 milli on. In 2021 , we investe d £ 1 ,205 mil lion in new p roper t y , plan t and equ ipment . This w as mai nly rel ated to a lar ge numb er of pro jects f or the re newal, i mprovem ent and exp ansio n of faci litie s at vario us world wide s ites to su ppor t new pro duct d evelopm ent and l aunch es as wel l as to imp rove the ef ﬁciency of e xisting su pply chains. Propert y is mainly held fre ehol d. New inve stmen t is ﬁna nced f rom our li quid re sour ces . At 3 1 De cemb er 202 1 , we had con tractu al com mitme nts for futu re cap ital e xpend iture of £ 6 1 6 m illion . W e beli eve that our pro per ty a nd plan t facili ties a re adeq uate for our c urre nt need s. W e observe st ringent procedures and u se speciali st skills to manage en vironmen tal risks from our activities. En vironmen tal issues, sometimes dating from operat ions no w modiﬁed or discontinued, are reported under ‘En vironment’ on pa ges 39 to 40 an d in Note 46 to the ﬁ nanc ial st atement s, ‘L egal proceedings’ . Right of use assets Ri ght of use a ss ets amou nted to £7 40 mi llion at 31 Dec embe r 202 1 com pare d with £ 830 m illion o n 1 Janu ar y 202 1. The dec rea se in the ye ar reﬂ ecte d the impa ct of dep reci ation a nd dis posa ls of £21 3 mi llion a nd £7 0 milli on res pec tively, par tly of fse t by additi ons of £21 5 m illion . Goodwill Go odwi ll decr eas ed to £ 1 0,552 mill ion at 31 Dece mber 2021 , from £ 1 0,59 7 mill ion. Other intangible assets Ot her int angib le as sets inc lude th e cost o f intan gible s acqu ired fro m third p ar ties an d comp uter sof t ware. T he net bo ok value o f othe r intan gible a sse ts as at 31 Dec ember 2021 was £ 30,079 mill ion (2020 – £29,824 milli on ). The i ncre ase pr imar ily reﬂ ecte d additi ons, n et of dis posa ls and w rite of fs of £1 ,9 1 3 mill ion, of fs et by amo rti satio n and imp airm ent los ses , net of rever sals, in th e year of £1 ,597 milli on. Financial pos ition and resources GS K Ann ual R epor t 2021 75 Group ﬁn ancial review continued Strategic report Governance and remuneration Financial statements Investor information Investments in associates and joint ventures We held inve stme nts in as soci ates and j oint ven tures w ith a ca rr ying va lue at 3 1 Dec embe r 202 1 of £8 8 milli on (2020 – £36 4 milli on ). In 2021 , th e Grou p sold al l of its sha res in I nnovi va Inc . back to In noviva .Following this divestment, the Group held no investments in associates or joint ventures which are listed entities. See Note 21 to the financial statements, ‘Investments in associates and joint ventures’.

Other investments
We held other investments with a carrying value at 31 December 2021 of £2,126 million (2020 – £3,060 million). The highest value investments held at 31 December 2021 were in CureVac AG, which had a book value at 31 December 2021 of £380 million (2020 – £887 million), and Vir Biotechnology, which had a book value of £266 million (2020 – £130 million). The other investments included equity stakes in companies with which we have research collaborations, and which provide access to biotechnology developments of potential interest and interests in companies that arise from business divestments.

Derivative financial instruments: assets
We held current derivative financial assets at fair value of £188 million (2020 – £152 million) and non-current derivative financial assets held at fair value of £18 million (2020 – £5 million). The majority of these financial instruments related to foreign exchange contracts both designated and not designated as accounting hedges.

Inventories
Inventory of £5,783 million decreased from £5,996 million in 2020.

Trade and other receivables
Trade and other receivables of £7,860 million increased from £6,952 million in 2020.

Deferred tax assets
Deferred tax assets amounted to £5,218 million (2020 – £4,287 million) at 31 December 2021.

Derivative financial instruments: liabilities
We held current and non-current derivative financial liabilities at fair value of £228 million (2020 – £231 million). This primarily related to foreign exchange contracts both designated and not designated as accounting hedges.

Trade and other payables
At 31 December 2021, trade and other payables were £17,554 million compared with £15,840 million at 31 December 2020. The increase primarily reflected the impact of higher customer return and rebate accruals and higher accruals relating to our collaborations. See Note 28 to the financial statements, ‘Trade and other payables’.

Provisions
We carried deferred tax provisions and other short-term and non-current provisions of £5,027 million at 31 December 2021 (2020 – £5,359 million). Other provisions at the year-end included £196 million (2020 – £320 million) related to legal and other disputes and £652 million (2020 – £860 million) related to Major restructuring programmes. Provision has been made for legal and other disputes, indemnified disposal liabilities, employee related liabilities and the costs of the restructuring programme to the extent that at the balance sheet date a legal or constructive obligation existed and could be reliably estimated.

Pensions and other post-employment benefits
We account for pension and other post-employment arrangements in accordance with IAS 19. The net deficits were £1,129 million (2020 – £2,104 million) on pension arrangements and £1,243 million (2020 – £1,363 million) on unfunded post-employment liabilities. See Note 30 to the financial statements, ‘Pensions and other post-employment benefits’.

Other non-current liabilities
Other non-current liabilities amounted to £921 million at 31 December 2021 (2020 – £803 million).

Contingent consideration liabilities
Contingent consideration amounted to £6,076 million at 31 December 2021 (2020 – £5,869 million), of which £5,559 million (2020 – £5,359 million) represented the estimated present value of amounts payable to Shionogi relating to ViiV Healthcare and £479 million (2020 – £477 million) represented the estimated present value of contingent consideration payable to Novartis related to the Vaccines acquisition. The liability due to Shionogi included £231 million in respect of preferential dividends. The liability for preferential dividends due to Pfizer at 31 December 2021 was £nil (2020 – £1 million). An explanation of the accounting for the non-controlling interests in ViiV Healthcare is set out on page 57. Of the total contingent consideration payable (on a post-tax basis) at 31 December 2021, £958 million (2020 – £765 million) is expected to be paid within one year. The consideration payable is expected to be paid over a number of years. As a result, the total estimated liabilities are discounted to their present values, on a post-tax basis using post-tax discount rates. The impact of the settlement with Gilead 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. The Shionogi-ViiV Healthcare contingent consideration liability is discounted at 8% and the Novartis Vaccines contingent consideration liability is discounted partly at 7.5% and partly at 8.5%.

Financial position and resources continued
Group financial review continued
76
GSK Annual Report 2021

	2021 £m	2020 £m
Cash, cash equivalents and liquid investments	4,335	6,370
Borrowings – repayable within one year	(3,601)	(3,725)
Borrowings – repayable after one year	(20,572)	(23,425)
Net debt	(19,838)	(20,780)

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 and £4.0 billion repayable in the subsequent year.

At 31 December 2021, GSK’s cash and liquid investments were held as follows:

	2021 £m	2020 £m
Bank balances and deposits	2,825	3,000
US Treasury and Treasury repo only money market funds	543	17
Liquidity funds	1,395	2,975
Cash and cash equivalents	4,274	6,292
Liquid investments – government securities	61	78
Total	4,335	6,370

Cash and liquid investments of £2.9 billion (2020 – £5.4 billion) were held centrally at 31 December 2021. The analysis of cash and gross debt after the effects of hedging is as follows:

	2021 £m	2020 £m
Cash and liquid investments	4,335	6,370
Gross debt – fixed	(23,167)	(24,538)
– floating	(1,006)	(2,612)
– non-interest bearing	–	–
Net debt	(19,838)	(20,780)

	2021 £m	2020 £m
Net debt at beginning of year	(20,780)	(25,215)
(Decrease)/increase in cash and bank overdrafts	(1,414)	470
(Decrease)/increase in liquid investments	(18)	1
Increase in long-term loans	–	(3,298)
Net repayment of short-term loans	1,995	7,305
Repayment of lease liabilities	215	227
Exchange movements	314	(135)
Other movements	(150)	(135)
Net debt at end of year	(19,838)	(20,780)

Financial position and resources continued
Group financial review continued
GSK Annual Report 2021
77

Maturity profile of bond debt £m equivalent
GBP bonds
EUR bonds
USD bonds
2022
2025
2027
2033
2034
2038
2039
2042
2023
2043
2045
2024
2026
2029
0
2028
2030
2035
3,500
4,000
4,500
2,500
2,000
1,500
1,000
500
3,000

Financial position and resources continued
Interest rate benchmark reform
Interest rate benchmark reform - Amendments to IFRS 9, IAS 39, IFRS 4, IFRS 7 and IFRS 16’ Phase I and Phase II were issued by the IASB in September 2019 and August 2020, and adopted by the UK Endorsement Board on 5 January 2021. Phase I of the amendment modifies specific hedge accounting requirements to allow hedge accounting to continue for affected hedges during the period of uncertainty before the hedged items or hedging instruments affected by the current interest rate benchmarks are amended as a result of the ongoing interest rate benchmark reforms. Phase II also provides that, for financial instruments measured using amortised cost measurement, changes to the basis for determining the contractual cash flows required by interest rate benchmark reform should be reflected by adjusting their effective interest rate and no immediate gain or loss should be recognised. The Group has closely monitored the market and the output from the various industry working groups managing the transition to new benchmark interest rates.This includes announcements made by LIBOR regulators, including the Financial Conduct Authority (FCA) and the US Commodity Futures Trading Commission, regarding the transition away from LIBOR (including GBP LIBOR, USD LIBOR and EURIBOR) to the Sterling Overnight Index Average Rate (SONIA), the Secured Overnight Financing Rate (SOFR), and the Euro Short-Term Rate (€STR) respectively. At 31 December 2021, the Group was not directly exposed to interest rate benchmark reform as it held no interest rate derivatives or floating rate debt that referenced to LIBOR. The Group did not transition any material derivatives or floating rate debt into a new index as all of the instruments referencing LIBOR matured before December 2021.

Total equity

At 31 December 2021, total equity had increased from £20,808 million at 31 December 2020 to £21,342 million. A summary of the movements in equity is set out below:

	2021	2020
Total equity at beginning of year	20,808	18,357
Total comprehensive income for the year	4,759	7,358
Dividends to shareholders	(3,999)	(3,977)
Ordinary shares issued	21	29
Changes in non-controlling interests	–	(131)
Transaction with non-controlling interest	10	–
Share-based incentive plans	3,381	381
Tax on share-based incentive plans	(4)	–
Contributions from non-controlling interests	7	3
Distributions to non-controlling interests	(642)	(1,208)
Total equity at end of year	21,342	20,808

Share purchases

At 31 December 2021, GSK held 355.2 million shares as Treasury shares (2020 – 355.2 million shares), at a cost of £4,969 million (2020 – £4,969 million), which has been deducted from retained earnings. No ordinary shares were repurchased in the period 1 January 2021 to 28 February 2022 and the company does not expect to make any ordinary share repurchases in the remainder of 2022.

In 2021, no Treasury shares were transferred to the Employee Share Ownership Plan (ESOP) Trusts. Shares are held by the Trusts to satisfy future exercises of options and awards under the Group share option and award schemes. A proportion of the shares held by the Trusts are in respect of awards where the rules of the scheme require GSK to satisfy exercises through market purchases rather than the issue of new shares. The shares held by the Trusts are matched to options and awards granted.

At 31 December 2021, the ESOP Trusts held 23.2 million (2020 – 49.0 million) GSK shares against the future exercise of share options and share awards. The carrying value of £27 million (2020 – £194 million) has been deducted from other reserves. The market value of these shares was £371 million (2020 – £655 million).

On 10 February 2022, 50.3 million shares were transferred to the ESOP Trusts after which the Trusts held 72.9 million shares against the exercise of share options and share rewards.

Group financial review continued

Contractual obligations and commitments

Financial commitments are summarised in Note 35 to the financial statements, ‘Commitments’. The following table sets out our contractual obligations and commitments at 31 December 2021 as they fall due for payment.

	Total	Under 1 yr	1-3 yrs	3-5 yrs	5 yrs+
£m	£m	£m	£m	£m	£m
Loans	23,296	3,399	5,624	2,800	11,473
Interest on loans	7,603	686	1,194	1,038	4,685
Lease obligations	1,015	203	305	166	341
Future finance charges	153	25	41	30	57
Intangible assets	12,082	583	1,013	1,914	8,572
Property, plant & equipment	616	468	14	8	–
Investments	146	45	61	40	–
Purchase commitments	484	360	115	8	1
Pensions	44	44	–	–	–
Total	45,439	5,813	8,501	5,996	25,129

Commitments in respect of loans and future interest payable on loans are disclosed before taking into account the effect of derivatives.

We have entered into a number of research collaborations to develop new compounds with other pharmaceutical companies. The terms of these arrangements can include upfront fees, equity investments, loans and commitments to fund specified levels of research. In addition, we will often agree to make further payments if future ‘milestones’ are achieved. As some of these agreements relate to compounds in the early stages of development, the potential obligation to make milestone payments will continue for a number of years if the compounds move successfully through the development process. Generally, the closer the product is to marketing approval, the greater the probability of success.

The amounts shown above within intangible assets represent the maximum that would be paid if all milestones were achieved. There was a decrease in the commitments in 2021 as a result of a reduction in outstanding loan commitments.

In 2018, we reached an agreement with the trustees of the UK pension schemes to make additional contributions, to assist in eliminating the pension deficit identified as part of the 31 December 2017 actuarial funding valuation. The table includes this commitment but excludes the normal ongoing annual funding requirement in the UK of approximately £110 million. For further information on pension obligations, see Note 30 to the financial statements, ‘Pensions and other post-employment benefits’.

Contingent liabilities

Other contingent liabilities are set out in Note 34 to the financial statements, ‘Contingent liabilities’. The following table sets out contingent liabilities, comprising performance guarantees, letters of credit and other items arising in the normal course of business, and when they are expected to expire.

	Total	Under 1 yr	1-3 yrs	3-5 yrs	5 yrs+
£m	£m	£m	£m	£m	£m
Guarantees	12	9	2	–	1
Other contingent liabilities	114	13	12	31	58
Total	126	22	14	31	59

In the normal course of business, we have provided various indemnification guarantees in respect of business disposals in which legal and other disputes have subsequently arisen. A provision is made where an outflow of resources is considered probable and a reliable estimate can be made of the likely outcome of the dispute and this is included in Note 31 to the financial statements, ‘Other provisions’.

We provide for the outcome of tax, legal and other disputes when an outflow of resources is considered probable and a reliable estimate of the outflow may be made. At 31 December 2021, other than for those disputes where provision has been made, it was not possible to make a reliable estimate of the potential outflow of funds that might be required to settle disputes where the possibility of there being an outflow was more than remote. The ultimate liability for such matters may vary significantly from the amounts provided and is dependent upon negotiations with the relevant tax authorities and the outcome of litigation proceedings, where relevant. This is discussed further in ‘Principal risks and uncertainties’ on pages 275 to 287 and Note 46 to the financial statements, ‘Legal proceedings’.

Financial position and resources continued

Treasury policies

We report in Sterling and pay dividends out of Sterling cash flows. The role of Treasury is to monitor and manage the Group’s external and internal funding requirements and financial risks in support of our strategic objectives. GSK operates on a global basis, primarily through subsidiary companies, and we manage our capital to ensure that our subsidiaries are able to operate as going concerns and to optimise returns to shareholders through an appropriate balance of debt and equity. Treasury activities are governed by policies approved annually by the Board of Directors, and most recently on 14 October 2021. A Treasury Management Group (TMG) meeting, chaired by our Chief Financial Officer, takes place on a regular basis to review Treasury activities. Its members receive management information relating to these activities.

Treasury operations

The objective of GSK’s Treasury activities is to minimise the post-tax net cost of financial operations and reduce its volatility in order to benefit earnings and cash flows. GSK uses a variety of financial instruments to finance its operations and derivative financial instruments to manage market risks from these operations. Derivatives principally comprise foreign exchange forward contracts and swaps which are used to swap borrowings and liquid assets into currencies required for Group purposes, as well as interest rate swaps which are used to manage exposure to financial risks from changes in interest rates. Derivatives are used exclusively for hedging purposes in relation to underlying business activities and not as trading or speculative instruments.

Capital management

GSK’s financial strategy, implemented through the Group’s financial architecture, supports GSK’s strategic priorities and is regularly reviewed by the Board. We manage the capital structure of the Group through an appropriate mix of debt and equity.# Group financial review continued

We continue to manage our financial policies to a credit profile that particularly targets short-term credit ratings of A-1 and P-1 while maintaining single A long-term ratings consistent with those targets. GSK’s long-term credit rating with Standard and Poor’s is A (stable outlook) and with Moody’s Investor Services (‘Moody’s’) is A2 (stable outlook). Our short-term credit ratings are A-1 and P-1 with Standard and Poor’s and Moody’s respectively.

Liquidity risk management

GSK’s policy is to borrow centrally in order to meet anticipated funding requirements. Our cash flow forecasts and funding requirements are monitored by the TMG on a regular basis. Our strategy is to diversify liquidity sources using a range of facilities and to maintain broad access to financial markets. Each day, we sweep cash from a number of global subsidiaries to central Treasury accounts for liquidity management purposes.

Interest rate risk management

GSK’s objective is to minimise the effective net interest cost and to balance the mix of debt at fixed and floating interest rates over time. The policy on interest rate risk management limits the net amount of floating rate debt to a specific cap, reviewed and agreed no less than annually by the Board.

Foreign exchange risk management

Our objective is to minimise the exposure of overseas operating subsidiaries to transaction risk by matching local currency income with local currency costs where possible. Foreign currency transaction exposures arising on external and internal trade flows are selectively hedged. GSK’s internal trading transactions are matched centrally and we manage inter-company payment terms to reduce foreign currency risk. Where possible, we manage the cash surpluses or borrowing requirements of subsidiary companies centrally using forward contracts to hedge future repayments back into the originating currency.

In order to reduce foreign currency translation exposure, we seek to denominate borrowings in the currencies of our principal assets and cash flows. These are primarily denominated in US Dollars, Euros and Sterling. Borrowings can be swapped into other currencies as required. Borrowings denominated in, or swapped into, foreign currencies that match investments in overseas Group assets may be treated as a hedge against the relevant assets. Forward contracts in major currencies are also used to reduce exposure to the Group’s investment in overseas Group assets. The TMG reviews the ratio of borrowings to assets for major currencies regularly.

Commodity risk management

Our objective is to minimise income statement volatility arising from fluctuations in commodity prices, where practical and cost effective to do so. The TMG is authorised to approve the execution of certain financial derivatives to hedge commodity price exposures.

Counterparty risk management

We set global counterparty limits for each of our banking and investment counterparties based on long-term credit ratings from Moody’s and Standard and Poor’s. Usage of these limits is actively monitored and any breach of these limits would be reported to the CFO immediately. In addition, relationship banks and their credit ratings are reviewed regularly so that, when changes in ratings occur, changes can be made to investment levels or to authority limits as appropriate. All banking counterparty limits are reviewed at least annually.

Group financial review continued

The Group consolidated financial statements have been prepared in accordance with international accounting standards in conformity with the requirements of the Companies Act 2006 and the International Financial Reporting Standards (IFRS) as issued by the International Accounting Standard Board (IASB). We are required to make estimates and assumptions that affect the amounts of assets, liabilities, revenue and expenses reported in the financial statements. Actual amounts and results could differ from those estimates. The critical accounting policies relate to the following areas:

Turnover
Taxation (Note 14)
Legal and other disputes (Notes 46 and 31)
Contingent liabilities (Note 34)
Pensions and other post-employment benefits (Note 30).

Information on the judgements and estimates made in these areas is given in Note 3 to the financial statements, ‘Critical accounting judgements and key sources of estimation uncertainty’.

Turnover

In respect of the Turnover accounting policy, our largest business is US Pharmaceuticals, and the US market has the most complex arrangements for rebates, discounts and allowances. The following briefly describes the nature of the arrangements in existence in our US Pharmaceuticals business:

We have arrangements with certain indirect customers whereby the customer is able to buy products from wholesalers at reduced prices. A chargeback represents the difference between the invoice price to the wholesaler and the indirect customer’s contractual discounted price. Accruals for estimating chargebacks are calculated based on the terms of each agreement, historical experience and product growth rates.
Customer rebates are offered to key managed care and Group Purchasing Organisations and other direct and indirect customers. These arrangements require the customer to achieve certain performance targets relating to the value of product purchased, formulary status or pre-determined market shares relative to competitors. The accrual for customer rebates is estimated based on the specific terms in each agreement, historical experience and product growth rates.
The US Medicaid programme is a state-administered programme providing assistance to certain poor and vulnerable patients. In 1990, the Medicaid Drug Rebate Program was established to reduce state and federal expenditure on prescription drugs. In 2010, the Patient Protection and Affordable Care Act became law. We participate by providing rebates to states. Accruals for Medicaid rebates are calculated based on the specific terms of the relevant regulations or the Patient Protection and Affordable Care Act.
Cash discounts are offered to customers to encourage prompt payment. These are accrued for at the time of invoicing and adjusted subsequently to reflect actual experience.
We record an accrual for estimated sales returns by applying historical experience of customer returns to the amounts invoiced, together with market-related information such as stock levels at wholesalers, anticipated price increases and competitor activity.

A reconciliation of gross turnover to net turnover for the US Pharmaceuticals business is as follows:

	2021	2020	2019
	£m Margin %	£m Margin %	£m Margin %
Gross turnover	19,928 100	20,035 100	18,471 100
Market-driven segments	(6,656) (33)	(6,754) (34)	(5,976) (32)
Government mandated and state programmes	(4,553) (23)	(5,205) (26)	(4,264) (23)
Cash discounts	(377) (2)	(388) (2)	(356) (2)
Customer returns	(117) (1)	(117) (1)	(141) (1)
Prior year adjustments	838 4	402 2	247 1
Other items	(621) (3)	(522) (2)	(579) (3)
Total deductions	(11,486) (58)	(12,584) (63)	(11,069) (60)
Net turnover	8,442 42	7,451 37	7,402 40

Market-driven segments consist primarily of managed care and Medicare plans with which we negotiate contract pricing that is honoured via rebates and chargebacks. Mandated segments consist primarily of Medicaid and federal government programmes which receive government-mandated pricing via rebates and chargebacks.

The decreased deductions in the Government mandated and state programmes of the gross turnover to net turnover reconciliation primarily reflected lower rebates and chargebacks on respiratory products, and on Advair in particular. During the year Advair accounted for 6% of US Pharmaceuticals turnover and approximately 21% of the total deduction for rebates and returns. The respiratory portfolio as a whole, including Established Respiratory products, accounted for approximately 77% of the total deduction in the year.

The balance sheet accruals for rebates, discounts, allowances and returns for the US Pharmaceuticals and Vaccines businesses are managed on a combined basis. At 31 December 2021, the total accrual amounted to £5,044 million (2020 – £4,686 million).

A monthly process is operated to monitor inventory levels at wholesalers for any abnormal movements. This process uses gross sales volumes, prescription volumes based on third party data sources and information received from key wholesalers. The aim of this is to maintain inventories at a consistent level from year to year based on the pattern of consumption. On this basis, US Pharmaceuticals and Vaccines inventory levels at wholesalers and in other distribution channels at 31 December 2021 were estimated to amount to approximately four weeks of turnover.## Legal and other disputes

In respect of the accounting policy for Legal and other disputes, the following briefly describes the process by which we determine the level of provision that is necessary. In accordance with the requirements of IAS 37, ‘Provisions, contingent liabilities and contingent assets’, we provide for anticipated settlement costs where an outflow of resources is considered probable and a reliable estimate may be made of the likely outcome of the dispute and legal and other expenses arising from claims against the Group. We 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, appropriate disclosure about such cases would be included in the Annual Report, but no provision would be made. This 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 statements. Like many pharmaceutical companies, we are faced with various complex product liability, anti-trust and patent litigation, as well as investigations of our operations conducted by various governmental regulatory agencies. Throughout the year, the General Counsel of the Group, as head of the Group’s legal function, and the Senior Vice President and Head of Global Litigation for the Group, who is responsible for all litigation and government investigations, routinely brief the Chief Executive Officer, the Chief Financial Officer and the Board of Directors on the significant litigation pending against the Group and governmental investigations of the Group. These meetings, as appropriate, detail the status of significant litigation and government investigations and review matters such as the number of claims notified to us, information on potential claims not yet notified, assessment of the validity of claims, progress made in settling claims, recent settlement levels and potential reimbursement by insurers. The meetings also include an assessment of whether or not there is sufficient information available for us to be able to make a reliable estimate of the potential outcomes of the disputes. Often, external counsel assisting us with various litigation matters and investigations will also assist in the briefing of the Board and senior management. Following these discussions, for those matters where it is possible to make a reliable estimate of the amount of a provision, if any, that may be required, the level of provision for legal and other disputes is reviewed and adjusted as appropriate. These matters are discussed further in Note 46 to the financial statements, ‘Legal proceedings’.

Critical accounting policies continued

Strategic report

The Strategic report was approved by the Board of Directors on 28 February 2022
Iaian MacKay
Chief Financial Officer
28 February 2022

82 GSK Annual Report 2021

Corporate Governance

In this section

The Board and GSK Leadership Team 83
Chair’s Governance statement 89
Board roles and responsibilities 92
Board committee information 93
Board architecture 94
Board activity 95
Board progress in 2021 96
Board’s approach to continuous engagement 99
Board-led purpose and culture 102
Board performance 103
Board committee reports 104
Section 172 statement 116
Directors’ report 117

82 GSK Annual Report 2021 GSK Annual Report 2021 83

Strategic report

Governance and remuneration

Financial statements

Investor information

Key Committee	Chair
N	Nominations & Corporate Governance
A	Audit & Risk
R	Remuneration
S	Science
C	Corporate Responsibility

The Board

Sir Jonathan Symonds, CBE
Non-Executive Chair
Age: 63
Nationality: British
Appointed: 1 September 2019

Skills and experience
Jon has extensive international financial, life sciences and governance experience. Jon served as an Independent Non-Executive Director of HSBC Holdings plc from April 2014, and as Deputy Group Chairman from August 2018, until his retirement from the Board in February 2020. He was previously Chairman of HSBC Bank plc, Chief Financial Officer of Novartis AG, Partner and Managing Director of Goldman Sachs, Chief Financial Officer of AstraZeneca plc, and a Partner at KPMG. His governance experience includes roles as Non-Executive Director and Chair of the Audit Committees of Diageo plc and QinetiQ Group plc and Non-Executive Chair of Proteus Digital Health Inc. Jon is a Fellow of the Institute of Chartered Accountants in England and Wales.

External appointments
Non-Executive Director, Rubius Therapeutics, Inc; Non-Executive Director, Genomics England Limited having previously served as its Chairman; Member, European Round Table for Industry; Senior Advisor to Chatham House.

Dame Emma Walmsley
Chief Executive Officer
Age: 52
Nationality: British
Appointed: 1 January 2017
Chief Executive Officer from 1 April 2017

Skills and experience
Prior to her appointment as GSK’s CEO, Emma was the CEO of GSK Consumer Health care, a Joint Venture between GSK and Novartis, from its creation in March 2015. Emma joined GSK in 2010 from L’Oreal, having worked for 17 years in a variety of roles in Paris, London, New York and Shanghai. Emma was previously a Non-Executive Director of Diageo plc. Emma holds an MA in Classics and Modern Languages from Oxford University.

External appointments
Independent director, Microsoft, Inc.

Iain MacKay
Chief Financial Officer
Age: 60
Nationality: British
Appointed: 14 January 2019
Chief Financial Officer from 1 April 2019

Skills and experience
Prior to joining GSK, Iain was Group Finance Director at HSBC Holdings plc, a position he held for eight years. A chartered accountant, Iain has lived and worked in Asia, the US and Europe and before HSBC was at General Electric, Schlumberger Dowell and Price Waterhouse. Iain was previously a Trustee of the British Heart Foundation and Chair of its Audit and Risk Committee. Iain holds an MA in Business Studies and Accounting and holds an Honorary Doctorate from Aberdeen University in Scotland. Iain is a member of the Institute of Chartered Accountants of Scotland.

External appointments
Member, Court of the University of Aberdeen and Chair of its Remuneration Committee; Member, The 100 Group and Chair of its Stakeholder Communications and Reporting Committee.

Dr Hal Barron
Chief Scientific Officer and President, R&D
Age: 59
Nationality: American
Appointed: 1 January 2018
Chief Scientific Officer and President, R&D from 1 April 2018

Skills and experience
Prior to joining GSK, Hal was President, R&D at Calico LLC (California Life Company), an Alphabet-funded company that uses advanced technologies to increase understanding of lifespan biology. Prior to this, Hal was Executive Vice President, Head of Global Product Development, and Chief Medical Officer of Roche, responsible for all the products in the combined portfolio of Roche and Genentech. At Genentech, he was Senior Vice President of Development and Chief Medical Officer. Hal was a Non-Executive Director and Chair of the Science & Technology Committee at Juno Therapeutics, Inc until March 2018, when it was acquired by Celgene Corporation. Hal previously served as a Non-Executive Board Director of GRAIL, Inc and an Advisory Board Member of Verily Life Sciences LLC. As announced on 19 January 2022 Tony Wood will succeed Hal as CSO and Head of R&D with effect from 1 August 2022. From that date, Hal will transition to a non-independent Non-Executive Director with additional responsibilities to support R&D.

External appointments
Non-Executive Director of Altos Labs Inc; Associate Adjunct Professor, Epidemiology & Biostatistics, University of California, San Francisco.

Board composition

Composition
Executive	23%
Non-Executive	77%

Tenure	Non-Executive
Up to 3 years	40%
3-6 years	20%
6-9 years	30%
9 - 10 years	10%

Board diversity

Gender
Male	62%
Female	38%

Ethnicity
Ethnically diverse	15%
White	85%

See more information on page 110

International experience
Global	85%
US	100%
Europe	77%
EMAP	69%

84 GSK Annual Report 2021

Charles Bancroft
Independent Non-Executive Director
Age: 62
Nationality: American
Appointed: 1 May 2020

A N

Skills and experience
Charlie has a wealth of financial and management experience in global biopharma. Charlie retired from a successful career at Bristol Myers Squibb (BMS) in March 2020 where he held a number of leadership roles in commercial, strategy and finance.## Charlie

Began his career at BMS in 1984, holding positions of increasing responsibility within the finance organization and having commercial operational responsibility for Latin America, Middle East, Africa, Canada, Japan, and several Pacific Rim countries. He was appointed Chief Financial Officer in 2010, Chief Financial Officer and Executive Vice President, Global Business Operations in 2016, and Executive Vice President and Head of Integration and Strategy & Business Development in 2019. Charlie successfully steered BMS through a period of strategic transformation, including its recent $74 billion acquisition of Celgene. Charlie also served as a member of the Board of Colgate-Palmolive Company from 2017 until March 2020.

External appointments
Board Member, Kodiak Sciences Inc; Board Member, BioVect or Inc; Advisory Board Member, Drexel University’s LeBow College of Business.

The Board determined that Charlie has recent and relevant financial experience and agreed that he has the appropriate qualifications and background to be an audit committee financial expert.

Manvinder Singh (Vindi) Banga

Senior Independent Non-Executive Director
Age: 67
Nationality: British
Appointed: 1 September 2015
Senior Independent Non-Executive Director from 5 May 2016

Skills and experience
Vindi has many years of commercial experience and a track record of delivering outstanding performance in highly competitive global consumer-focused businesses. Prior to joining GSK, Vindi spent 33 years at Unilever plc, where his last role (amongst several senior positions) was President of the Global Foods, Home and Personal Care businesses, and a member of the Unilever Executive Board. Vindi sat on the Prime Minister of India’s Council of Trade & Industry from 2004 to 2014 and was on the Board of Governors of the Indian Institute of Management (IIM), Ahmedabad. Vindi is also the recipient of the Padma Bhushan, one of India’s highest civilian honours. Vindi has been a Non-Executive Director of the Confederation of British Industry (CBI) and Thomson Reuters Corp, Chairman of the Supervisory Board of Mauser Group, Chairman of Kalle GmbH, Director of High Ridge Brands LLC, Member of the Indo UK CEO Forum, and Senior Independent Director of Marks & Spencer Group plc.

External appointments
Partner, Clayton Dubilier & Rice; Non-Executive Director, The Economist Newspaper Limited; Member, Holdingham International Advisory Board; Board Member, International Chamber of Commerce United Kingdom; Member, Governing Board of the Indian School of Business, Hyderabad; Member, Global Leadership Council of Saïd Business School, Oxford; Chair of the Board of Trustees, Marie Curie; Chairman, UK Government Investments.

Dr Anne Beal

Independent Non-Executive Director
Age: 59
Nationality: American
Appointed: 6 May 2021

Skills and experience
Anne brings extensive healthcare experience to the Board as a physician and entrepreneur combined with a passion for patient advocacy. She is a recognised health policy expert in the development of global and national programmes for improving healthcare access for all patient groups and in ensuring the voice of patients is reflected in research programmes. Prior to her current roles, Anne spent six years at Harvard Medical School and Massachusetts General Hospital, where she was an instructor in paediatrics. She has also held leadership roles at the Commonwealth Fund and the Aetna Foundation. Anne was previously Deputy Executive Director and Chief Engagement Officer for The Patient-Centered Outcomes Research Institute in the U.S. and Chief Patient Officer and Global Head of Patient Solutions at Sanofi.

External appointments
Founder and CEO, AbsoluteJOI Skincare; Board Member, AcademyHealth; Board Member, Prolacta Bioscience.

Dame Vivienne Cox

Independent Non-Executive Director & Workforce Engagement Director
Age: 62
Nationality: British
Appointed: 1 July 2016

Skills and experience
Vivienne has wide experience of business gained in the energy, natural resources and publishing sectors. She also has a deep understanding of regulatory organisations and government. Vivienne worked for BP plc for 28 years, in Britain and Continental Europe, in posts including Executive Vice President and Chief Executive of BP’s gas, power and renewable business and its alternative energy unit. Vivienne was previously a Non-Executive Director of BG Group plc and Rio Tinto plc, the Senior Independent Director of Pearson plc, Chairman of the Supervisory Board of Vallourec and the Lead Independent Director at the UK Government’s Department for International Development. Vivienne was made a Dame Commander of the Order of the British Empire (DBE) in the 2022 UK New Year’s Honours List for services to sustainability, diversity, and inclusion in business.

External appointments
Chair Designate, Victrex plc; Non-Executive Director, Stena AB; Advisory Board Member, African Leadership Institute; Vice President, Energy Institute; Advisory Board Member, Montrose Associates; Investment Advisor, QantX Ventures; Chair, Rosalind Franklin Institute; Vice Chair, Saïd Business School, Oxford and Member of its Global Leadership Council; Patron, Hospice of St Francis.

The Board continued
Key Committee Chair
N Nominations & Corporate Governance
A Audit & Risk
R Remuneration
S Science
C Corporate Responsibility

GSK Annual Report 2021 85
Strategic report Governance and remuneration Financial statements Investor information

Dr Harry (Hal) C Dietz

Independent Non-Executive Director and Scientific & Medical Expert
Age: 63
Nationality: American
Appointed: 1 January 2022

Skills and experience
Hal brings extensive experience in the field of human genetics which is central to GSK’s approach to R&D. He is a former President of the American Society of Human Genetics and is recognised as the world’s leading authority on a genetic disorder known as Marfan Syndrome. He also brings experience in development of novel therapies, through his role as Founder of and Scientific Adviser to Blade Therapeutics, a biopharmaceutical company focused on disease-modifying treatments for fibrotic and neurodegenerative diseases. In total, Hal has authored 282 original publications in peer-reviewed journals across his career. As a physician scientist, he has dedicated his entire career to the care and study of individuals with heritable connective tissue disorders with primary perturbations of extracellular matrix homeostasis and function. His lab has identified the genes for many of these conditions, for which he uses model systems to elucidate disease mechanisms. Hal has received multiple prestigious awards including the Curt Stern Award from the American Society of Human Genetics, the Colonel Harlan Sanders Lifetime Achievement Award in Medical Genetics, the Taubman Prize for excellence in translational medical science, the Harrington Prize from the American Society for Clinical Investigation and the Harrington Discovery Institute, the Pasarow Award in Cardiovascular Research, the InBev-Bailliet Latour Health Prize from the country of Belgium, and the Research Achievement Award from the American Heart Association. He is an inductee of the American Society for Clinical Investigation, American Association for the Advancement of Science, Association of American Physicians, National Academy of Medicine, and National Academy of Sciences.

External appointments
Victor A. McKusick Professor of Paediatrics, Medicine, and Molecular Biology & Genetics in the Department of Genetic Medicine, The Johns Hopkins University School of Medicine; Investigator, Howard Hughes Medical Institute; Founder and Scientific Advisor, Blade Therapeutics; Consultant and Chair of Scientific Advisory Board, Aytu Biopharma; Independent Chair, GSK’s Human Genetics Scientific Advisory Board.

Lynn Elsenhans

Independent Non-Executive Director
Age: 65
Nationality: American
Appointed: 1 July 2012

Skills and experience
Lynn has a wealth of experience of running a global business and significant knowledge of the global markets in which GSK operates. Lynn served as Chair, President and Chief Executive Officer of Sunoco Inc from 2009 to 2012. Prior to joining Sunoco in 2008 as President and Chief Executive Officer, Lynn worked for Royal Dutch Shell, which she joined in 1980, and where she held a number of senior roles, including Executive Vice President, Global Manufacturing from 2005 to 2008. Lynn was previously a Non-Executive Director of the First Tee of Greater Houston, Flowserve Corporation, the Texas Medical Center, and a Trustee of the United Way of Greater Houston.## External appointments

Non-Executive Director and Chair of the Governance and Corporate Responsibility Committee, Baker Hughes Company; Board Director and Chair of the Audit Committee, Saudi Aramco; Advisory Board Member, Johns Hopkins University Whiting School of Engineering; Member, Audit Committee Leadership Network.

Dr Laurie Glimcher
Independent Non-Executive Director and Scientific & Medical Expert
Age: 70
Nationality: American
Appointed: 1 September 2017

Skills and experience
Laurie brings scientific and public health expertise to the Board’s deliberations, and a wealth of global, publicly listed pharmaceutical business experience. In addition to a number of senior leadership positions held at both Harvard Medical School and Harvard School of Public Health, Laurie has also served as Stephen and Suzanne Weiss Dean and Professor of Medicine at Weill Cornell Medical College and as an Attending Physician at the New York Presbyterian Hospital/Weill Cornell Medical Center. Laurie stepped down from the Board of Bristol-Myers Squibb (BMS) in 2017 after serving for 20 years on its Board. Laurie was previously a Non-Executive Director of the Waters Corporation and co-founder and Chair of the Scientific Advisory Board of Quentis Therapeutics Inc.

External appointments
Professor of Medicine, Harvard Medical School; CEO, President and an Attending Physician, Dana-Farber Cancer Institute. Member, US National Academy of Sciences and the National Academy of Medicine; Member, Scientific Steering Committee of the Parker Institute for Cancer Immunotherapy; Independent Director, Analog Devices Inc; Director and Member of the Executive Committee, Breakthrough Cancer; Member, Scientific Advisory Boards of Repare Therapeutics Inc, Abpro Therapeutics, Kaleido Biosciences Inc, BioCentury Inc and Stand Up To Cancer.

Judy Lewent joined the Board on 1 April 2011. She retired from the Board on 5 May 2021.

The Board continued
Key Committee Chair
N Nominations & Corporate Governance
A Audit & Risk
R Remuneration
S Science
C Corporate Responsibility

86 GSK Annual Report 2021

The Board continued
Key Committee Chair
N Nominations & Corporate Governance
A Audit & Risk
R Remuneration
S Science
C Corporate Responsibility

Dr Jesse Goodman
Independent Non-Executive Director and Scientific & Medical Expert
Age: 70
Nationality: American
Appointed: 1 January 2016

Skills and experience
Jesse brings scientific and public health expertise to the Board’s deliberations. He has a wealth of experience spanning science, medicine, vaccines, regulation and public health, and has a proven record in addressing pressing public health needs from both the academic and federal sectors. Jesse previously served in senior leadership positions at the US Food and Drug Administration (FDA), including most recently as the FDA’s Chief Scientist and previously as Deputy Commissioner for Science and Public Health and as Director of the Center for Biologics Evaluation and Research (CBER). Jesse played a leadership role in developing the FDA’s Regulatory Science and Medical Countermeasures Initiatives and has worked collaboratively with industry, academia, government and global public health and regulatory partners to prepare for and respond to major public health threats, including emerging infectious diseases, disasters and terrorism. He led the FDA’s response to West Nile Virus and to the 2009 H1N1 influenza pandemic and served on the Senior Leadership Team for the 2010 White House Medical Countermeasure Review. Jesse was previously a member of both the Scientific Advisory Committee and the Regulatory and Legal Working Group of the Coalition for Epidemic Preparedness Innovations (CEPI).

External appointments
Professor of Medicine and Attending Physician, Infectious Diseases, Georgetown University and directs the Georgetown University Center on Medical Product Access, Safety and Stewardship (COMPASS); Board Member (formerly President), United States Pharmacopeia (USP); Board Member, Scientific Counselors for Infectious Diseases, Centers for Disease Control and Prevention (CDC); Board Member, Intellia Therapeutics Inc; Member, US National Academy of Medicine; Board Member, Adaptive Phage Therapeutics, Inc.

Urs Rohner
Independent Non-Executive Director
Age: 62
Nationality: Swiss
Appointed: 1 January 2015

Skills and experience
Urs has a broad business, banking and legal background and extensive senior level experience at multinational companies. Urs has served as Chairman on a number of Boards, most recently for Credit Suisse Group from 2011 until April 2021. Prior to joining Credit Suisse in 2004, Urs served as Chairman of the Executive Board and CEO of ProSieben and ProSiebenSat.1 Media AG. This followed a number of years in private practice at major law firms in Switzerland and the US, having been admitted to the bars of the canton of Zurich in Switzerland in 1986 and the state of New York in the US in 1990.

External appointments
Member, International Advisory Board, Investcorp; Chair, Vega Cyber Associates AG.

GSK Annual Report 2021 87

Strategic report
Governance and remuneration
Financial statements
Investor information

GSK Leadership Team

Skills and experience
Dr Hal Barron
Chief Scientific Officer and President, R&D
Hal joined GSK and the GSK Leadership Team (GLT) in 2018. See Board biographies on pages 83 to 86.

Roger Connor
President, Vaccines and Global Health
Roger joined the GLT in 2013. He was appointed President of GSK Vaccines in 2018. In addition to leadership of the Vaccines business, he leads GSK’s Global Health organisations since 2021 and is also responsible for GSK’s global procurement organisation. Roger is a member of the Board of Gavi, the Vaccine Alliance, and the Chair of the International Federation of Pharmaceutical Manufacturers & Associations (IFPMA) CEO Vaccines Committee. Previously he was President, Global Manufacturing & Supply and, before that, Vice President, Office of the CEO and Corporate Strategy. Roger joined GSK in 1998 from AstraZeneca. Roger holds a degree in Mechanical and Manufacturing Engineering from Queen’s University, Belfast and a Master’s in Manufacturing Leadership from Cambridge University. He is a Chartered Accountant.

Diana Conrad
Chief People Officer
Diana was appointed Chief People Officer and member of the GLT in April 2019. She was previously Senior Vice President, HR, Pharmaceuticals R&D from 2016 where she played a key strategic role as leader of the R&D people and culture agenda to support its transformation. Diana joined GSK Canada’s HR team in 2000 where she held several roles of increasing responsibility before becoming Senior Vice President, HR for Consumer Healthcare in 2009. Prior to joining GSK, she held HR roles in companies including GE Capital, Gennum Corporation and Zenon Environmental Laboratories. Diana has an Honours Bachelor of Arts from McMaster University in Canada.

James Ford
SVP and Group General Counsel, Legal and Compliance
James joined the GLT in 2018, when he was appointed Senior Vice President and Group General Counsel, Legal and Compliance. He joined GSK in 1995 and has served as General Counsel Consumer Healthcare, General Counsel Global Pharmaceuticals, Vice President of Corporate Legal and was Acting Head of Global Ethics and Compliance. Prior to GSK, James was a solicitor at Clifford Chance and DLA. He holds a law degree from University of East Anglia and a Diploma in Competition Law from King's College. He is qualified as a solicitor in England and Wales and is an attorney at the New York State Bar. James is based in London but has practised law and lived in the US, Singapore and Hong Kong. James is co-chair of the US-based Civil Justice Reform Group and a director of the European General Counsel Association.

Sally Jackson
SVP, Global Communications and CEO Office
Sally joined the GLT in March 2019 as Senior Vice President, Global Communications and CEO Office. She leads our Communications and Government Affairs function globally and is also the CEO’s Chief of Staff. Prior to this, Sally was Senior Vice President Office of the CEO and CFO and she previously served as Head of Investor Relations. She joined GSK in 2001. Sally holds a degree in Natural Sciences from the University of Cambridge.

Iain Mackay
Chief Financial Officer
Iain joined GSK and the GLT in 2019. See Board biographies on pages 83 to 86.

Brian McNamara
CEO, GSK Consumer Healthcare
Brian is CEO, GSK Consumer Healthcare and CEO designate of the new Consumer Healthcare company, Haleon. He joined GSK in 2015 as Head of Europe and Americas for Consumer Healthcare and has led two successful Joint Ventures, first between GSK and Novartis and, more recently, with Pfizer.# GSK Annual Report 2021

Leadership Team continued

Brian Gonzalez

VP, Corporate Development

Previously, he was head of Novartis’ OTC division. Brian began his career at P&G. Brian is a Board member of the Consumer Goods Forum and a former Chairman and Board member of the Global Self Care Federation (GSCF). He earned an undergraduate degree in Electrical Engineering from Union College in New York and an MBA in Finance from the University of Cincinnati.

1 On August 2022 Hal Barron will transition from his current role to become a Non-Executive Director and Tony Wood will join GLT as Chief Scientific Officer.

Luke Miels

Chief Commercial Officer

Luke joined GSK and the GLT in 2017. As Chief Commercial Officer he is responsible for our commercial portfolio of medicines and vaccines. Luke also co-chairs the Portfolio Investment Board with Hal. He previously worked for AstraZeneca as Executive Vice President of their European business and, prior to that, was Executive Vice President of Global Product and Portfolio Strategy, Global Medical Affairs and Corporate Affairs. Before that, he was head of Asia for Roche, based in Shanghai and then Singapore. Prior to that he held roles of increasing seniority at Roche and Sanofi-Aventis in US, Europe and Asia. Luke holds a Bachelor of Science degree in Biology from Flinders University in Adelaide and a MBA from the Macquarie University, Sydney.

Shobie Ramakrishnan

Chief Digital and Technology Officer

Shobie joined the GLT in 2021 when she was appointed Chief Digital and Technology Officer. She joined GSK in 2018 and has deep and broad experience in both biotech and hi-tech companies and, most recently, has led Digital and Technology for GSK’s Global Commercial organisation, transforming the company’s capabilities in digital, data and analytics and playing a pivotal role in establishing a more agile commercial operating model. Before joining GSK, Shobie held senior technology leadership roles in organisations including AstraZeneca, Salesforce, Genentech and Roche. She is a board member of Remediant and on the advisory board of Pistoia Alliance. Shobie holds a Bachelor’s degree in Electronics Engineering from Vellore Institute of Technology, University of Madras, India.

David Redfern

Chief Strategy Officer

David joined the GLT as Chief Strategy Officer in 2008 and is responsible for corporate development and strategic planning. Previously, he was Senior Vice President, Northern Europe with responsibility for GSK’s pharmaceutical businesses in that region and, before that, he was Senior Vice President for Central and Eastern Europe. He joined GSK in 1994. David was appointed Chairman of the Board of ViiV Healthcare Limited in 2011 and a Non-Executive Director of the Aspen Pharmacare Holdings Limited Board in 2015. He has a Bachelor of Science degree from Bristol University and is a Chartered Accountant.

Regis Simard

President, Pharmaceuticals Supply Chain

Regis joined the GLT in 2018, when he became President, Pharmaceuticals Supply Chain. He is responsible for the manufacturing and supply of GSK’s pharmaceutical products. He also leads Quality and Environment, Health, Safety and Sustainability at a corporate level. Regis joined GSK in 2005 as a Site Director in France, rising to become Senior Vice President of Global Pharmaceuticals Manufacturing before his current role. Previously, he held senior positions at Sony, Konica Minolta and Tyco Healthcare. He is a member of the Board of ViiV Healthcare. He is a mechanical engineer and holds an MBA.

Phil Thomson

President, Global Affairs

Phil joined the GLT in 2011. He was appointed President, Global Affairs in 2017, and has responsibility for the Group’s strategic approach to stakeholder engagement, reputation and policy development. Previously, Phil was Senior Vice President, Communications and Government Affairs. Phil is Chair of The Whitehall & Industry Group and a Board member of the China–Britain Business Council. He earned his degree in English, History and Russian Studies from Durham University.

Emma Walmsley

Chief Executive Officer

Emma joined GSK in 2010 and the GLT in 2011. See Board biographies on pages 83 to 86.

Deborah Waterhouse

CEO, ViiV Healthcare

Deborah was appointed to the GLT in January 2020. She became Chief Executive Officer of ViiV Healthcare in April 2017. Deborah joined GSK in 1996 and prior to ViiV was the Senior Vice President of Primary Care within GSK’s US business. She has a strong track record of performance in both specialty and primary care. Deborah led the HIV business in the UK before heading the HIV Centre of Excellence for Pharma Europe and held roles as General Manager of Australia and New Zealand and Senior Vice President for Central and Eastern Europe. Deborah is a Non-Executive Director of Schroders plc and holds a degree in Economic History and English Literature from Liverpool University.

Nick Hirons was a member of the GLT and Senior Vice President, Global Ethics and Compliance until 31 July 2021. Karen Ann Terrell was a member of the GLT and Chief Digital and Technology Officer until 8 December 2021.

GSK Annual Report 2021 89

Strategic report

Governance and remuneration

Financial statements

Investor information

Chair’s Governance statement

Board priorities: governance and delivery

In the last three years there has been significant change for GSK, in a highly dynamic operating environment, as it progresses towards the formation of two independent companies in the middle of 2022. In supporting both the separation of Consumer Healthcare (CH) and creation of new GSK, there have been three stages in our oversight work. The first was to ensure that there was clarity between the Board and management on GSK’s strategy, its execution and, therefore, our key priorities. Then we focused on articulating our ambitions for a transformed GSK. This was completed for the biopharma business at the Investor Update (IU) in June 2021 and for the CH business at the end of February 2022. These ambitions will provide the foundation for enhanced performance management and a highly transparent way to track progress. The final stage has been to ensure the company’s compensation system reinforces the performance culture that we are seeking to embed and only rewards delivery at and beyond our IU ambitions. The compensation system for CH will be determined by its new Board. Our work has also been focused on creating the best platform for our CH business to be demerged to grow sustainably ahead of its categories in the years to come. The mechanism of separation of CH is a value-based process and at all times the Board has regard for what is in the best long-term interests of shareholders. It has never been more important for the Board to operate to the highest standards of corporate governance in supporting and overseeing the delivery of GSK’s transformation and the separation of CH. The Board continues to focus its work on our key priorities and on taking the important decisions necessary to progress them, and be held accountable for doing so by our shareholders and other key stakeholders.

Throughout 2021, the Board has significantly stepped up its engagement with shareholders. During 2021, I held over 40 meetings with a range of investors, who make up around nearly 40 % of the company’s share register. It is of prime importance for the Board to have a clear understanding of their views on the company’s performance against our strategy and the Board’s effectiveness in oversight of the transformation and separation processes. I share shareholders’ perspectives with the Board, so we can continue to improve our alignment.

In October, Vindi Banga, the SID, and I attended a meeting with members of the Investor Forum at which we shared progress in preparing for the creation of new GSK as a pure biopharma company and the separation of the CH business. Included in this discussion were the plans and timings to create two boards with continuing oversight of the biopharma and CH businesses. In December, at our annual Governance Meeting, my Board colleagues and I were pleased to share more specifics with investors about our priorities, focus and oversight, as well as the progress made in 2021. The presentation slides from both these meetings are available on our website for your information.

Urs Rohner, Chair of the Remuneration Committee, has also consulted extensively on the new compensation proposals for the biopharma business. This statement seeks to summarise the governance work undertaken by the Board and our committees, in what was another exceptionally busy year. The Board has maintained and continues to build on our ESG leadership which benefits the company, shareholders and all our stakeholders.# Chair's Governance statement continued

Current Board accountability: Priorities and focus

At the start of the year, following its annual evaluation, the Board reconfirmed its priorities. Namely to:
– remain objective and act in the best interests of the company and all shareholders
– put sustained value creation at the heart of our agenda
– align the Board agenda with our strategy, performance and pipeline priorities
– ensure management performance and succession is assessed against delivery
– use the IU targets to provide the foundation for enhanced performance management
– ensure that the separation of CH is a value-based process

Being explicit on the Board’s priorities has meant that we have been able to maximise our time and focus at each meeting on further strengthening the fundamentals for GSK which will support value creation. We have concentrated our oversight on commercial execution, cost base, capital allocation, pipeline and culture to ensure delivery of the transformation of GSK. This clarity has also helped underpin an increased agility in the way the Board has operated. You will see on page 94 that the Board, in combination with the Chairs' Committee, met over 36 times in 2021. We sought to improve our ability to respond quickly and adapt to events as they occur, whilst continuing to deliver our plans. The Chairs’ Committee (comprised of our SID and Committee Chairs) has been authorised, where necessary, to engage and take decisions on urgent matters that arise between scheduled Board meetings. Being agile has been important in improving and sustaining our competitiveness so that, despite the challenging environment, we can continue to compete and deliver for patients and shareholders.

Having set our strategy, the Board challenged the proposed new ambitions and targets for the biopharma business which were then agreed and published at our IU. These new growth outlooks and ambitions seek to be clear on the step change in performance expected from new GSK from 2022. The Board will oversee and hold management to account for delivery against these public ambitions.

The Board adopted the same process of maximising value for GSK shareholders when considering the creation of CH as an independent, listed company (Haleon). We have focused on ensuring the business is well-positioned to grow sustainably ahead of its categories in the years to come and has a highly skilled management team to lead it. Having completed this work, the Board was well-positioned to consider the unsolicited, conditional and non-binding proposals received to acquire the CH business. In exercising its fiduciary duties, all proposals were considered but rejected by the Board as they were not in the best interests of shareholders. This is because they fundamentally undervalued the business and its future prospects. The Board is confident that Haleon can deliver sustained organic annual sales growth in the range of 4-6% (CER) over the medium term.

We carefully considered how best to present our world-leading CH business and its management team to shareholders, analysts and prospective investors at the CH Capital Markets Day on 28 February. Management continues to make good progress towards our target to separate the CH business in the middle of the year, creating a publicly listed world-leading consumer health company. The Board's attention has been directed at overseeing the smooth execution of the demerger.

Chair's Governance statement continued

Current Board accountability Priorities and focus

Remain objective and act in the best interests of company and all shareholders
Commitment to drive sustained value creation
Board agenda aligned with strategy and performance and pipeline priorities
Management performance and succession assessed against delivery
Investor Update and targets provides foundation for enhanced performance management
Separation of Consumer Healthcare, to create Haleon, is a value-based process
Continuous engagement with shareholders

Board Transformation & Separation Mandate:

How to separate to unlock and maximise long-term shareholder value (Devolved into committee architecture in December 2021)

Nominations & Corporate Governance Mandate:

GSK Board design and transition, and Haleon Board and management team formation

Science Mandate:

Pipeline progress, Board strategic collaborations, key priorities in science and innovation

Corporate Responsibility Mandate:

GSK Trust priority for a responsible and sustainable business

Audit & Risk Mandate:

Financial reporting, risk and controls plus public documents delivering separation

Remuneration Mandate:

Alignment of GSK remuneration to Investor Update targets, Haleon's remuneration policy and separation impact

Board committee mandates

Our Board committees have never been more pivotal in supporting the Board. Their activities during 2021 are set out later in this report, but I would like to highlight below their key contributions in discharging the mandates allocated to them during the last year.

Transformation & Separation Committee:

has dealt with the fundamentals of separation, not just the technical requirements, but how to best release and maximise long-term shareholder value. It considered: how we should best separate the CH business and the principal value to be achieved from each option; the capital structures required for the two companies to be competitive; how we should distribute shares in Haleon to our shareholders, and on which exchanges Haleon should list and why. This was a very comprehensive programme of work which was supported by independent advisers. This process is now well into the execution phase. Given the remaining work plans are clear, oversight has been devolved to the relevant committees as appropriate. Having fulfilled its mandate, the Committee has been decommissioned.

Audit & Risk Committee:

has in particular been considering the financial implications of separation, including the progressive dividend policy adopted for 2022, and the preparation of the demerger documents for shareholders to consider before approving the separation of the CH business. It has also been overseeing the establishment of CH’s financial controls.

Nominations & Corporate Governance Committee:

has been overseeing key Board appointments for the transition of the company to a pure biopharma business. This included succession planning especially for the CSO, the subsequent appointment of Dr Tony Wood as our CSO Designate, and the appointment of Dr Anne Beal and Dr Hal Dietz to the Board as independent Non-Executive Directors. The Board asked the Committee to take the opportunity to re-evaluate and determine the optimal biopharma Board composition, including skills, diversity, capabilities and experience. On separation from the middle of this year, it is expected that two of the members from the current GSK Board will join the Haleon Board. This will ensure that the new Haleon Board will have continuity of the history, knowledge and experiences of this Board as the Haleon Board establishes itself in its early years. The Committee recommended the appointment of Sir Dave Lewis as Haleon Chair Designate in December, after an extensive search process. This followed the appointment of Brian McNamara as Haleon CEO Designate in July. Sir Dave is now responsible for building his full Haleon Board. Mr McNamara was pleased to introduce his management team to investors at the CH Capital Markets Day on 28 February 2022.

Science Committee:

continued its focus on our pipeline progress strategic collaborations and the key priorities in science and innovation.

Corporate Responsibility Committee:

focused its oversight on key aspects of our Trust priorities. The main areas of focus were our safety culture, inclusion and diversity, our charitable giving and community involvement and ESG performance for new GSK and the development of the ESG framework for the independent CH company, Haleon.

Remuneration Committee:

has revisited our remuneration policy to focus on reinforcing a fundamental change in our performance culture and to support the delivery of our IU ambitions and ESG priorities for the biopharma company. The Committee Chair and I have consulted extensively with our shareholders on this policy and it will be subject to a binding vote at this year’s AGM.

Further details of the Board and its committees’ work during 2021 are set out in the following pages. I look forward to connecting with you at our Annual General Meeting this year in May and updating you at that time on the transformation of GSK and progress on the CH demerger. Thank you for your continued support.# Sir Jonathan Symonds Chair 28 February 2022

92 GSK Annual Report 2021

Independent oversight and rigorous challenge

Non-Executive Directors – provide a strong independent element to the Board – constructively support and challenge management and scrutinise their performance in meeting agreed deliverables – shape proposals on strategy and offer specialist advice to management – each has a letter of appointment setting out the terms and conditions of their directorship – devote such time as is necessary to the proper performance of their duties – are expected to attend all meetings as required

Independence statement

The Board considers all of its Non-Executive Directors who are identified on pages 84 to 86 to be independent after being assessed against Provision 10 of the Financial Reporting Council's (FRC) UK Corporate Governance Code (Code). The review of the continuing independence and commitment of Lynn Elsenhans, who has served on the Board for more than nine years, is described on page 107. The independence and commitment of Vindi Banga, Dame Vivienne Cox, Dr Jesse Goodman and Urs Rohner, who will have served on the Board for over six years during the course of 2022, has been subjected to a rigorous review.

The NED's role description is available on gsk.com

Senior Independent Director

Vindi Banga – acts as a sounding board for the Chair and a trusted intermediary for other Directors – together with the Non-Executive Directors, leads the annual review of the Chair’s performance, taking into account views of the Executive Directors – discusses the results of the Chair’s effectiveness review with the Chair – leads the search and appointment process and makes the recommendation to the Board for a new Chair – acts as an additional point of contact for shareholders, maintains an understanding of the issues and concerns of major shareholders through briefings from the Company Secretary and Investor Relations.

The Senior Independent Non-Executive Director’s role description is available on gsk.com

Leadership

Chair Jonathan Symonds – leads and manages the business of the Board – provides direction and focus – ensures clear structure for effective operation of the Board and its committees – maintains a dialogue with shareholders about the governance of the company – sets the Board agenda and ensures sufficient time is allocated to promote effective debate to support sound decision making – ensures the Board receives accurate, timely and clear information – meets continuously with each Non-Executive Director to discuss individual contributions and performance, together with training and development needs – shares peer feedback that is provided as part of the Board evaluation process – meets regularly with all the Non-Executive Directors independently of the Executive Directors

The Chair’s role description is available on gsk.com

Chief Executive Officer Emma Walmsley – responsible for the management of the Group and its three businesses – develops the Group’s strategic direction for consideration and approval by the Board – implements the agreed strategy – is supported by members of the GLT – maintains a continual and active dialogue with shareholders in respect of the company’s performance.

The Chief Executive Officer’s role description is available on gsk.com

Company Secretary Victoria Whyte – secretary to the Board and all Board committees – supports the Board and Committee Chairs in annual agenda planning – ensures information is made available to Board members in a timely fashion – supports the Chair in designing and delivering Board inductions – coordinates continuing business awareness and training requirements for the Non-Executive Directors – undertakes internal Board and committee evaluations at the request of the Chair – advises the Directors on Board practice and procedures, and corporate governance matters – chairs the Group’s Disclosure Committee – operates a Board-approved appointments policy that reflects the Board and external appointment requirements of the current Code – is a point of contact for shareholders on all corporate governance matters

Board roles and responsibilities

GSK Annual Report 2021 93

Strategic report | Governance and remuneration | Financial statements | Investor information

Each Board committee has written terms of reference which have been approved by the Board and are reviewed at least annually to ensure that they comply with the latest legal and regulatory requirements and reflect best practice developments. The current full terms of reference of each Board committee are available on gsk.com. The number of committee meetings held and committee members' attendance are described on page 94. Details of committee members’ skills and experience are included in their biographies under ‘The Board’ on pages 83 to 86. In accordance with the FRC's Code, the Board has determined that Charles Bancroft has recent and relevant financial experience. It has also agreed that he has the appropriate qualifications and background to be an audit committee financial expert as defined by the Sarbanes-Oxley Act of 2002, and has determined that he is independent within the meaning of the Securities Exchange Act of 1934, as amended.

Board committee	Role	Membership	Board committee report on page
Science	Supports the Board in its understanding of the key strategic themes, upon which the company’s R&D strategy is based, and of any external transactions, by performing in-depth reviews of the underlying scientific assumptions to give the Board technical assurance. It also undertakes more in-depth risk oversight of R&D-related risks	Dr Jesse Goodman (Chair) Dr Hal Dietz (from January 2022) Dr Laurie Glimcher Charles Bancroft (from May 2021 to February 2022) Judy Lewent (until May 2021)	105-106
Corporate Responsibility	Considers GSK’s Trust priority and oversight of progress against the associated Trust commitments which reflect the most important issues for responsible and sustainable business growth. It has oversight of the views and interests of our internal and external stakeholders and reviews issues that have the potential for serious impact upon GSK’s business and reputation	Lynn Elsenhans (Chair) Dr Anne Beal (from May 2021) Dame Vivienne Cox Dr Jesse Goodman	104-105
Transformation & Separation	Advises and assists the Board on the transformation and separation of the company and oversees the associated risks in separating the Group into Biopharma and Consumer Healthcare companies (Devolved into the committee architecture and disbanded in December 2021)	Sir Jonathan Symonds (Chair) Charles Bancroft Vindi Banga Dame Vivienne Cox Lynn Elsenhans Urs Rohner Judy Lewent (until May 2021)	110
Nominations & Corporate Governance	Reviews the structure, size and composition of the Board, the appointment of members to Board committees and the appointment of Corporate Officers and makes recommendations to the Board as appropriate. It plans and assesses orderly succession for Executive and Non-Executive directors and reviews management's Succession Plan to ensure its adequacy Is responsible for reporting to the Board, overseeing and monitoring corporate governance arrangements and for making recommendations to the Board to ensure the company’s standards and arrangements are consistent with existing corporate governance standards and emerging best practice. It also reviews the company’s conflicts of interest	Sir Jonathan Symonds (Chair) Charles Bancroft (from May 2021) Vindi Banga Lynn Elsenhans Urs Rohner Judy Lewent (until May 2021)	107-110
Audit & Risk	Reviews the financial reporting process, the integrity of the company’s financial statements, the external and internal audit process, the system of internal control and the identification and management of risks, and the company’s process for monitoring compliance with laws, regulations and ethical codes of practice Initiates audit tenders, the selection and appointment of the external auditor, setting their remuneration and exercising oversight of their work	Charles Bancroft (Chair from March 2021) Vindi Banga Dr Anne Beal (from July 2021) Lynn Elsenhans Dr Laurie Glimcher Judy Lewent (Chair until March 2021 and member until May 2021)	111-115
Remuneration	Sets the company’s remuneration policy having regard to GSK’s workforce remuneration so that GSK is able to recruit, retain and motivate its executives The Remuneration policy is regularly reviewed to ensure that it is consistent with the company’s scale and scope of operations, supports the business strategy and growth plans, is aligned to the wider workforce and helps drive the creation of shareholder value (The Chair and the CEO are responsible for evaluating and making recommendations to the Board on the remuneration of Non-Executive Directors)	Urs Rohner (Chair) Vindi Banga Dame Vivienne Cox	119-152

Board committee information

The Board has established the following committees:

94 GSK Annual Report 2021

Board architecture

The corporate governance framework is designed to improve the effectiveness of the Board and to support the GSK Leadership Team (GLT). It continues to evolve to support the delivery of our strategy and priorities. The alignment of our Board architecture with the Board’s agenda to support the demerger is illustrated on page 90.# Governance and remuneration

GSK’s internal control and risk management arrangements, described on pages 112 and 46 to 54, are an integral part of our corporate governance framework. See page 93 for more about the roles and membership of each Board committee.

Board Transformation & Separation Committee

Chief Executive Officer

GSK Leadership Team

Attendance at scheduled Board and committee meetings during 2021

Board	Nominations & Corporate Governance	Audit & Risk	Remuneration	Science	Corporate Responsibility	Transformation & Separation*	Total number of scheduled meetings
Members	Attended	Attended	Attended	Attended	Attended	Attended	Attended
Sir Jonathan Symonds	6	6	3				6
Emma Walmsley	6						6
Iain Mackay	6	6	6	6	3	4	6
Dr Hal Barron	6	3	2 (2)	3			6
Charles Bancroft	6	3 (3)	6	2 (2)	3		6
Vindi Banga	6	6	6	6	3		6
Dr Anne Beal	3 (3)	2 (2)	3 (3)	3			3
Dame Vivienne Cox	6	6	4	3			6
Lynn Elsenhans	6	6	6	4	3		6
Dr Laurie Glimcher	6	6	3				6
Dr Jesse Goodman	6	3	4				6
Urs Rohner	6	6	6	3			6
Judy Lewent	3 (3)	3 (3)	3 (3)	3 (3)	1 (1)	2 (2)	3

Number of ad-hoc meetings: 15 7 4 7 6 1

For Charles Bancroft, Dr Anne Beal and Judy Lewent, the numbers in brackets denote the number of meetings which these individuals were eligible to attend. Dr Beal joined the Board and the Corporate Responsibility Committee on 6 May 2021 and the Audit & Risk Committee on 23 July 2021. Charles Bancroft joined the Science and Nominations & Corporate Governance committees on 6 May 2021. Judy Lewent retired from the Board following the AGM on 5 May 2021. In addition to the ad-hoc meetings included in the table above, the Chairs’ Committee, that was established at the end of 2020, met on 15 occasions to consider various items of business during 2021.

The Transformation & Separation Committee was devolved into the committee architecture and disbanded in December 2021.

Science Committee

Corporate Responsibility Committee

Remuneration Committee

Nominations & Corporate Governance Committee

Audit & Risk Committee

Selected examples of some of the principal decisions taken by the Board in 2021, and how the Board considered relevant stakeholders’ perspectives are described below:

| Progress area | Principal decision | How Board/Committee regarded stakeholder interests # Board progress in 2021

Progress area Principal decision How Board/Committee regarded stakeholder interests Stakeholder groups, and other s172 duties considered

ESG leadership

Leading ESG expert view and insights on GSK: Following a wide-ranging and comprehensive briefing and debate with a recognised ESG expert, the Corporate Responsibility Committee agreed a programme of actions to further improve our ESG communications and IR engagement by:
– providing further evidence, metrics and data to investors of how the company’s culture is being transformed
– more proactively targeting our long-term investor base and
– increasing the availability of our Board committee Chairs to help strengthen understanding of their committees’ approach and work

Further details are available on page 105

The ESG expert:
– provided an overview of ESG investor expectations
– described major trends in ESG and the causal drivers
– covered GSK and sector specific issues, including culture, net zero and intangibles and
– shared developments around ESG links to remuneration

The Committee considered the positive and negative historical stakeholder perceptions together with GSK’s focus on purpose, mission and culture. The company’s new environmental sustainability goals had been announced the previous year. The company’s approach could be further enhanced by strengthening the alignment to remuneration incentives with delivery of ESG ambitions. The expert’s insights were considered as part of the development by the Remuneration Committee of the ESG remuneration measures explained in the Remuneration Report.

Stakeholders: Investors, patients, employees, governments and regulators, non-governmental organisations and multilateral organisations
Other s172 duties: Long-term results, our business relationships, the community and our environment, our reputation and fairness between our shareholders

New GSK Board succession planning

The Nominations & Corporate Governance Committee agreed:
– a set of key guiding principles for the new GSK Board and
– an optimal Board skills matrix

This supported the development of a roadmap for future appointments over the medium term to help deliver on our stated ambitions for patients and shareholders.

Further details are available on page 107 and 108

The Committee considered the optimal future composition of the new GSK Board for the future. To appropriately reflect stakeholder interests, the Board wished to be constituted so as to:
– be diverse in the broadest sense
– have appropriate operational depth across the life science value chain and from a general commercial perspective
– have experience of major customer markets, and
– needed the skills and insights of members who could continue to ensure the company’s leadership position in ESG.

Stakeholders: Patients and consumers, our people and investors
Other s172 duties: Our long-term business performance, workforce and business relationships and reputation

Settle significant litigation

Gilead – Dolutegravir global settlement

The Board approved the terms of the global settlement and licensing agreement in which Gilead would:
– make an upfront payment of $1.25 billion to ViiV Healthcare and
– pay a 3% royalty on all future US sales of Biktarvy and in respect of the bictegravir component of any other bictegravir-containing products sold in the US.

The decision to settle this global litigation was taken after careful consideration in the context of bringing certainty for investors and to support additional investment in the business for the future and thereby benefiting patients and investors.

Further details are available on page 58.

Stakeholders: Investors, patients, governments and regulators
Other s172 duties: Long-term results, our business relationships and our reputation

GSK Annual Report 2021

Strategic report Governance and remuneration Financial statements Investor information

Board’s approach to continuous engagement

How we engage with our main stakeholder groups – including patients, shareholders, consumers, customers and employees – across the company is summarised on pages 44 and 45 of our strategic report.

How the Board considered the interests of our stakeholders in its discussions and decision making in 2021 is set out in the:
– Section 172 statement on page 116, and the sections it references in this Annual Report
– principal decisions the Board and its committees made, on pages 96 to 98

Our stakeholders rightly have high expectations of us. Our dynamic operating environment presents many challenges and opportunities. The Board aims to make sure that remaining commercially successful is balanced and aligned with meeting our stakeholders’ expectations, upholding our reputation, maintaining our licence to operate and building trust. The Board engages with many stakeholders to ensure it identifies and responds to their expectations effectively. The influence and importance of different stakeholder groups can vary, depending on the matter being considered. Certain stakeholders’ interests can be in conflict, meaning the Board needs to make balanced judgements.

Stakeholder engagement and feedback helps us identify emerging issues. It also enables the Board to make decisions in the context of what is relevant and important to each of them. Our principal Board committees, and the GLT, undertake engagement on the Board’s behalf in accordance with their remit. This means that they can build a detailed understanding of how our actions or plans are / or may impact stakeholders. These insights are shared with the Board, as appropriate. In particular, the Board receives a substantial amount of information about stakeholders’ perspectives from the work of the Corporate Responsibility Committee, which is discussed on pages 104 and 105.

Board members regularly receive:
– the CEO’s Board report
– a specific external stakeholders report. This provides strategic insights based on an analysis of key developments, achievements and risks impacting our reputation and the perceptions of external stakeholders
– a monthly investor relations report which summarises investor perceptions
– regular corporate governance and litigation and regulatory updates

The Board also learns of stakeholder views through:
Engagement and feedback events such as: the quarterly investor results calls, the annual general meeting, employee survey reports, and through the Workforce Engagement Director’s reports and experts presenting at Board or committee meetings. In particular, during 2021, the Investor Update and the Chair and SID’s meeting with Investor Forum members provided additional sources of investor feedback.
Other opportunities: to gain wider stakeholder views are provided during the annual strategy meeting with the GLT, as part of the annual budget and planning process, and in reviewing specific aspects of the company’s policies or strategy.
In addition, Board members are encouraged to meet individually with employees, shareholders and other key stakeholders during their induction, and then on an ongoing basis. They are encouraged to report to the Board on such experiences where relevant and material.

Our people

We have well-established and strong engagement mechanisms with our colleagues, which are described on pages 11 and 45. Two key governance channels help communicate what our people are thinking to the boardroom:
– feedback from our global, as well as smaller, more targeted PULSE employee surveys
– the work of our Workforce Engagement Director, Dame Vivienne Cox, who regularly gathers and explains colleagues’ views to the Board, as she outlines below

The Chair and other Non-Executive Directors also regularly meet our people around the Group and report back to the Board. As COVID-19 restrictions permitted during the year, they were pleased to meet with our employees in person, individually and in small groups, as well as continuing to meet virtually. The Chair, Workforce Engagement Director and Corporate Responsibility Committee Chair designate met with leaders of our employee resource groups (ERGs), for example, as part of a continuing dialogue about progress on our inclusion and diversity agenda, as well as on other issues that mattered to ERG members and employees.

2021 has been a significant year of change for our people. The Future Ready transformation programme has intensified and increased anticipation around the demerger of Consumer Healthcare and the shape of GSK. Ahead of this, PULSE surveys with smaller groups of employees have meant that the Board and GLT could check sentiment more quickly and frequently, and could provide valuable insights on the impact of major initiatives, events or communications.# 10 0 GS K Annual Report 2021

This year, the Board and GLTs spent more time in listening sessions with leaders and small groups of employees who have front-line roles across the company. This has helped to better understand the future of and build people’s confidence in GSK – as well as testing and listening to feedback on the new purpose, strategy and culture. In 2021 Emma held more than 25 small group sessions with the workforce. The GLT cumulatively held more than 40 sessions specifically focused on new GSK. This provided rich feedback, which has helped shape internal communications and achieve record engagement levels, with 37,000 employees joining two live events. Post-event surveys show good progress is being made in explaining new GSK and building confidence, with less positive sentiment around how employees have been feeling. The Board is acutely aware that the pandemic has increased fatigue and reduced resilience for many of our people. This has reinforced the importance of prioritising and caring for our people and providing the support they need to be successful. The Board monitors this not only through employee engagement, but also with quarterly monitoring of how many employees are taking up support, how many are absent, and how many are leaving the company. The Board was pleased that the GLT chose to recognise every employee with a week’s thank you pay award in recognition of resilience and strong delivery in extraordinary circumstances.

Board’s approach to continuous engagement continued

This is my third year as Workforce Engagement Director. In this time, I have appreciated the chance to meet with different people across the company and to listen carefully to their views and perspectives. During the year, the engagements I have attended have continued to be virtual; however, I am very pleased that this has not prevented people from being very open and transparent in their discussions with me.

Purpose, strategy and culture

As I established the programme of visits at the start of 2021, I was conscious that it would be a year of significant change. The transformation programme to restructure the Group in advance of separation was launched in 2020. It has continued throughout 2021 and, with it, there has naturally been some uncertainty for our people. Therefore, I was keen to use my role to understand the impact of these changes on the organisation. Additionally, as the separation has been getting closer, it has raised questions in the minds of our people about the future shape of new GSK and the Consumer Healthcare business as a new listed company. In particular, I wanted to understand how the work done by the Board and the GLT to define a new purpose, strategy and embed a new simplified culture, which is discussed elsewhere in the Annual Report, was being experienced. Probably the most consistent message I have heard this year is the value people attach to working for a company with a strong sense of purpose and a clear strategy. Additionally, the people I have met are supportive of the new culture. They appreciate the simplicity and the clarity that it brings. I have continued, with Jon, our Chair, to engage with our diversity Employee Resource Groups (ERGs), specifically on the impact of the announcement of the company’s public aspirations for improving ethnicity and gender representation in the workforce and leadership positions. Overall, their responses were positive while continuing to encourage the Board and GLT to intensify their efforts to support and promote diverse talent.

Other engagement programme highlights

I joined a Site Directors’ and Site Quality Leaders’ meeting comprising a group of employees who had recently been appointed to these roles. My meeting with them was part of a longer induction programme they undertake. I took part in the session where they discussed the impact of the new culture on their roles. They stressed the importance of ensuring continuous improvement at their sites. In the mid-point of 2021, I met with HR leaders and I was impressed by their energy and commitment, through to and beyond separation. It was clear that their focus on People, Culture, Leadership and Capability would be key to supporting an environment where people can thrive, and additionally how important the new simplified HR systems and operating model would be to ensuring quality support for all our people. The ‘Ahead Together’ session was an ambitious and well-received two-day digital event which brought together 1,500 employees from around the world. The objective was to share thinking and progress on the launch of two new companies and exchange ideas about the opportunities that lie ahead. Finally, I spent time with a group of high potential Commercial employees from the Greater China and Intercontinental region who were completing a virtual development programme. We discussed their key learnings, which were the importance of developing resilience and building trust. After each meeting with an employee group, I share my thoughts and observations with the leaders and the Board on a non-attributable basis. Perhaps the most valuable aspect is that on an ongoing basis, those views and perspectives can be factored into the Board and GLT discussions and decision making.

Dame Vivienne Cox
Workforce Engagement Director
28 February 2022

Workforce Engagement Director
GSK Annual Report 2021 101

Strategic report

Governance and remuneration

Financial statements

Investor information

Our shareholders

The Board seeks to directly engage with private retail and institutional shareholders in several ways. These include regular communications, the Annual General Meeting and our annual Governance Meeting, and through the work of our Investor Relations team, the Chair, Sir Jonathan Symonds and our Company Secretary, Victoria Whyte. During the year, our CEO, Emma Walmsley, and CFO, Iain Mackay, gave quarterly results presentations to institutional investors, analysts and the media by webcast teleconference. They are also regularly joined by the CSO, the Chief Commercial Officer, CEO, ViiV Healthcare, President Global Vaccines and the CEO, GSK Consumer Health care. They are available to provide more detailed insights into their areas of responsibility. Through regular meetings, Emma and Iain have an ongoing and active dialogue with institutional shareholders about our performance, plans and objectives. In 2021 the CEO held 56 individual meetings with major shareholders and hosted 32 group meetings with actual and potential major shareholders. The CFO held 84 individual meetings and 46 group meetings. The Chair has always maintained an active dialogue with shareholders too – including fund and portfolio managers – as well as seeing governance professionals. During 2021 the Chair held 43 meetings with a range of investors, who make up nearly 40% of the company’s share register. This enables him to have a current understanding of investor views, insights and perspectives about the company. He also covers with investors, Board succession planning arrangements in his capacity as Chair of the Nominations & Corporate Governance Committee. The Chair, CEO and the rest of the Board had a particular focus in 2021 on communicating our plans about the demerger to shareholders and the future ambitions for GSK as a biopharma business. As part of this extensive outreach, in June the CEO and other members of the GLT hosted a virtual Investor Update to provide a clear view of the strategy for GSK and its outlook for growth and ambitions. In October at an Investor Forum-hosted event, and in December at the annual Governance Meeting, the Chair provided an update on how the Board and its committees have aligned their work to drive the demerger and establish key governance work streams to support delivering it and to focus GSK’s future as a biopharma business. Investor materials for these events are available on gsk.com.

Board’s approach to continuous engagement continued

Annual Governance Meeting

This year’s event was virtual with institutional shareholders, key investment industry bodies and proxy advisory firms. The Chair was joined by our Senior Independent Director, Workforce Engagement Director, Committee Chairs and GSK’s external audit partner. We shared with investors the priorities and focus of the Board and its committees and progress made in 2021. This included a continued focus on strengthening the fundamentals of the business, maintaining ESG leadership, strong oversight of progress towards separation to create a world-leading Consumer Healthcare company and the new growth outlooks and ambitions set for GSK to deliver a step-change in performance from 2022. The Remuneration Committee Chair shared details of the Committee’s review of executive remuneration arrangements for GSK ahead of separation.# Board-led purpose and culture

The Board’s role is to promote GSK’s sustainable success, drive long-term growth for shareholders and value for stakeholders. Our strategic report on pages 1 to 81 demonstrates how we work to achieve these goals. Our Corporate Governance report on pages 83 to 118 explains how our governance arrangements support our oversight of the strategic transformation into two separate businesses, as well as our new ambitions for patients and shareholders. This work will be supported by our renewed company culture.

The Board is responsible for setting the Group’s overall purpose and culture. This is fundamental to conducting our business to the highest standards, promoting long-term success and unlocking, protecting and maximising value for shareholders.

In the four years Emma Walmsley has been CEO, the Board has worked to change our culture. While always being guided by our purpose and values, our culture is moving to one that works more effectively towards our long-term strategic priorities: Innovation, Performance, Trust.

The Board saw the momentum and ambition around the two new businesses in 2021 as a unique opportunity to unify our people behind one purpose, one strategy and one culture.

Our new purpose is to unite science, talent and technology to get ahead of disease. We have a clear ambition to make an even more meaningful impact on human health and create better, more sustainable returns. We want to do this in an environment that allows outstanding people to thrive.

For the Board, ‘getting ahead’ means preventing disease as well as treating it. It means innovating by combining ideas, capabilities and know-how inside and outside GSK. Our focus for R&D is to deliver new vaccines and medicines using the science of the immune system, human genetics and advanced technologies. And we do this making a deep commitment to our stakeholders to operate responsibly.

Essential to these plans is embedding a new, simplified culture, one in which we:

are ambitious for patients, by delivering what matters better and faster
are accountable for impact, by having clear ownership and the support to succeed
do the right thing, by working with integrity and care and understanding that people count on us

The Board’s discussions during the year focused on the new purpose and culture centred on:

the rationale for this change
a review of employee engagement and feedback when trialling this change
the next steps the Board and GLT needed to take to make this change real for our people

To more clearly identify where we are making progress – and where we need to make changes – the Board and GLT have changed how we track and measure this culture change. We are now using more insights, measuring more frequently, being more responsive and making this information easier to access. This will help drive progress in the short-term and make significant change over the long-term. For further details see page 11.

The Board was also briefed on the proposed new mission, strategy and culture for Haleon. Its culture will be focused on three behaviours:

Go beyond
Do what matters most
Keep it human

These are described in more detail on page 43 and were launched formally by the Haleon Chair and CEO Designates at their Capital Markets Day on 28 February 2022.

The Board will also support GSK's new culture by appointing and promoting the right people, upholding and incentivising the right behaviours with strong governance controls and thorough processes, and training and developing employees.

The Board recognises that the ‘tone from the top’ drives a company’s culture. The Board and GLT must be role models and lead by example, using their words, actions and behaviours to set the template for our people.

Like all our people, members of the Board take the following key training and awareness modules:

Living our values and expectations, which explores our values, expectations and culture and how they apply to our operations and ways of working
Anti-bribery and corruption
Inclusion and diversity

For more detail about our new, single definition of culture, and how we invest in and reward our people, see pages 11 and 37.

The Board also remains committed to getting ahead of issues that matter for the sustainability of our company, be it pricing and access, the environment, or stronger diversity and inclusion. More progress in these areas is set out on pages 34 to 40 of our strategic report and in our ESG Performance Report, available on gsk.com.

Our Code of Conduct embodies our values, so the Board reviews and refreshes it regularly. It is available on gsk.com. Our corporate standards and employee policies are aligned with our values. They include our long-standing Speak Up system, which enables our people to raise matters confidentially or anonymously without fear of reprisal. The Board, through the Audit & Risk Committee, reviews Speak Up reports provided by our Legal and Compliance team. Our Speak Up channels and reports are managed by an independent third party, with cases then investigated by Legal and Compliance.

Board performance

The Board evaluates its performance, and that of its committees, every year and is facilitated externally at least once every three years. External evaluations were facilitated in 2019 and 2020 by Jan Hall of No 4, a business advisory company. In 2021, the Board and Committee evaluation process was a composite of three key assessments.

First, Korn Ferry conducted interviews with each Board Director to elicit their views on the ideal future composition of the Board. Directors were provided in advance with information on peer company Board composition and committees as an input to these discussions. The conversations with Board Directors covered a range of topics including:

The key challenges and opportunities for GSK over the next five years (eg science, M&A, China, areas of management strength and support)
The culture of GSK
Which skills and experience to prioritise in recruiting new Non-Executive Directors to the Board. The imperatives and desirable attributes were considered against the strategic opportunities that lie ahead and
The workings of Board committees and how they obtained external input

The findings formed the basis for the transition plan and optimal composition of the new GSK Board. The Nominations & Corporate Governance Committee report on page 107 explains how the results of this work are being taken forward.

The next step followed the annual Board and GLT strategy meeting, when Non-Executive Directors formed three groups to discuss their thoughts on the day’s discussions. They agreed their key insights and priorities. These were then debated by the Board the next day. The conclusions reached were incorporated into the Board’s priorities for action in 2022.

Finally, Non-Executive Directors completed a short questionnaire on the performance of the Board and its committees during the year. The responses were collated and summarised before being considered by the Board. The Board then agreed updated priorities for the year ahead which encapsulated the actions identified at each stage of the evaluation process.# Board committees

The review of the Board committees involved questionnaires being completed by committee members. Each committee was considered to operate effectively. To enhance their performance further, the following improvement points were agreed:

– Corporate Responsibility: to continue to bring direct external stakeholder perspectives into the Committee’s discussions to provoke quality debate in respect of the company’s Trust priority
– Audit & Risk: to continue to balance the Committee’s work between current issues and longer term perspectives. The Committee would also continue to seek more focused materials to enhance its oversight further
– Remuneration: to bring more external perspectives on changing remuneration practice and trends to the Committee’s attention to ensure it remained contemporary in its thinking
– Nominations & Corporate Governance: to focus on delivery of the transition plan to create the optimal composition for the new GSK Board
– Science: to continue to support the CSO and his leadership team whilst providing its perspectives and opinions on R&D’s work

Chair

The SID’s sought feedback from each of the Directors on the performance of the Board and Chair. The unanimous view was that the Board is functioning very effectively and has been continually strengthened; and the Chair has provided excellent leadership throughout an important and eventful year. Board culture was very inclusive and purposeful in focusing on the really important issues of strategy, performance and talent.

Progress on 2020 Board evaluation

Progress against the conclusions of the 2020 Board evaluation review is set out below.

Areas of focus for 2021	Progress/achievements
Consideration had and would continue to be given to stop any unnecessary tasks to free more time to focus on the priorities with the pre-condition that creating shareholder value was of prime importance	Board priorities were agreed and adhered to in structuring Board discussions. Key priorities were the key driver in examining performance and transactions. This would remain a key focus. Consideration would also be given to making the best use of the Board’s time during virtual meetings and incorporating opportunities for ‘unstructured discussions’ where possible
There was increased use of break-out sessions to focus on and bring different perspectives to particular issues. In October, to facilitate greater in person interaction despite ongoing COVID-19 restrictions, the Board, committee and annual strategy meetings were held at dual sites in the UK and US. The Chair led the meeting in the UK for UK/ European-based Directors and the CEO led the meeting for US-based Directors. In addition, specific time was set aside for GLT members to meet with Board members without a set objective or agenda. These discussions were greatly appreciated by all and a welcome opportunity to connect.	The Science Committee would look to further deepen its understanding of how R&D’s resources were allocated. The Board and Science Committee meeting agendas were designed to facilitate these deeper dives in line with Board’s agreed key priorities. See page 106
There was a desire to further enhance root cause analysis that was undertaken when incidents or issues occurred. This was to ensure they could be avoided in the future and as part of the Group’s approach to further improving performance	This enhanced approach was the foundation of the global safety review.

104 GSK Annual Report 2021

Board committee reports

Corporate Responsibility Committee report

Lynn Elsenhans

Corporate Responsibility Committee

I am pleased to present this report, which will be my sixth and final one as Chair of the Corporate Responsibility Committee (the Committee).

Role of the Committee

The Committee oversees GSK’s Trust priority and the company’s progress against our Trust commitments, which reflect the most important areas for responsible and sustainable business growth. Our Trust priority covers management’s work across ESG factors, and it is integral to GSK’s overall strategy. The Committee has oversight of the views and interests of our internal and external stakeholders and reviews issues that could seriously impact GSK’s business and reputation.

In doing so, the Committee has continued to oversee:

– progress on our Trust commitments through regular reports from GLT members and senior managers
– GSK’s approach to managing the risks and opportunities associated with ESG factors that help create value for shareholders and society
– management understanding of key issues and stakeholder perspectives by listening directly to key independent expert voices and
– the principal risks most relevant to its area of expertise and responsibility, namely: product quality, non-promotional engagement, supply continuity, environmental sustainability and health and safety

Key activities in 2021

Safety culture: The Committee reviewed progress on the delivery of a global safety improvement plan across GSK’s businesses developed after a comprehensive and far-reaching external evaluation of our safety culture. In reviewing the actions for embedding and sustaining the plan’s safety improvements into the future, the Committee has encouraged a strong focus on:

– education and training to further build capabilities; while
– ensuring there is clear accountability from leaders for safety through heightened awareness and application of GSK’s simplified culture to “do the right thing with integrity and care because people count on us”

Inclusion & diversity (I&D): The Committee continued to assess the progress of GSK’s I&D strategy and commitments. This has included in particular, implementation of changes to HR processes and monitoring arrangements needed to support the delivery of the aspirational diversity targets announced in last year’s Annual Report. The Committee considered key requirements of strengthening succession planning arrangements for diverse talent and the application of the broad concept of ‘equity’ in the workplace to further evolve the I&D strategy. I&D is an incredibly important part of the culture at GSK and the Committee reviews and supports the comprehensive annual I&D training and awareness session undertaken by the Board and all our people.

Charitable giving: GSK has had a tremendous and longstanding commitment to charitable giving and community involvement. The Committee reviewed this existing approach and how GSK compares to its peers. It considered how to leverage this approach to align to GSK’s core purpose, strategy and culture and encouraged its impact to be measured in terms of its contribution to the commitment announced at the Investor Update in June, to positively impact the health of over 2.5 billion people over the next ten years.

ESG performance for new GSK: The Committee reviewed management plans for the six areas of ESG focus for new GSK, outlined to investors by the company in June 2021. Working with the Audit & Risk and Remuneration Committees, the Committee reviewed management’s proposals for specific metrics to measure progress on these six areas and the recommendation of the creation of a single ESG performance rating assessment as a KPI for GSK after the demerger. It also reviewed an approach for the risk management and governance oversight arrangements to measure and report ESG performance. The Committee was pleased to support these changes to help retain and develop further GSK’s ESG leadership position.

Consumer Healthcare (CH): In preparation for the demerger, the Committee has reviewed and discussed with CH management their progress in developing a distinctive and holistic responsible business and ESG framework that would support its purpose, strategy and culture on becoming a listed company with a focus on the key responsible business issues for the new company. In doing so, the Committee scrutinised this framework and the proposed targets, including environmental sustainability targets, which have incorporated key insights and expectations gathered from investors, analysts and other external stakeholders.

Stakeholder insights and benchmarking

The Committee pays close attention to the evolving views and expectations of the company’s broad range of key stakeholders. It receives a regular report on stakeholder insights at each meeting to ensure it considers the issues that may have a bearing on GSK’s reputation and the delivery of our responsible business agenda. Employee insights and feedback were discussed in relation to the progression of the company’s modern employer agenda.

GSK Annual Report 2021 105

Strategic report Governance and remuneration Financial statements Investor information

In keeping with a desire to continually bring external perspectives into the Committee room, in 2021 the Committee benefited from direct engagement and insights about expectations of our sector and the company specifically in two areas.# Corporate Responsibility Committee report

Firstly, was receiving an expert's insights on investor views on ESG trends and expectations, the outcomes of which are reported on page 98. Secondly, was gathering expert views on the rising expectations of governments and investors for businesses to understand Human Rights impacts and risks. The Committee monitors investor expectations on ESG reporting and disclosure on an ongoing basis. GSK continues to align to best practice in reporting, in accordance with the Sustainability Accounting Standards Board (see 2021 ESG Performance Report) and the Task Force on Climate-related Financial Disclosures (see page 49). In addition, the Committee monitors the company’s ESG performance in various indices and in relation to our peers. In this respect, we were particularly pleased that GSK was ranked first in the Dow Jones Sustainability Index in the pharmaceutical industry group, had improved our Carbon CDP rating from B to A-, and was rated in the top 3% of Sustainalytics’ pharmaceuticals subgroup. These and other external benchmarks help to evidence GSK’s acknowledged leadership in ESG, and this continues to be a key driver in the goal to deliver health impact and shareholder returns.

Committee aims for 2022

The Committee will continue to scrutinise and monitor progress on GSK’s material Trust topics and relevant enterprise risks. As the company demerges, it will focus on oversight for how GSK is embedding its new approach to ESG performance measurement.

Corporate Responsibility Committee Chair succession

I was delighted to welcome Dr Anne Beal, who has brought extensive healthcare experience to the Board and our Committee as a physician and public health expert, in May 2021. Since then, Anne and I have been working on a smooth transition and handover before she succeeds me as Committee Chair at the conclusion of the AGM in May. I will continue to serve as a Committee member to provide continuity and support, until I retire and step down from the Board at the conclusion of the demerger later this year. It has been my privilege to serve as a member of the Board, to chair this Committee and help shape and oversee, in particular, the development and embedding of a framework of a focused set of commitments to support the company’s Trust priority and our approach as a responsible business. Listening carefully to all the views of our stakeholders has helped to inform the positive steps we have taken in reinforcing our position as a leader in ESG.

Lynn Elsenhans
Corporate Responsibility Committee Chair
28 February 2022

Science Committee report

Dr Jesse Goodman
Science Committee

I am pleased to present my fifth report of the Science Committee’s (the Committee) activities.

Key activities in 2021

Since the Committee’s inception in 2017, we have continued to refine our focus to provide greater value to the Board’s deliberations. In particular, the Committee has focused on ensuring the validity of the key scientific assumptions which drive the company’s R&D strategy, as well as providing technical assurance, particularly in relation to potential transactions.

Pipeline progress

At the start of the year the Committee closely reviewed the 2021 objectives for the biopharma business, including those relating to pipeline progression. Delivering a pipeline to help patients is at the heart of what GSK does and the Committee monitors its progression closely, both in terms of strategy and performance. The Committee has held a number of discussions with Dr Hal Barron, our CSO, and with R&D leaders throughout the year and has been encouraged with the progress made as we approach separation. Since the separation was announced in 2018, R&D’s strategy has delivered a strong pipeline of assets with the potential to bring transformational vaccines and medicines to patients.

Some of the most notable approvals in the last year include:

Jemperli (dostarlimab) – for the treatment of endometrial cancer, the most common female reproductive cancer. This is another major milestone for GSK’s oncology pipeline and has the potential to transform the lives of women who previously had limited treatment options.
Cabenuva (cabotegravir, rilpivirine) – the first long-acting injectable treatment for HIV. Cabenuva has the potential to transform HIV care for patients by reducing treatment dosing days from 365 to 12 per year. In addition, Apretude received FDA approval in December 2021 as the first long-acting injectable option for HIV prevention.
In November 2021, the company announced positive phase III data for daprodustat, a potential new oral treatment for patients with anaemia of chronic kidney disease.

COVID-19

Regarding our pipeline of COVID-19 solutions, Xevudy (sotrovimab), a monoclonal antibody developed in collaboration with Vir Biotechnology, was approved in Europe and received Emergency Use Authorisation in the US as a treatment for patients with COVID-19. Studies show that Xevudy also retains activity against the Omicron variant. In terms of vaccines, GSK has announced positive phase III results for the plant-based COVID-19 vaccine candidate being developed with Medicago. This vaccine, Covifenz, was approved in Canada in February 2022. In February 2022, we also announced the intention to seek regulatory authorisation for the COVID-19 vaccine being developed with Sanofi, based on data from both booster and phase III efficacy trials.

In February 2021, we also reported a collaboration with CureVac to jointly develop next generation mRNA vaccines for COVID-19 with the potential to address emerging variants.

Scientific deep-dives

Innovation remains a key priority for GSK. Therefore, the Committee has continued to meet with the CSO and our talented R&D leadership to undertake deep-dives into some of the exciting and complex areas of science that are of strategic importance to GSK, including:

Immunology
Oncology with a focus on Synthetic Lethality
Vaccines mRNA Strategy

The science of the immune system is a key pillar of our R&D strategy. It will be leveraged to develop novel therapeutics as well as potentially revolutionise drug discovery and development. GSK’s partnership with 23andMe provides the company with exclusive insights in this field which represents an enormous opportunity for R&D to build on a strong existing portfolio. The Committee was pleased to see how immunology has already been embedded across GSK R&D, including within oncology, vaccines, ViiV and infectious diseases.

Business development

In addition to oversight of the company’s organic R&D innovation, the Committee has continued to review potential business development transactions. The Committee receives regular previews of potential business development opportunities being explored and undertakes in-depth technical reviews of transactions prior to their presentation to the Board. These transactions have added new programmes which aim to differentiate GSK’s pipeline from competitors and support organic development within the company.

Key transactions reviewed by the Committee during the year include:

iTeos: The collaboration with iTeos to co-develop an anti-TIGIT monoclonal antibody. With this collaboration GSK is well-positioned to produce next-generation immuno-oncology therapies, especially those targeting the CD226 axis.
Alector: The collaboration to develop two potential first-in-class monoclonal antibodies for a range of neurodegenerative diseases including Parkinson’s disease and Alzheimer’s disease.
Arrowhead Pharmaceuticals: The exclusive licence agreement with Arrowhead Pharmaceuticals, under which GSK will develop and commercialise Arrowhead’s investigational RNAi therapeutic being developed as a treatment for patients with chronic liver disease.
Halozyme Therapeutics: The global collaboration and license agreement between ViiV Healthcare and Halozyme, granting exclusive access to Halozyme’s ENHANZE drug delivery technology to enable development of ultra long-acting medicines for HIV.
Shionogi: The exclusive license agreement between ViiV Healthcare and Shionogi to develop a third-generation HIV integrase inhibitor with potential for use in ultra long-acting HIV regimens.

Enhanced R&D governance

The Committee has been particularly impressed with developments in R&D governance since Dr Barron was appointed in 2018. During 2021, Vaccines and Pharma R&D were fully united into a single organisation. This has enabled R&D to be more effective, not just in terms of efficiencies but also in the sharing of technical and scientific expertise. The benefits of these governance enhancements have already become apparent with improvements made in both cycle times across clinical development and the probability of success from pivotal studies. Three and a half years ago, management set out a new approach to R&D. Under Dr Barron’s leadership our pipeline in 2021 stands out as having advanced notably.

Our Board committee reports continued
106
GSK Annual Report 2021# Our Board committee reports continued

GSK Annual Report 2021

107

Strategic report
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Investor information

Nominations & Corporate Governance Committee report

Jonathan Symonds
Nominations & Corporate Governance Committee

I am pleased to present my third report as Chair of the Nominations & Corporate Governance Committee (the Committee).

Key activities in 2021

The Committee played an important role in delivering our key priorities to transform GSK and separate the CH business. The Committee met 13 times during the year and this report sets out our work during 2021.

Key priorities	Status
Succession planning for the CSO and his R&D Leadership Team	CSO succession candidate identified and subsequently appointed CSO Designate
Appoint a Chair of the Corporate Responsibility Committee to succeed Lynn Elsenhans	Dr Anne Beal joined the Board in May 2021
Appoint a third Scientific & Medical Expert (SME)	Dr Hal Dietz joined the Board in January 2022
Design target GSK Board composition and recruit high calibre Non-Executives to complete the new GSK biopharma Board	Target GSK Board composition agreed and search for new Non-Executive Directors for GSK in progress
Appoint the Haleon CEO and assemble an appropriately seasoned management team	Brian McNamara appointed as Haleon CEO Designate in July 2021. Haleon Management Team announced in December 2021. Sir Dave Lewis appointed Haleon Chair Designate in December 2021. Selection of the remaining Haleon Board in progress
Shaping the GSK Board for the future

Management succession planning

The Committee, with all Non-Executive Directors present, continuously assesses the succession plans for management and the other Executive Directors to ensure we have appropriate succession plans and a diverse pipeline of potential successors in place.

During 2021, given the importance of the CSO and leadership of R&D, the Committee, in collaboration with the CEO, and as appropriate the CSO, intensified our planning to identify a potential CSO succession candidate. The Committee was supported by the Chief People Officer (CPO) and the Science Committee. The Committee followed a comprehensive process before making a recommendation as described below. This is replicated in assessing succession candidates.

The Committee and the Science Committee reviewed a diverse long list of internal and external potential successor candidates from which a short list of candidates was compiled. These were interviewed by Science Committee members, the Chair, CEO, CPO and CSO. The Committee was joined by all the Non-Executive Directors to review the final candidates.

Following this extensive process, the Non-Executive Directors agreed to identify Dr Tony Wood as the CSO’s successor. The CPO, CEO, CSO and Dr Wood then established a transition plan which was approved by the Committee to ensure a smooth transition should it become necessary.

In January 2022, the Board activated the succession plan following Dr Barron’s decision to accept the position of CEO and Co-Chair of Altos Labs from August 2022. Since Dr Wood has been a key partner to Dr Barron in delivering GSK’s R&D approach, and has wide experience and expertise across science data and new technologies, he is perfectly placed to build on Dr Barron’s outstanding progress and to deliver value from the pipeline. The Board therefore agreed to appoint Dr Tony Wood as CSO Designate and he will succeed Dr Barron as CSO and become a member of the GLT on 1 August 2022. Further details of his background can be found on page 5 and in the company's announcement issued on 19 January 2022 which is available on gsk.com.

The Committee also recommended as part of the CSO transition plan that Dr Barron be appointed a Non-Independent Non-Executive Director and member of the Science Committee with effect from 1 August 2022, initially for a three-year term. This would support the CSO transition process.

Corporate Responsibility Committee Chair

In my 2020 report, I described the search for Lynn’s successor as Chair of the Corporate Responsibility Committee (CRC). This resulted in Dr Anne Beal’s appointment to the Board on 6 May. Anne has brought extensive healthcare experience as a physician and entrepreneur, combined with a passion for patient advocacy. Further details of her experience and the rationale for her appointment are included in the company’s announcement on 6 April 2021 which is available on gsk.com. A transition process is underway to enable Anne to succeed Lynn as CRC Chair at the close of the 2022 AGM. Despite serving for over nine years, Lynn’s experience as a CEO and from sitting on other boards means that she continues to demonstrate all the characteristics of independence expected by the Board in carrying out her role on the Board.

Third Scientific Medical Expert (SME)

I am pleased to confirm that the search for a third SME was successfully concluded. We continued to fine-tune the selection criteria as the process evolved and considered the following:

An outlook on the future direction of R&D, innovation and the treatment and management of human health
Experience of people leadership and management at ‘scale’, either in an academic or industry setting
Interested in, and having a deep understanding of, a breadth of scientific and therapeutic areas, particularly in immunology as well as genomics and genetics. Having perspectives on the ability to harness digital technologies (including Artificial Intelligence) to enhance the research and development of new medicines and
Able to deliver complex science to a broad audience. Highly collaborative and a willingness to engage proactively on topics beyond their own immediate realm of expertise

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The Committee was pleased to recommend the appointment of Dr Hal Dietz to the Board with effect from 1 January 2022. Dr Dietz brings his extensive experience in the field of human genetics, which is central to GSK’s approach to R&D and will add further strength to the Science Committee and Board discussions. Further details of Hal’s experience and the rationale for his appointment are included in the company’s announcement on 27 October 2021, which is available on gsk.com.

Transition to a new GSK Board

In planning the structure of the new GSK Board as an independent biopharma company, the Committee commissioned Korn Ferry to meet with each Board member to gather their views on the optimal Board design for the future. Further details on this process are given on page 103.

A skills matrix was developed which mapped current Board members’ skills and capabilities and the succession planning needs for the Board. This was discussed with all Non-Executive Directors and the key capabilities were further refined and a final target skills matrix was agreed. The Committee then agreed the briefs to initiate the search for three new Non-Executive Directors to be appointed to the Board in the next 12 to 18 months. The Committee is following its search process to recruit for these roles. Long lists of candidates for both roles have been considered.

Haleon Board appointments

The Committee appointed a sub-Committee comprising, the Chair, Vindi Banga, Dame Vivienne Cox, Dr Beal and Mr Rohner, to progress Haleon Board appointments. It then reported progress at each scheduled Committee meeting. Final decisions were reached by the Committee with all Non-Executive Directors invited to participate.

Haleon CEO and CFO: The Committee conducted an extensive global search and selection process to appoint the Haleon CEO and CFO designates. This work followed the Committee’s search process. In particular, the CEO role profile contained the key selection criteria and responsibilities the successful candidate would need to fulfil most especially after the demerger.The se emphasised the importance of establishing the new Haléon Board to deliver the growth strategy and to drive significant shareholder value. This would require a relentless focus on innovation, promoting a high performance and inclusive culture whilst also operating to the exacting standards of corporate governance. Following interviews by Board members with internal and external candidates, the Board was pleased to endorse the Committee’s recommendation to appoint Brian McNamara as Haléon CEO Designate. The Board noted in particular Brian’s strong track record of success in building the CH business and his considerable experience of FMCG and consumer health. This meant that he was uniquely suited and the right choice to unlock the growth potential of Haléon as an independent listed company. Further details of Brian’s experience and the rationale for his appointment are included in the company’s announcement on 22 July 2021, which is available on gsk.com. The Committee reviewed Brian’s proposed leadership team for Haléon (in particular the proposed CFO and Chief People Officer) which was announced in December 2021. Following extensive internal and external searches for each role, shortlisted candidates were interviewed by the relevant panel of Non-Executive Directors against the agreed role criteria. The Committee then approved the final appointees. The Haléon management team was then introduced to investors at the CH Capital Markets Day on 28 February 2022.

Haléon Chair

The Committee followed its search process to select the Haléon Chair. This search focused on candidates with the following knowledge, experience and commitment:

– Significant listed Board experience with an understanding of investors, analysts, banks, regulators and governments
– A high degree of financial acumen and successful business track record in creating shareholder value and growing businesses
– A strong emphasis on coaching skills and the ability to create a high-performance environment
– Deep experience of consumer facing businesses, with a high degree of customer-centricity. International experience, preferably in the US and China
– Strong strategic skills and a track record of innovative thinking, coaching and development
– Be well respected and have high credibility with all stakeholders, including investors, capital market participants, regulators and governments
– Have high integrity, strong values and be driven by a strong sense of purpose
– Understand the role of a Chair of a FTSE 100
– Possession of humility and a subdued ego and a strong emotional commitment and passion for the CH business
– Be committed to diversity in all its forms, resilient and open-minded with strong judgement as well as a natural team builder

The Committee agreed that Sir Dave Lewis, a highly experienced and respected global business leader in consumer goods and retail, was the most suitable candidate to lead the Haléon Board. It was noted that at the time of his selection he was deemed to meet the independence requirements of the Code. The Committee’s recommendation was subsequently endorsed by the full Board. Further details of Sir Dave’s experience and the rationale for his appointment are included in the company’s announcement on 20 December 2021, which is available on gsk.com.

Sir Dave is now progressing the search for high calibre non-executive directors to build the Haléon Board. To ensure continuity, it is expected that two Non-Executive members of the GSK Board will transfer to the Haléon Board on completion of the demerger. The company’s CH joint venture partner (Pfizer) has the right to appoint up to two Non-Executive Directors. The new Haléon Board will be announced publicly later in the year as part of demerger arrangements.

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Ways of working

The Committee seeks to follow best practice in all the appointments it recommends, agreeing the criteria for each role, the most appropriate interview panel, before then considering a comprehensive and diverse long list of candidates. Shortlisted candidates are interviewed and assessed against the chosen criteria. Due diligence is then undertaken before the Committee makes its final recommendation. Executive search firms are appointed in accordance with the company’s procurement policy based on their expertise relative to each role. The Committee has agreed that only search firms who were signatories to the Voluntary Code of Conduct of Executive Search Firms on gender diversity and best practice would be engaged.

The Committee worked with a number of executive search firms in 2021 who provided additional consultancy services to the company as outlined below:

– Korn Ferry: general recruitment, executive search and assessment services, coaching and other HR-related services
– Egon Zehnder: executive search, assessment and coaching services to specific senior executives
– Heidrick & Struggles: executive search services
– Spencer Stuart: executive search and assessment services

The Committee reviewed the potential for conflicts of interest and judged that there were appropriate safeguards against such conflicts.

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Board Committee Chair and GLT membership changes

During the year and up to the date of this report, the Committee approved the following changes to the membership of our Board committees and GLT.

Director	Membership	Appointment date	Retirement date
Charles Bancroft	Chair of Audit & Risk Committee; Chair; Member of Nominations & Corporate Governance, and Science committees	9 March 2021	6 May 2021
			8 February 2022 (stepped down from Science Committee after Dr Hal Dietz joined the Committee)
Dr Anne Beal	Member of Corporate Responsibility and Audit & Risk committees	6 May 2021	23 July 2021
Dr Hal Dietz	Member of Science Committee	1 January 2022
Judy Lewent	Chair of Audit & Risk Committee; Chair; Member of Audit & Risk, Nominations & Corporate Governance, Remuneration, Science and Transformation & Separation committees	9 March 2021	5 May 2021
Lynn Elsenhans	Chair of Corporate Responsibility Committee; Member of Audit & Risk, Corporate Responsibility and Nominations & Corporate Governance committees	4 May 2022	After CH Demerger
Dr Anne Beal	Chair of Corporate Responsibility Committee	4 May 2022
Shobie Ramakrishnan	Chief Digital and Technology Officer and member of GLT	16 December 2021

Board composition, tenure and diversity

The Board seeks to balance its composition and tenure and that of its Committees, and to refresh them over time. This enables the Board to benefit from the experience of longer-serving Directors and the fresh perspectives and insights from newer appointees. Our Non-Executive Directors are drawn from a wide range of industries and backgrounds, including the pharmaceuticals industry and R&D, vaccines, consumer products and healthcare, medical research and academia, insurance and financial services. Collectively they have a wealth of experience of complex organisations with global reach. Many of our Board members also have experience of longer-cycle industries, which is of great assistance in understanding our sector.

We are committed to the diversity of our Boardroom, just as GSK is committed to equal opportunities for all employees at all levels of our organisation. The Board and management seek to encourage a diverse and inclusive culture throughout the company. An effective Board needs a range and balance of skills, experience, knowledge, ethnicity, gender, social-economic backgrounds and independence, with individuals who are prepared to challenge each other and work collaboratively. This mix needs to be complemented by a diversity of personal attributes, including character, intellect, judgement, honesty and courage.

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Board and GLT diversity targets

The Committee is responsible for developing measurable objectives and monitoring progress towards their achievement to assist the implementation of the Board’s diversity policy, including gender and ethnic diversity. Our progress against these targets is set out below. For consistency, the diversity metrics as at 1 January 2022 are shown in line with our gender diversity submission to the FTSE Women Leaders Review (the Review).

Progress achieved	Diversity objectives	Status
At least 33% of Board positions held by women	Exceed objective	38.4%
At least 33% of GLT positions held by women	Met objective	35.7%
At least 33% of combined GLT and direct report positions held by women	Exceed objective	42.5%
At least one Board Director is ethnically diverse	Exceed objective	Two Directors

The Committee is particularly intent on increasing gender and, especially, ethnically diverse representation on the Board and GLT, and further developing the pipeline of direct reports to the GLT from ethnically diverse backgrounds.# Nominations & Corporate Governance Committee report

The Committee is supportive of the new gender diversity targets in the Review published in late February 2022, including 40% women on boards by 2025. It has been pleased that for many years the Board’s gender representation target has been comfortably exceeded and normally over 40% of Board positions have been held by women. We are in a transitional period as the company separates and the CH business is demerged. The Committee is working to transition to the target Board profile for the new biopharma company. As a result, the composition and diversity of the Board during this transition will inevitably be subject to fluctuation. I look forward to confirming completion of this work in next year’s report and reporting our progress against the Review’s increased gender diversity targets. The representation of women and ethnically diverse leaders is covered on page 37, as part of the diversity of GSK’s global workforce. Progress against our inclusion and diversity commitments, including gender and ethnicity, is illustrated in our ESG Performance Report on gsk.com.

Sir Jonathan Symonds
Nominations & Corporate Governance Committee Chair
28 February 2022

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Transformation & Separation Committee report

Jonathan Symonds
Transformation & Separation Committee

I am pleased to present my second and final report as Chair of the Transformation & Separation Committee (the Committee) given that it has now fulfilled its purpose and mandate. The Committee was established in May 2020 charged with two principal functions:
– Exercising oversight of the Future Ready transformation programme, particularly delivery of the targeted cost savings and separation of the company’s infrastructure prior to the delivery team moving from project design into implementation and
– Considering the optimal form of separation. This also included the implications of separation and the most appropriate listing location for Haleon

The Committee was pleased that the Future Ready transformation programme was completed to schedule by the end of 2021 and exceeded the cost savings identified to be derived from this programme. During 2021, the Committee undertook a programme of work to understand and consider the key fundamentals of separation. This was not just the technical requirements. It considered how to best unlock, release and maximise long-term shareholder value. This work was supported by guidance and advice from external experts as appropriate. The Committee began by considering how we should separate and the principal value to be achieved from each option available. Discussions then progressed to the capital structures required for the resulting two companies to be competitive as independent entities. Following a decision to demerge the CH business it was important to determine how to distribute shares in Haleon to our shareholders, and on which exchanges Haleon should list and why. The Committee also considered whether to retain a stake in Haleon and how big a stake to retain. This was a very intensive and detailed programme of work as the Committee addressed these major questions and the impact for all our stakeholders. It then reported to the Board accordingly on its conclusions and recommendations. This process is now well into the execution phase. Oversight of the remaining work more appropriately rests with the other specialist Board committees and has been devolved to them as appropriate, or will be reviewed and overseen directly by the Board. Having fulfilled its mandate, it was agreed that the Committee be decommissioned. I would like to thank Board colleagues for their commitment and diligence in supporting the Committee’s work in this respect.

Sir Jonathan Symonds
Transformation & Separation Committee Chair
28 February 2022

Audit & Risk Committee report

Charles Bancroft
Audit & Risk Committee

I am pleased to present this report, which is my first as Chair of the Audit & Risk Committee (the Committee). I joined the Committee back in May 2020. I succeeded Judy Lewent as Chair in March 2021 after a comprehensive transition. I have been drawing on my business background, including the ten years I served as CFO of the major pharmaceutical company, Bristol Myers Squibb. In doing so, I have always viewed people, processes, systems and importantly, culture as the critical foundation for successfully managing financial reporting, audit and compliance risks. In my time serving on this Committee and through my observations more generally as a Board member, I am confident that GSK controls score highly in all these areas. I would therefore like to share my initial impressions of these key aspects.

Our culture and people

GSK has a strong compliance culture with a consistent tone and engagement from the top. This is regularly considered and emphasised in Committee discussions, and we have a zero-tolerance approach to any unethical behaviour. Our risk management and internal control framework is mature and well embedded in the organisation as demonstrated on pages 46 and 112 of the Annual Report. This enables the Committee to evaluate and oversee how GSK manages principal and emerging risks. The Committee also routinely exercises oversight of improvements to our compliance culture. Everything we do at GSK is underpinned by having great people with the right skill sets. Indeed, our corporate governance framework requires good people to make quality decisions and do the right thing. As Committee Chair, I have unfettered access to the senior leadership and key members of their teams. Regularly throughout the year, I met individually with key Committee attendees from management, including the CFO, General Counsel, Chief Compliance Officer, Head of Audit & Assurance, the Group Financial Controller, the Company Secretary, and external auditor. Additionally, the Committee members have an opportunity to speak at the end of each meeting with the external auditor without management being present. Crucially, we also have the ability to speak with key members of management in private sessions or alone as required.

Our processes and systems

These are fundamental for appropriate financial reporting, controls and managing risks. We are well positioned in this respect, as the company’s main accounting and reporting systems are centralised into two global instances of SAP. We also have a well-established One Finance model with centralised transactional and controller activities embedded in GSK’s four regional hubs. This frees up our in-market finance people to focus on the core business operations and decision making. The Committee continues to exercise regular oversight and monitoring activities over these critical financial systems. The integrity of our financial statements, including the Annual Report and quarterly results announcements, is an enduring key focus of the Committee. Since joining the Board and Committee, I have been impressed with the clarity and rigour around these processes. The Committee’s position has always been to aim for clear and transparent financial disclosure in all of GSK's financial reporting. As the previous Committee Chair highlighted in her report last year, we have continued to ensure that the company’s financial reporting and controls framework remains robust and did not require any fundamental changes. This has been important despite the ongoing impact of COVID-19 on the company’s ways of working. In addition, the external auditor regularly tests our financial systems and controls and challenges management, and reports their results to the Committee. This includes any areas of deficiencies that the external auditor has identified and progress in remediation of issues, all of which are discussed and evaluated.

Key activities in 2021

Key decisions: As usual, it has been a busy year for the Committee. Not only working through its regular programme of activities, but making important decisions in support of the Board’s progression of its key priorities. These have included reviewing, in support of the Board:
– further incremental changes to the company’s commercial model in China
– the company’s new growth ambitions before they were shared at the Investor Update in June 2021 and
– the move to a progressive dividend policy from 2022

The matters considered and their outcomes are reported on pages 96 and 97.

Preparation for the demerger
The Committee is also a key CH governance delivery work stream. We are now increasingly reviewing the technical aspects of delivery of the demerger. The Committee is specifically accountable for reviewing and recommending to the Board approval of key transaction documents and related matters. The Board is ultimately responsible for the decision to demerge, both in respect of the timing and final terms of the demerger.It will make the recommendation of the transaction to shareholders through the publication of the GSK Shareholder Circular. The Committee’s role is to scrutinise these documents prior to the Board’s review. This process for both the Committee and the Board will continue to intensify in the first half of this year as the formal point of separation approaches. The Committee has been assisting the CH management in establishing a robust internal control and risk management framework ready for separation. The overarching principle has been to replicate GSK’s current internal governance controls and finance systems and, where necessary, adapt the existing framework and processes. The Committee is pleased that the CH business is currently well advanced in setting up the governance, processes and organisations to be managing all processes in a ‘business as usual’ environment in Q2 2022.

Internal control framework

Our Board recognises its obligation to present a fair, balanced and understandable assessment of GSK’s current position and prospects. Reflecting this responsibility, it is accountable for evaluating and approving the effectiveness of GSK’s internal controls, including financial, operational and compliance controls, and risk management processes. We ensure the reliability of our financial reporting, and compliance with laws and regulations, through our internal control framework. This is a comprehensive enterprise-wide risk management model which supports the Board’s continuous identification, evaluation and management of the Group’s principal risks, as required by the FRC’s Code. The framework is designed to manage the risk of us not achieving our business objectives. A fit-for-purpose framework – complemented by our corporate values, culture, expectations and Speak Up processes – ensures that the risks associated with our business activities are actively and effectively controlled in line with our agreed risk appetite. We believe GSK’s framework provides reasonable, but not absolute, assurance against material misstatement or loss.

The Board mandates the Group’s Risk Oversight & Compliance Council (ROCC) of senior leaders to assist the Committee in overseeing risk management and internal control activities. It also provides the business with a framework for risk management and upward escalation of significant risks.

Risk Management and Compliance Boards (RMCBs) across the Group promote the ‘tone from the top’ and establish our risk culture, as well as ensuring effective oversight of internal controls and risk management processes. Each principal risk has an assigned risk owner, drawn from senior management, who is accountable for managing his/her principal risk with oversight by a GLT Member, including setting and implementing risk mitigation plans. Risk owners report quarterly on their respective risk management approach and progress at the ROCC and the appropriate Board Committee.

Our Compliance function assists the ROCC and RMCBs. Compliance is responsible for advancing enterprise-wide risk management and for developing risk-based and ethically sound working practices. It also actively promotes ethical behaviours by enabling all employees to operate in line with our values and comply with applicable laws and regulations.

Our Audit & Assurance (A&A) function provides independent assurance to senior management and the Board on the effectiveness of risk management Group-wide, in line with an agreed assurance plan. This helps senior management and the Board to meet their oversight and advisory responsibilities in fulfilling GSK’s strategic objectives and building trust with patients and other stakeholders. A&A has a dual reporting line to our CFO and the Committee.

The Committee receives regular reports from business units, principal risk owners, Compliance and A&A on areas of significant risk to the Group and on related internal controls. These reports assess the internal control environment within each principal risk area, including enhancements to strengthen controls. Following consideration of these reports, the Committee reports annually to the Board on the effectiveness of GSK’s internal controls.

In 2021, through the authority delegated to the Committee, the Board conducted a robust assessment of the Group’s principal risks. This assessment, which was in line with the FRC’s 2018 Code, included consideration of the nature and extent of risk the Board is willing to take in achieving GSK’s strategic objectives. The Board, via the Committee, also oversaw the effectiveness of our internal control environment and risk management processes across the Group for the whole year, up to the approval date of this Annual Report.

A review of the Group’s risk management approach is further discussed in the ‘Risk management’ section of the strategic report on pages 46 to 54. Our management of each principal risk is explained in ‘Principal risks and uncertainties’ on pages 275 to 287. The Group’s viability is discussed in the Group risk management section of the strategic report on page 53.

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Signiﬁcant issues relating to the ﬁnancial statements

In considering GSK’s quarterly financial results announcements and the financial results in the 2021 Annual Report, the Committee reviewed the significant issues and management judgements in determining those results. It reviewed management papers setting out the key areas of risk, actions taken to quantify the effects of the relevant issues, and judgements made by management on the appropriate accounting required to address those issues in the financial statements. The significant issues considered in relation to the financial statements for the year ended 31 December 2021 are set out in the following table, with a summary of the financial outcomes where appropriate. The Committee and the external auditor have discussed the significant issues addressed by the Committee during the year and the areas of particular audit focus, as described in the Independent Auditor’s Report on pages 156 to 167.

Signiﬁcant issues considered by the Committee in relation to the ﬁnancial statements	How the issue was addressed by the Committee
Going concern basis for the preparation of the ﬁnancial statements	The Committee considered the outcome of management’s half-yearly and year end reviews of current and forecast net debt positions and the various financing facilities and options available to the Group. The Committee also considered management’s review of the current and longer-term impacts of the C O VID-19 pandemic, at the outbreak of the pandemic and at the year end. Following consideration of these assessments, which included stress testing and viability scenarios, sources of liquidity and funding, forecasts and estimates, the Committee conﬁrmed that the application of the going concern basis for the preparation of the ﬁnancial statements continued to be appropriate.
Revenue recognition, including r eturns and rebates (RAR) accruals	The Committee reviewed management’s approach to the timing of recognition of revenue and accruals for customer returns and rebates. The US Pharmaceuticals and V accines accrual for returns and rebates was £5.0 billion at 31 December 2021 and the Committee reviewed the basis on which the accrual had been made and concurred with management’s judgements on the amounts involved. A fuller description of the process operated in the US Pharmaceuticals and V accines business in determining the level of accrual necessary is set out in ‘Critical accounting policies’ on page 80.
Provisions for legal matters, including investigations into the Group’s commercial practices	The Committee received detailed reports on actual and potential litigation from both internal and external legal counsel, together with a number of detailed updates on investigations into the Group’s commercial practices. Management outlined the levels of provision and corresponding disclosure considered necessary in respect of potential adverse litigation outcomes and also those areas where it was not yet possible to determine if a provision was necessary, or its amount. At 31 December 2021, the provision for legal matters was £0.2 billion, as set out in Note 31 to the ﬁnancial statements, ‘Other provisions’.
Provisions for uncertain tax p ositions	The Committee considered current tax disputes and areas of potential risk and concurred with management’s judgement on the levels of tax contingencies required. At 31 December 2021, a tax payable liability of £0.7 billion, including provisions for uncertain tax positions, was recognised on the Group’s balance sheet.
Impairments of intangible assets	The Committee reviewed management’s process for reviewing and testing goodwill and other intangible assets for potential impairment. The Committee accepted management’s judgements on the intangible assets that required writing down and the resulting impairment of £455 million in 2021. See Note 20 to the ﬁnancial statements, ‘Other int angible assets’ for more details.

Valuation of contingent consideration in relation to ViiV Healthcare

The Committee considered management’s judgement that it was necessary to increase the liability to pay contingent consideration as a result of increases in sales forecasts as well as the unwind of the discount and updated exchange rate assumptions. After cash payments of approximately £0.8 billion in the year, at 31 December 2021, the Group’s Balance sheet included a contingent consideration liability of £5.6 billion in relation to ViiV Healthcare. The settlement with Gilead resulted in a re-measurement of the existing liabilities for the contingent consideration at the year end and is included in the closing balance.

ViiV Healthcare put option

The Committee reviewed and agreed the accounting for the Pfizer put option and concurred with management’s judgement on the valuation of the put option of £1.0 billion at 31 December 2021. The settlement with Gilead resulted in a re-measurement of the Pfizer put option at the year end and is included in the closing balance.

114 GSK Annual Report 2021

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Auditor's reappointment

External auditor

External auditor appointment	Last tender May – December 2016	Transition year 2017	First shareholder approval of current auditor May 2018	First audited Annual Report and 20-F Year ending 31 December 2018	Next audit tender required by regulations 2026

There were no contractual or similar obligations restricting the Group’s choice of external auditor. The Committee considers that during 2020 the company complied with the mandatory audit processes and audit committee responsibility provisions of the Competition and Markets Authority Statutory Audit Services Order 2014.

Effectiveness and quality of external audit process

The Committee is committed to ensuring that GSK receives a high-quality and effective external audit. In evaluating Deloitte’s performance during 2020, prior to making a recommendation on its reappointment in early 2021, the Committee reviewed the effectiveness of its performance against the criteria which it agreed with management at the beginning of 2020. The detailed criteria used for judging the effectiveness of Deloitte as external auditor (which are based on audit approach and strategy, high-quality independent audit, effective partnership and value for money) and its overriding responsibility to deliver a smooth, thorough and efficiently-executed audit for 2021 are available on gsk.com.

In undertaking its review, the Committee considered:
* the overall quality of the audit
* the independence of Deloitte
* whether Deloitte exhibited an appropriate level of challenge and scepticism in its work

Deloitte’s length of tenure was not taken into account when assessing its independence and objectivity, as it was only recently appointed as GSK’s auditor. However, the Committee did consider how effectively it had assumed its role as auditor. The Committee also considered feedback on the 2021 external audit, through a survey of Committee members and the financial management team at corporate and business unit level. The survey covered the:
* effectiveness of the auditor’s challenge
* integrity of Deloitte
* transparency of its reporting to management and the Committee
* clarity of the auditor’s communication and ways of working
* alignment of the 2021 audit to the Group’s investment in Systems, Applications and Products (SAP)
* quality of the audit team’s leadership
* skills and experience of the audit team

The Committee Chair regularly meets independently with the audit partners. The Committee also meets the auditor at the end of each meeting to discuss progress, as appropriate.

Having reviewed the above feedback, and noted any areas of improvement to be implemented by the audit team for 2022, the Committee was satisfied with the:
* effectiveness of the auditor and the external audit process and
* auditor’s independence, qualifications, objectivity, expertise and resources

The Committee therefore agreed to recommend the reappointment of Deloitte to the Board at the forthcoming AGM. In making its recommendation, the Committee was free from the influence of any third party.

Non-audit services

Our management operates on the presumption that other accountancy firms will provide non-audit services to GSK. However, where the external auditor’s skills and experience make it the only suitable supplier of non-audit support – such as for audit-related matters, tax, and other services – it may be used, in the best interests of the company.

In line with GSK’s non-audit services policy, the Committee must ensure that auditor objectivity and independence is safeguarded by reviewing and pre-approving the external auditor’s provision of such services. The company policy complies with the FRC’s 2019 Revised Ethical Standard and the Sarbanes-Oxley Act of 2002. It observes the following core policy features on engaging the external auditor for non-audit services:

GSK non-audit services policy, key features:
* Process: All non-audit services over £50,000 are put to competitive tender with other financial services providers, in line with the Group’s procurement process, unless the skills and experience of the external auditor make it the only suitable supplier.
* Safeguards: Adequate safeguards are established so that the objectivity and independence of the Group audit are not threatened or compromised.
* Fee cap: The total fee payable for non-audit services should not exceed 50% of the annual audit fee, except in special circumstances where there would be a clear advantage in the auditor undertaking the additional work.
* Prohibitions: GSK’s policy includes a ‘whitelist’ of permitted non-audit services in line with the relevant regulations. Any service not on this list is prohibited.
* Pre-approval: All non-audit services require pre-approval as set out in the table below to ensure services approved are consistent with GSK’s non-audit policy for permissible services. This process ensures all services fall within the scope of services permitted and pre-approved by the Committee and does not represent a delegation of authority for pre-approval.

Value	Pre-approval
More than £50,000	Committee Chair and CFO
Between £25,000 and £50,000	Group Financial Controller
Under £25,000	Designate of the Group Financial Controller

The fees paid to the company's auditor and its associates are set out overleaf. Further details are given in Note 8 to the financial statements, ‘Operating profit’ on page 184.

GSK Annual Report 2021 115

Strategic report

Governance and remuneration

Financial statements

Investor information

Our Board committee reports continued

During the year, fees for audit related and other assurance services of £4.0 million have increased by £2.4 million compared to 2020. This increase is due to work associated with Deloitte’s reporting accountant role in preparing for the demerger of the Consumer Healthcare business. Including audit fees in respect of the GSK pension schemes of £0.2 million, fees for audit related and other assurance services represent 15.2% of the annual audit service fee (2020: 6.3%). Excluding the demerger work, fees for audit related and other assurance services would have represented 2.2% of the annual audit fee.

The Committee considered that hiring Deloitte to undertake the reporting accountant role for the demerger was in the best interests of shareholders because:
* Deloitte possessed the type of expertise, experience, size and international scope required to handle a major demerger of this scale and complexity
* the company benefited specifically from Deloitte’s in-depth knowledge and understanding of our CH business and their processes and compliance environment and
* management time, that would otherwise have been devoted to educating another firm on the company’s business and operations, could instead be spent on delivering the demerger and creation of Haleon.

The Committee considered the level of non-audit services incurred as part of its annual review of Deloitte’s independence set out on page 114 and was satisfied that the auditor continued to be independent and exercise objectivity throughout 2021.

Audit and other services comparison (£m)

Service	2019	2020	2021
Audit and assurance services	26.2	28.3	29.1
Other services, including tax, regulatory, compliance and treasury-related services	1.5	1.8	1.4
Services relating to the Consumer Healthcare demerger preparation			4.2
Total	27.7	30.1	34.7

Note 8 to the Financial statements provides further details of fees payable to the company's auditor.

Fair, balanced and understandable assessment

The need for an annual report to be fair, balanced and understandable is one of the key compliance requirements for a company’s financial statements. To ensure that GSK’s Annual Report meets this requirement, we have a well-established and documented process governing the coordination and review of Group-wide contributions to the publication. This runs in parallel with the process followed by the external auditor. The Committee received a summary of management’s approach to GSK’s 2021 Annual Report to ensure it met the requirements of the FRC’s Code.# Section 172 Statement

Company directors are required by law to promote the success of their organisation for the benefit of both shareholders and their wider stakeholders, including employees, suppliers and the community. This statement aligns to such requirements, as set out in Section 172 and Section 414CZA of the Companies Act 2006 (the Act). It indicates how, during the year, our Directors addressed the matters set out in Section 172(1) (a) to (f) of the Act when performing their duties. To avoid duplication, it incorporates information from other areas of the Annual Report. The Board considers that the statement focuses on those risks and opportunities that are strategically important to GSK, and consistent with the Group’s size and complexity. This allows it to build trust and fully understand the potential impacts of the decisions it makes on all our stakeholders. Our engagement with GSK’s main stakeholder groups, including our patients, shareholders, consumers, customers and employees at all levels and across the organisation, are summarised on pages 44 and 45 of our strategic report. The company’s governance architecture and processes are summarised on pages 94 to 103 of our Corporate Governance report. This summary explores how the Board considers all relevant matters in making its principal decisions to contribute to the delivery of GSK’s long-term priorities of Innovation, Performance and Trust. More information on the issues, factors and stakeholders that the Board considers relevant to complying with Section 172(1) (a) to (f) of the Act can be found in the locations outlined below.

The Board has had regard to the following matters:

(a) Long-term results
The likely consequences of any decision in the long-term

Strategic report: Our business model (page 1), Chair’s statement (page 3), CEO’s statement (page 5), Key performance indicators (page 12), Risk management (page 46), Viability statement (page 53)
Corporate Governance report: Chair's governance statement (page 89), Board activity (page 95), Board progress in 2021 (page 96), The Board’s approach to continuous engagement (page 99), Board-led purpose and culture (page 102)
Audit & Risk Committee report: (page 111)

(b) Our workforce
The interests of the Group’s employees

Strategic report: Our business model (page 1), Our culture (page 11), Being a modern employer (page 37), Stakeholder engagement (page 44)
Corporate Governance report: Board activity (page 95), Board progress in 2021 (page 96), The Board’s approach to continuous engagement (page 99), Board-led purpose and culture (page 102)
Audit & Risk Committee report: (page 111)
Nominations & Corporate Governance Committee report: (page 107)
Remuneration report: Remuneration Committee Chair’s statement (page 120), Directors’ pay in a wider setting (page 132)
gsk.com: Gender pay gap report

(c) Our business relationships
The importance of developing the Group’s business relationships with suppliers, customers and others

Strategic report: Our business model (page 1), Our external environment (page 13), Stakeholder engagement (page 44), Innovation (page 17), Performance (page 29), Reliable supply (page 38), Working with third parties (page 38), Risk management (page 46)
Corporate Governance report: Board activity (page 95), Board progress in 2021 (page 96), The Board’s approach to continuous engagement (page 99)
Audit & Risk Committee report: (page 111)
Corporate Responsibility Committee report: (page 104)

(d) The community and our environment
The impact of the Group’s operations on the community and our environment

Strategic report: Trust section including: Environment (page 39), Environment, Health and Safety, and Environmental Sustainability risks (page 48), Climate-related financial disclosure (page 49)
Corporate Governance report: Corporate Responsibility Committee report (page 104)
gsk.com: ESG Performance Report

(e) Our reputation
Our desire to maintain our reputation for high standards of business conduct

Strategic report: Our culture (page 11), Trust (page 34), Ethics and values (page 38), Human rights (page 38), Reporting and investigating concerns (page 38), Anti-bribery and corruption risk (pages 47 and 279), Non-financial information statement (page 54), Our approach to tax (page 60)
Corporate Governance report: Corporate Responsibility Committee report (page 104)
gsk.com: Modern slavery statement

(f) Fairness between our shareholders
Our aim to act fairly as between members of the Group

Corporate Governance report: Chair's governance statement (page 89), The Board’s approach to continuous engagement (page 99)
Transformation & Separation Committee report: (page 110)
Investor information: (page 257)

GSK Annual Report 2021

Strategic report

Governance and remuneration

Financial statements

Investor information

Our Directors’ powers are determined by UK legislation and our Articles of Association, which contain rules about the appointment and replacement of Directors. They provide that Directors may be appointed by an ordinary resolution of the members or by a resolution of the Board, provided that, if appointed by the Board, the Director retires at the next Annual General Meeting following their appointment. Our Articles also provide that all Directors are required to seek re-election annually at the Annual General Meeting in accordance with the FRC's Code. A Director will cease to be a Director if he or she:

becomes bankrupt
ceases to be a Director by virtue of the Companies Act or the Articles
suffers mental or physical ill health and the Board resolves that he or she shall cease to be a Director
has missed Directors’ meetings for a continuous period of six months without permission and the Board resolves that he or she shall cease to be a Director
is prohibited from being a Director by law
resigns, or offers to resign and the Board accepts that offer
is required to resign by the Board

Directors’ conflicts of interest

All Directors have a duty under the Companies Act 2006 to avoid a situation in which they have, or could have, a direct or indirect conflict of interest or possible conflict with the company. Our Articles provide a general power for the Board to authorise such conflicts. The Board reviews any new potential or actual conflict, which is recorded by the Company Secretary. Directors are not counted in the quorum for the authorisation of their own actual or potential conflicts. The Nominations & Corporate Governance Committee reviews the Register of Conflicts on an annual basis which the Board subsequently approves. On a continuing basis, the Directors are responsible for informing the Company Secretary of any such new actual or potential conflicts that may arise or if there are any changes in circumstances that may affect an authorisation previously given. Even when provided with authorisation, a Director is not absolved from his or her statutory duty to promote the success of the company. If an actual conflict arises post-authorisation, the Board may choose to exclude the Director from receipt of the relevant information and participation in the debate, or suspend the Director from the Board, or, as a last resort, require the Director to resign.

The Nominations & Corporate Governance Committee reviewed the register of potential conflict authorisations (the Register of Conflicts) in January 2022. The Committee reported to the Board that the conflicts had been appropriately authorised and that the process for authorisation continued to operate effectively. The Committee then recommended the approval of the Register of Conflicts to the Board which it subsequently approved.

Except as described in Note 39 to the financial statements, ‘Related party transactions’, during or at the end of the financial year no Director or Person Closely Associated had any material interest in any contract of significance with a Group company. Our Articles prohibit a Director from voting on any resolution concerning his or her appointment or the terms or termination of his or her appointment.

Independent advice

The company has an agreed procedure for Directors to take independent legal and/or financial advice at the company’s expense where they deem it necessary.

Indemnification of Directors

Qualifying third party indemnity provisions (as defined in the Companies Act 2006) are in force for the benefit of Directors and former Directors who held office during 2021 and up to the approval and signature of the Annual Report.

Change of control and essential contracts

We do not have contracts or other arrangements which individually are fundamental to the ability of the business to operate effectively.# Directors' report

Neither is the company party to any material agreements that would take effect, be altered, or terminate upon a change of control following a takeover bid. We do not have agreements with any Director that would provide compensation for loss of office or employment resulting from a takeover, except that provisions of the company’s share plans may cause options and awards granted under such plans to vest on a takeover. Details of the termination provisions in the Executive Directors’ service contracts are given in the full version of the company’s 2020 Remuneration policy which is available at www.gsk.com in the Investors section.

Directors’ report

Content of the Directors’ report

For the purposes of the UK Companies Act 2006, the Directors’ report of GlaxoSmithKline plc for the year ended 31 December 2021 comprises:

Directors’ report	Section	Pages
Corporate governance report		82 to 118
Employee engagement		100
Directors’ statements of responsibilities		154 to 155
Investor information		257 to 310

The strategic report sets out those matters required to be disclosed in the Directors’ report which are considered to be of strategic importance:

Strategic report	Section	Pages
Risk management objectives and policies		46 to 54 and 275 to 287
Likely future developments of the company		1 to 81
Research and development activities		17 to 28
Business relationships		38
Diversity		37
Provision of information to and consultations with employees		11 and 37
Carbon emissions		39
Section 172 statement		44 to 45 and 116

Directors’ Report continued

The following information is also incorporated into the Directors’ report:

	Location in Annual Report
Interest capitalised	Financial statements, Notes 17 and 20
Publication of unaudited financial information	Group financial review, page 55
Details of any long-term incentive schemes	Remuneration report
Waiver of emoluments by a Director	Not applicable
Waiver of future emoluments by a Director	Not applicable
Non pre-emptive issues of equity for cash	Not applicable
Non pre-emptive issues of equity for cash by any unlisted major subsidiary undertaking	Not applicable
Parent company participation in a placing by a listed subsidiary	Not applicable
Provision of services by a controlling shareholder	Not applicable
Shareholder waiver of dividends	Financial statements, Notes 16 and 44
Shareholder waiver of future dividends	Financial statements, Notes 16 and 44
Agreements with controlling shareholders	Not applicable

The Directors’ report:

has been drawn up and presented in accordance with and in reliance upon English company law and the liabilities of the Directors in connection with that Report shall be subject to the limitations and restrictions provided by such law.
was approved by the Board of Directors on 28 February 2022 and signed on its behalf by:

Sir Jonathan Symonds
Chair
28 February 2022

GSK Annual Report 2021 119

Strategic report Governance and remuneration Financial statements Investor information

120 GSK Annual Report 2021

Remuneration report

Committee Chair’s annual statement

Dear Shareholder,

On behalf of the Remuneration Committee (the Committee), I am pleased to present our Remuneration report for 2021. This includes my annual statement explaining the Committee’s work this year, our annual report on remuneration for 2021, our updated 2022 Remuneration policy report explaining the change proposed to align our compensation arrangements for new GSK, and details of how we propose to operate the policy this year.

Review of 2021 IPT outcomes

I would like to set the decisions taken by the Committee over the course of 2021 in context against our overall performance.

Innovation: In terms of innovation, we made significant progress in 2021 in further strengthening our R&D biopharma pipeline. It comprises 64 Vaccines and Speciality Medicines, with exciting new developments in HIV and COVID-19 solutions.

Performance: Overall, 2021 was a year of strong sales performance and strategic progress for GSK. We saw Group sales growth of 5% CER driven by growth across Pharmaceuticals, Vaccines and Consumer Healthcare (excluding brands divested/under review). Total earnings declined by 9% CER reflecting the profit on disposal of the Horlicks business in 2020. However, we achieved Adjusted EPS growth (including COVID-19 solutions) of 9% (CER) ahead of updated guidance. The pipeline for 2022 remains robust, with continued progress in pharma and vaccines.

Trust: The company continues to build its ESG leadership position and during the year was ranked first again in the Access to Medicines Index for the eighth time in a row. GSK was also first in the pharmaceutical industry group of the Dow Jones Sustainability Index, received gold recognition in S&P’s Sustainability Yearbook and an A- in CDP Climate Change.

2021 remuneration outcomes

This performance delivery resulted in higher total remuneration in respect of 2021 for Emma Walmsley our CEO, Dr Hal Barron our CSO, and Iain Mackay our CFO than in 2020. This was due to an increase in variable performance related pay from the annual bonus through achievement of the adjusted Group PBIT financial measure. In addition, the CFO’s remuneration increase also reflected the vesting of his first PSP awards since joining the company in 2019.

The key decisions made by the Committee were as follows:

Bonus – The outcomes for the CEO, CFO and CSO were each determined by reference to performance against the agreed financial measure of adjusted Group PBIT, and the Committee’s assessment of their individual performance. Financial performance resulted in a bonus payment at 104% of the financial target. The Committee’s assessment of each Executive’s performance against the personal objectives set for them at the start of the year is set out on page 129. The Committee believes the bonus outcomes appropriately reflect the overall underlying performance achieved in 2021. Full details are provided on page 128.
Vesting of LTI awards – Only 58% of the 2019 Performance Share Plan (PSP) award vested. The pre-agreed measures for this award were: R&D new product performance; adjusted free cash flow; and relative TSR, each of which was equally weighted. Performance was measured over the three years to 31 December 2021. 74% of the R&D new product measure vested. This reflected delivery in strengthening the pipeline and the successful commercialisation of newly launched products. The continued strong focus on cash management and generation resulted in full delivery of the adjusted free cash flow measure. Disappointingly, the company’s relative TSR performance over the last three years has again resulted in this part of the award lapsing in full. The vested shares will be deferred for two years. See page 130.
Base salary – Following a review of Executive Directors’ performance, the Committee agreed that they should receive an annual increase of 2% for 2021 in line with increases provided to the wider workforce in the UK and US. The Committee also agreed to award Dr Barron an increase of 8% from 1 August 2021 to reflect the creation of One R&D. This new organisation brought together the scientists and governance across Pharmaceuticals and Vaccines to ensure that together they can focus on and invest in what matters across the Group as a whole. (See page 126 for further details).

The 2021 bonus and all awards in relation to 2021 were made in accordance with our Remuneration policy and in determining the outcomes, the Committee carefully considered each Executive Director’s performance but did not deem it necessary to exercise discretion or address any anomaly in the performance outcomes. This review included an assessment of performance against all the relevant measures and in the wider context, especially the company’s Culture and Trust priority.

GSK did not access any COVID-19 Government support or job retention schemes during 2021 or 2020. The dividend policy was maintained during the year and the company delivered its upgraded financial guidance for the year.

GSK’s remuneration policy

I would like to set out why the Committee is seeking to update our Remuneration policy at this time. The past four years have seen a period of significant transformation for GSK, the results of which are becoming evident as we seek to fundamentally address long standing issues and prolonged Total Shareholder Return under-performance. The Committee agreed it was therefore essential to review our Remuneration policy ahead of the usual three-year cycle to define the biopharma business’ new approach to remuneration.# GSK Annual Report 2021

Strategic report

Governance and remuneration

The policy review has sought to ensure our remuneration arrangements only reward the delivery of our bold new performance ambitions. The key focus of the Investor Update (IU) ambitions over the next five years is to deliver sales growth of more than 5% CAGR and adjusted operating profit growth of more than 10% CAGR from 2021. These ambitions exclude contributions from early stage assets, future business development and COVID-19 solutions. We have significantly changed our performance payout curves to this end to focus expectations to over delivery. Going forward, achievement of these ambitions should deliver top quartile performance for our sector.

Following a comprehensive review, the Committee concluded that the main policy framework remained fit for purpose. Given that driving long term performance through consistent year on year short term improvement was the main aim, changing the Annual Bonus plan to support and deliver this was determined to be the key imperative. After careful consideration the Committee concluded that the changes required to the operation of the Annual Bonus were to:

– raise the target performance level to align to delivery at or above the IU ambitions;
– reduce the reward previously available for lower than “on target” performance;
– change the financial bonus measure from adjusted group EBIT to sales growth and adjusted operating profit growth in line with the key IU ambitions;
– strengthen and focus strategic and operational measures for the Executive Directors to a few stretch and personal objectives aligned to quantifiable IU ambitions, reflecting personal areas of accountability. These would also reinforce our culture and Trust priority; and
– given how fundamental ESG is to our DNA and success, it is important to recognise this through a specific performance condition to incentivise incremental year on year improvements against our public ambitions.

We have significantly reduced the pay opportunity for less than “on target” performance. The Committee therefore agreed it was important to incentivise and reward truly exceptional performance, on the occasions it is achieved, to reinforce the step change in performance culture.

As a result, one key policy change to the Annual Bonus is proposed. The current bonus maximum of up to 200% of salary, paid 50% in cash and 50% in shares deferred for three years, will be maintained. The change we are proposing is an additional opportunity for material outperformance of our IU ambitions of up to a further 100% of salary. This means that the maximum potential annual bonus opportunity will be 300% of salary. However, this additional element could only be achieved if our public ambitions for more than 5% sales growth and more than 10% adjusted operating profit growth were significantly exceeded bringing significant shareholder value.

To support increased alignment with shareholders, we are proposing that any bonus earned in excess of 200% of salary (ie the maximum under the current Remuneration policy) up to 300% of salary (the proposed maximum) would be delivered fully in shares deferred for three years. Half of any bonus earned up to 200% of salary will continue to be deferred into shares for three years. This means that in the event management’s performance was such that the IU ambitions were significantly exceeded and the increased maximum bonus was earned, only 100% of base salary would be delivered in cash with the balance being deferred into GSK shares for three years.

In developing the new remuneration policy, we engaged extensively with shareholders to gain their views and feedback for which the Committee is very grateful. As a result of this we made some adjustments to our approach to quantum and clarity of the performance measurement that feature in the final proposed policy. We are pleased that this process has allowed us to develop a remuneration structure that works for both the company and our shareholders as we enter a new phase for the business post demerger.

It is important to note that to achieve the new maximum, annual sales growth and adjusted operating profit growth would each be required to be at least 5 percentage points above their respective targets. It is acknowledged that such performance is not expected to be a frequent occurrence. However, if achieved the Committee believes it should be appropriately rewarded given the additional value that would be delivered to investors, patients and our people.

In the event the Annual Bonus financial measures are not achieved the Committee would consider the appropriateness of the other measures paying out.

In terms of competitiveness, for our CEO, Emma Walmsley, if the maximum opportunity was earned as a result of delivering the exceptional performance required to reach this, her overall compensation package would be in the bottom quartile versus our global pharmaceutical comparator group. This assumes peers in this group only achieve target bonus. This group includes companies listed in the UK and Europe.

Post demerger, as a FTSE 20 company, new GSK will pursue an ambitious growth strategy focused purely on biopharmaceuticals. It will compete for talent in the highly competitive global pharmaceutical and biopharmaceutical sector where remuneration levels can significantly exceed those seen in the UK. The proposed change to Annual Bonus has been designed to strike a pragmatic balance between shareholder expectations for a UK listed business and the commercial imperative and duty that the Committee has to ensure the company can secure and retain the best talent. The additional proposed Annual Bonus opportunity will only be awarded for exceptional outperformance which will underpin delivery of significant growth and shareholder value.

Our remuneration arrangements with the enhanced Annual Bonus opportunity still remain overwhelmingly weighted to delivery of long-term performance. The Committee is therefore confident that this change to the Annual Bonus is in the best long-term interests of the company and our shareholders.

Remuneration policy implementation for 2022

Annual Bonus and LTI performance measures

We are proposing to implement changes to our Annual Bonus and LTI measures going forward to align them with our IU ambitions and Trust priority. These metrics will give greater linkage between our long- and short-term measures. They also ensure we have a focus on both top line and bottom line growth which are critical to achieving our IU ambitions as well as ensuring we have a sharp focus on our strategic priorities including pipeline, culture and ESG.

For 2022, the:

Annual Bonus measures will be: annual Total Sales growth (30%); annual Adjusted Operating Profit growth (30%); strategic and operational (30%); ESG - Human Capital Management: Inclusion & Diversity (I&D) (10%).
LTI measures will be: Relative TSR (30%), Total Sales growth over 3 years (20%); Adjusted Operating Profit growth over 3 years (20%); Pipeline Progress (20%); and ESG: Environment Composite Scorecard (10%).

The Committee will agree a few key stretch strategic and operational objectives for each Executive Director. They will focus particularly on individual areas of accountability to underpin delivery of the fundamentals of our strategy in support our ultimate financial success. For example, the CEO and CSO will each have clear pipeline delivery objectives. Each executive’s objectives will also require demonstration of our Culture and Trust priority. The Committee will also ensure that the measures are quantifiable, suitably stretching and align to the delivery of our public ambitions. We will provide disclosure of performance against these objectives to reassure shareholders that they are stretching.

The Corporate Responsibility Committee supported the Committee in the key considerations for the design, development and adoption of an aligned approach to our key ESG commitments fundamental to how we operate. We are introducing a 10% ESG measure initially into both our short and long-term plans, to reward delivery of external ambitions for our Trust priority, specifically in respect of Human Capital Management: I&D and our Nature Net Positive and Climate Net Zero ambitions by 2030. We chose to focus on an element of Human Capital Management for our first annual bonus ESG measure to reinforce delivery of our public I&D targets. An Access to Medicines measure was considered, however, it was agreed that given our success in this area it would not be a suitably stretching target. Whereas I&D is an important business imperative and suitably stretching targets could be set to warrant additional reward.

Each of the targets set this year are for new GSK, they will not therefore require adjustment following the demerger.# Strategic report

Governance and remuneration

The Board and the Committee believe that the proposals represent the right approach to appropriately focus and reward executives to deliver our public ambitions and secure strong performance for all our stakeholders.

Salary

The Committee agreed following a review of performance of Executive Directors that they should receive a 3.0% salary increase for 2022 aligned with that provided to the wider workforce in each of their respective geographies. Following the company’s announcement on 19 January 2022, Dr Hal Barron will transition from CSO to a non-independent Non-Executive Director on 31 July 2022. The Committee determined that given Dr Barron had agreed to remain a Director he should be treated as a good leaver. He will receive his existing salary up to 31 July 2022 and a pro-rated bonus for 2022. He will retain his existing long-term incentive awards which will vest subject to performance and on a pro-rated basis. From 1 August 2022 he will receive fees as a Non-Executive Director and, subject to shareholder approval, £200,000 per annum in respect of the additional responsibilities that he will undertake for GSK and R&D.

Recoupment

Further to the allegations notified to the Group in February 2021 in respect of Dr Moncef Slaoui, a former Executive Director of the company, the Committee exercised its discretion and applied the claw back provisions under the Recoupment Policy in respect of past stock incentives received by Dr Slaoui. In December 2021, Dr Slaoui agreed to return to the Group $3,860,090 in the form of cash under the Recoupment Policy.

Consumer Healthcare Demerger

We are making strong progress towards the separation of the company into new GSK and Haleon, a new listed Consumer Healthcare company in mid-2022. The new Haleon Board will engage with shareholders on the proposed remuneration arrangements for the new company.

AGM

Finally, I would like to take this opportunity to thank shareholders for their input and engagement during this Remuneration policy review, to help shape the new policy presented in this report. During this consultation we were pleased to be able to engage with approximately 50% of the company’s shareholder register. I welcome all shareholders’ feedback on this report ahead of our AGM. We look forward to receiving your support for our new Remuneration policy and Annual report on remuneration at our Annual General Meeting on 4 May 2022.

Urs Rohner
Remuneration Committee Chair
28 February 2022

GSK Annual Report 2021 | 123

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Governance and remuneration

Financial statements

Investor information

2021 at a glance

2021 Total Remuneration

The following shows the composition of total remuneration paid to Executive Directors in office at 31 December 2021, in respect of 2021 and 2020.

	2021	2020	2021	2020	2021	2020
£0m	£2m	£4m	£6m	2021	US$0m	US$2m
Fixed pay – salary, benefits and pension
Emma Walmsley
Performance pay – annual bonus and LTIs earned in respect of the three year performance period ending 31 December 2021
Iain Mackay
Dr Hal Barron
2020	2021	2020	2021	2020	2021	2020
80%	20%	75%	25%	79%	21%	77%

Pay for performance

Adjusted Group PBIT
Maximum (105% of target)
Target
Threshold (95% of target)

	2021
Annual bonus: financial performance	104%
[•]%
Maximum performance target
Performance achieved
Vested
Lapsed

2019 LTI outcome: performance period ended 31 December 2021

	Overall vesting
R&D new product	58%
Relative TSR	24.66%
Adjusted free cash flow	33.33%

Executive Directors’ shareholdings (audited)

	0	2x	4x	6x	8x	10x
Dr Hal Barron
Iain Mackay (1)
Emma Walmsley
SOR	31 December 2021 shareholding
Share ownership vs SOR (multiples of base salary)	3.0x	6.5x	9.9x	5.7x	0.6x	3.0x

To align the interests of Executive Directors with those of shareholders, they are required to build and maintain significant holdings of shares in GSK over time. Executive Directors are required to continue to satisfy these Share Ownership Requirements (SOR) by holding 100% of their SOR for the first 12 months after leaving GSK and not less than 50% of their SOR for months 13 - 24 after leaving GSK.

Executive Directors and GLT	SOR % of salary
CEO	650
Other Executive Directors	300
Other GSK Leadership Team members	200

(1) Appointed with effect from 14 January 2019

124 | GSK Annual Report 2021

Strategic report

Governance and remuneration

Financial statements

Investor information

Key change: stronger link between short and long-term performance – Annual Bonus and LTI performance measures are directly aligned to the Investor Update (IU) ambitions – The measures are complementary by design to ensure in-year performance delivers long-term sustained results – Annual Bonus and LTI performance calibration has been toughened meaning reduced reward for below target performance and maximum reward only for exceptional performance – Maximum annual bonus opportunity increased to 300% of salary (from 200% of salary) to enable recognition of exceptional outperformance when achieved – Target payout under the annual bonus of 100% of salary will align with our IU ambitions (i.e. no increase for delivering our core ambitions) – Any reward for the incremental exceptional performance opportunity to be delivered fully in shares deferred for three years so as to align to shareholder experience, and – Annual Bonus and LTI measures and their alignment with the IU ambitions will be cascaded down to the GLT and wider organisation

2022 at a glance

How our incentive measures align to our strategy

Performance measures	Alignment to strategy	AB Weighting	LTI Weighting
Relative total shareholder return	AB LT I Alignment with shareholders as participants are only rewarded for strong shareholder returns	30%	30%
Total sales growth	AB LT I Top line growth to deliver against our IU ambition of more than 5% sales growth		20%
Adjusted operating profit growth	AB LT I Bottom line growth to deliver against our IU ambition of more than 10% profit growth	30%	20%
Pipeline	AB LT I Increases the emphasis on Innovation and rewards the acceleration and strengthening of our pipeline		20%
ESG ambitions	AB LT I Focus on our key ESG ambitions, including our Human Capital Management: I&D priorities and Nature Net Positive and Climate Net Zero 2030 ambitions	10%	10%
Strategic and operational	AB Focus on key areas of individual accountability to underpin delivery of our strategy and public ambitions	30%	–

AB Annual bonus
LTI Long-term incentives

2022 Executive Director Remuneration

	Emma Walmsley	Iain Mackay
Fixed remuneration
Salary	£1,259,855	£915,335
Pension (% of salary)	Will reduce to align with wider workforce by 1 January 2023
Annual bonus (% of salary)	Maximum opportunity: 200%, with half of any bonus paid in shares deferred for three years
Incremental Exceptional Performance: up to an additional 100% of salary paid in shares all deferred for three years
LTI (% of salary)	575%	400%
Share ownership requirement (% of salary)	650%	300%

Dr Hal Barron will transition to a Non-Executive Director with effect from 1 August 2022.

125 | GSK Annual Report 2021

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Governance and remuneration

Financial statements

Investor information

2021 Total remuneration (audited)

	Emma Walmsley	Iain Mackay	Dr Hal Barron (2)
	2021 £000	2020 £000	2021 £000
Fixed pay
Salary	1,223	1,199	889
Benefits	134	141	242
Pension	245	245	178
Total fixed pay	1,602	1,585	1,309
Pay for performance
Annual bonus (1)	2,275	1,169	1,573
Vesting of LTI awards: PSP (3)	4,326	4,277	2,408
Total pay for performance (4)	6,601	5,446	3,981
Total remuneration	£8,203	£7,031	£5,290

Notes:
(1) Details of the mandatory bonus deferrals in 2021 and 2022 under the Deferred Annual Bonus Plan (DABP) are set out on page 140.
(2) From 1 August 2021 Dr Barron’s base salary increased by 8% to reflect the creation of the One R&D organisation. This has brought scientists and governance across Pharmaceuticals and Vaccines together to focus on and invest in what matters most across the Group.
(3) The 2019 PSP was valued based on the closing share price on 16 February 2022 of £15.76 and the closing ADS price of $43.39. Of the vested amounts for the Executive Directors, the amount attributable to share price appreciation over the performance period was for the CEO £149,246, the CFO £83,092 and the CSO $411,869. The Committee did not exercise any discretion in relation to the vesting of the awards or share price changes.
(4) The Committee may in specific circumstances, and in line with stated principles, apply clawback/malus, as it determines appropriate. Following due consideration by the Committee, there has been no recovery of sums paid (clawback) or reduction of outstanding awards or vesting levels (malus) applied during 2021 in respect of any of the current Executive Directors.# Annual Report on Remuneration

Fixed Pay (Audited)

The table below sets out the base salaries of the Executive Directors over the last two years compared to increases for the UK and US workforce.

Base salary	2021	2020	% change and 2021 effective date
Emma Walmsley	£1,223,160	£1,199,176	2% from 1 January
Iain Mackay	£888,675	£871,250
Dr Hal Barron	$1,821,781	$1,786,060	8% from 1 August
Dr Hal Barron (1)	$1,967,523	–
UK & US employees	–	–	2% from 1 April

(1) Base salary increased by 8% from 1 August 2021 to reflect the creation of the One R&D organisation. This has brought scientists and governance across Pharmaceuticals and Vaccines together to focus on and invest in what matters most across the Group. Details of salary levels for 2022 are provided on page 136.

Benefits

The UK remuneration reporting regulations require the company to add into each Executive Director’s Total benefits calculation all items which are deemed by tax authorities to be a taxable benefit for them. These comprise:

Employee benefits in line with the policy for other employees, which may vary by location and role; and
Business related services provided to employees to assist or enable them to carry out their role, which a tax authority has deemed to be a taxable “benefit” to the individual. Because these are business expenses, the company meets the tax which arises on them and therefore the items are shown grossed up for tax. These can be split into three areas:
Business travel: includes travel costs for the Executive Director and as appropriate for their spouse/partner associated with accompanying the Executive Director on GSK business which are deemed to be taxable benefits for the Executive Director.
- Accommodation whilst on business travel.
- Other benefits.

The table below provides an analysis of Total benefits (grossed up for tax) received by the Executive Directors in 2021 and 2020. The following sections provide details of each element of 2021 ‘Total remuneration’, including how the Committee implemented the approved Remuneration policy during the year.

Fixed Pay (Audited)

Annual report on remuneration continued

2021 Total remuneration (audited) continued

	2021 Benefits £000	2020 Benefits £000
Emma Walmsley
Benefits available to employees	71	62
Business related services (1)	22	36
Business travel	41	43
Other benefits	13	4
Total benefits	147	145
Iain Mackay
Benefits available to employees	13	1
Business related services (1)	9	5
Business travel	10	2
Other benefits (2)	1	1
Total benefits	33	9
Dr Hal Barron
	$000	$000
Benefits available to employees	83	58
Business related services (1)	63	–
Business travel (3)	–	–
Accommodation whilst on business travel (4)	(2)	–
Other benefits	1	–
Total benefits	145	58

Notes:

(1) Business related services which tax regulations deem to be a taxable benefit in the UK and/or the US.
(2) Iain Mackay’s Other benefits have increased year on year. This is mainly due to membership of a global business organisation which supports his work as CFO and is not recognised by UK HM Revenue & Customs so is therefore deemed to be a taxable benefit. This was not incurred in 2020.
(3) Increased travel costs compared with 2020 following changes to COVID-19 restrictions.
(4) One-off refund of accommodation costs relating to prior year.

Pensions

Please see details of changes to pensions policy on page 145 of the future policy table and its implementation on page 136. In addition, the Committee previously determined that all current and future UK and US Executive Directors will have their pension arrangements aligned to the wider UK and US workforce, as appropriate, by 1 January 2023.

Executive Director	Member since	Pension arrangements in 2021
Emma Walmsley	2010	Pension contributions of 20% of base salary and matching contributions on the first £13,333 of salary, with a cash supplement of 20% of base salary in lieu of pension on salary in excess of £13,333 (1) (2).
Iain Mackay	2019
Dr Hal Barron	2018	The CSO is a member of the 401(k) plan open to all US employees and the Executive Supplemental Savings Plan (ESSP), a savings scheme open to US executives to accrue benefits above the 401(k) plan limits. He receives 38% of base salary, less a contribution to the 401(k) and ESSP equivalent to 5% of total base salary and bonus (net of the bonus deferred under the DABP). In addition, in line with the wider US workforce, from 1 January 2021, a combined contribution rate under the 401(k) and ESSP plans of 11% (7% core contribution plus a match of up to 4%) of total base salary and bonus (net of the bonus deferred under the DABP).

(1) As a member of the defined contribution plan, Emma Walmsley and Iain Mackay are eligible to receive a matching award of up to 5% on the first £13,333 of their salaries in accordance with the terms of the plan.
(2) Emma Walmsley and Iain Mackay receive cash payments in lieu of pension of 20% of base salary in excess of £13,333, in line with GSK’s defined contribution pension plan rates.

The following table shows the breakdown of the pension values set out on page 125. The pension remuneration figures have been calculated in accordance with the methodology set out in The Large and Medium-sized Companies and Group (Accounts and Reports) (Amendment) Regulations 2008 (Remuneration regulations).

	Emma Walmsley	Iain Mackay	Dr Hal Barron
	2021 £000	2020 £000	2021 £000
UK defined contribution	3	5	3
US defined benefit	–	–	–
Employer cash contributions	242	240	17
Total pension remuneration value	245	245	20

Further details regarding the 2021 pension values for Dr Hal Barron are set out in the table below. The pensions figures disclosed for Dr Hal Barron, who is a member of the US style defined benefit plans, are in accordance with paragraph 10.e.ii of Schedule 8 of the Remuneration regulations. The table shows the accrued benefit (ie the annual pension accrued to date). In accordance with the Remuneration regulations, the pension remuneration in 2021 was calculated as the increase in the accrued benefit, adjusted for inflation and multiplied by 20 to reflect the fact that the benefit will be received for a number of years. The normal retirement age under the Cash Balance Pension Plan is age 65. There is no additional benefit for retiring early.

Dr Hal Barron pension values

	Pension remuneration value for 2021	31 December 2021	31 December 2020
	$000	$000	$000
US – Funded	31	22	(6)
US – Unfunded	158	187	356
Total	189	209	350

2021 Performance Against Targets

For 2021, the performance measures and weightings were as follows:

Performance Measure	Weighting	2021 Adjusted Group PBIT target	2021 Outcome	Positioning against target
Adjusted Group PBIT	70%	£8,254m	£8,562m	104%
Individual objectives	30%

Threshold and maximum performance targets were set at 95% and 105% of target respectively. The Adjusted Group PBIT target and outcome for the purposes of the Annual bonus calculation differ from Adjusted Group PBIT disclosed elsewhere in this Annual Report, primarily because both the target and outcome numbers are calculated by applying GSK’s budget exchange rates and not actual exchange rates.

The following table shows actual bonuses earned compared to the bonus opportunity for 2021:

	2021 Base Salary	Bonus Target (% of salary)	Maximum (% of salary)	Financial performance (% of salary)	Individual objectives (% of salary)	Total 2021 bonus (% of salary)	Total 2021 bonus £000 / $000
Emma Walmsley	£1,223,160	60	186	70	30	100	£2,275
Iain Mackay	£888,675	60	186	70	30	100	£1,573
Dr Hal Barron	$1,967,523	51	177	70	30	100	$3,483

Details of the mandatory deferral by Executive Directors into the Deferred Annual Bonus Plan of 50% of annual bonus earned are set out on page 140.

The table below provides more detail on delivery against Adjusted Group PBIT:

Financial performance

Overall an encouraging performance exceeding updated guidance despite the uncertainties of the COVID-19 pandemic.
Delivered full-year reported Group sales of £34 billion (stable AER, +5% CER) with strong commercial execution driving CER growth across Pharmaceuticals, Vaccines and Consumer Healthcare (excluding brands divested/under review) including COVID-19 solutions sales of £1.4 billion.
Adjusted Group PBIT of £8,839 million above target driven by higher sales and effective cost control. Outcome adjusted to exclude the commercial benefit from COVID-19 solutions.# Annual report on remuneration continued

Pay for performance (audited)

– Adjusted EPS of 113.2p (-2% AER, +9% CER), ahead of guidance including COVID-19 solutions, delivery driven by higher sales and effective cost control. 70% Adjusted Group PBIT 30% Individual objectives Annual bonus Annual bonus Pay for performance (audited) Annual report on remuneration continued GSK Annual Report 2021 129 Strategic report Governance and remuneration Financial statements Investor information

The following table summarises performance against the scorecard of individual objectives agreed by the Committee for each Executive Director, in addition to their contribution to the financial performance for 2021:

Individual objectives

Achievements

Emma Walmsley

The Committee determined that the CEO clearly exceeded or met her individual objectives. 2021 was a highly successful year of focus and acceleration against GSK’s long-term R&D priorities, and the company exceeded its financial targets. GSK is on track for separation to unlock the potential of two new growth companies in a landmark year for the company in 2022:

Strengthen pipeline and build GSK’s reputation for Innovation
- Continued progress in strengthening and advancing Pharmaceuticals and Vaccines pipeline, with 43 potential new medicines and 21 vaccine candidates in development
- COVID-19 solutions focussed on prevention and treatment, including Xevudy (sotrovimab) launched for treatment, with positive data against Omicron
Drive growth and return on investment
Delivered EPS ahead of initial and updated guidance, with sales growth driven by commercial execution excellence. Pharmaceuticals sales £17.7 billion, Vaccines £6.8 billion and Consumer Healthcare £9.6 billion
Demonstrate continued commercial execution excellence
- Transformed Specialty Medicine commercial capabilities and effectiveness across key markets
- Exceptional supply chain reliability through continued COVID-19 disruption, and continued network strengthening and simplification
Deliver separation programme milestones
- All demerger milestones on track.
- New ambitions set out for new GSK to deliver a step change in growth and performance, and health impact at scale
Demonstrate strong Environmental, Social and Governance (ESG) credentials and build trust in future delivery
Sustained leading ESG performance, with delivery against all Global Health, Environment and Inclusion and Diversity commitments. Maintained sector-leading rankings in key ESG indices, as well as progress to deliver on climate and nature commitments
Demonstrate strong culture and leadership
Culture and talent to deliver success for both new companies, and strong progress to build a stronger, more diverse workforce (40% senior female representation; on track for 2025 gender and race & ethnicity aspirations)
- Continued development and succession planning for leadership team roles, with internal candidates appointed Chief Scientific Officer Designate and Chief Digital and Technology Officer

Iain Mackay

The Committee determined that the CFO successfully met his individual objectives:

Demonstrate financial leadership
- Strong financial leadership, with key role in delivery of Investor Update setting out competitive growth profile for new GSK
- Delivered full year reported Group sales of £34.1 billion (stable at AER, +5% CER)
Demonstrate financial oversight and cost discipline
- Adjusted EPS of 113.2p (-2% AER, +9% CER) ahead of updated guidance, delivery supported by cost discipline and initial savings from scale transformation programme
Deliver separation programme milestones
- Separation preparations on track, including corporate finance and capital market readiness
Demonstrate strong culture and leadership
- Strong oversight across Finance and Tech during transformation, including appointment of new Head of Investor Relations and Chief Digital and Technology Officer

Dr Hal Barron

The Committee determined that the CSO successfully met his individual objectives:

Strengthen pipeline and build GSK’s reputation for Innovation
Continued R&D momentum both in R&D delivery and strengthening of pipeline, with pipeline progress targets exceeded. 12 approvals, 8 Phase III starts and 6 Phase II starts. 43 potential new medicines and 21 vaccine candidates in development.
- Business development to augment the pipeline, including: Vir, Iteos, Alector and Halozyme
Drive growth and return on investment
Continued progress to improve R&D productivity and success rates, including achieving US FDA emergency use authorisation for Xevudy in 13 months from deal signing with Vir in pre-clinical phase. This medicine has proven effective against multiple COVID-19 variants, including Omicron
- Creation of One R&D organisation, bringing scientists and governance across Pharmaceuticals and Vaccines together to focus on and invest in what matters most
Demonstrate strong culture and leadership
Continuing focus on top talent in key roles in R&D (80%, with 31% of new talent in key roles external hires). Robust succession planning, including appointment of new Global Head of Vaccines R&D and Global Head of Oncology Development

Malus and clawback policy

For details of our existing policy on malus and clawback, please refer to the company’s 2020 Remuneration Policy report on page 144 of the 2019 Annual Report, available on gsk.com.

The Committee reviews and discloses whether it (or the Recoupment Committee) has exercised malus or clawback. Disclosure is only made when the matter has been the subject of public reports of misconduct, where it has been fully resolved, where it is legally permissible to disclose and where it can be made without unduly prejudicing the company and therefore shareholders.

In line with these disclosure guidelines, the Committee has exercised one instance of clawback during 2021. For further details on this recoupment by the Committee please see page 122.

Annual report on remuneration continued

Pay for performance (audited) continued

Performance measures and relative weighting	Target	% vesting	Maximum
R&D new product performance (1/3rd)	R&D new product sales performance measures aggregate three-year sales for new products launched in the three-year performance period and the preceding two years, ie 2017-21.
	£12.25bn	100%
	£11.14bn	75%
	£10.58bn	50%
	£10.02bn	25%
	£11.12bn	74	24.6
Adjusted free cash flow performance (1/3rd)	In line with the company’s agreed principles, the AFCF figures included adjustments for a number of material distorting items, including legal settlements, exchange rate movements and special pension contributions.
	Original target £13.91bn	100%
	Revised target (1) £13.20bn
	£13.31bn	75%
	£12.63bn
	£12.10bn	50%
	£11.48bn
	£11.74bn	25%
	£11.14bn
	£14.53bn	100	33.33
Relative TSR performance (1/3rd)	TSR ranking within comparator group (2)
	1st, 2nd, 3rd	100%
	4th	70%
	5th	40%
	Median	25%
	6th to 10th	0%
	Ranked 10th	0	0
Total vesting in respect of 2019 awards		58%	57.99%

(1) The revised target has been further adjusted since the 2020 Annual Report as noted above.
(2) TSR comparator group: AstraZeneca, Bristol-Myers Squibb, Eli Lilly, GSK, Johnson & Johnson, Merck & Co, Novartis, Pfizer, Roche Holdings and Sanofi.
(3) The vesting schedule is based on delivering 25% vesting for median performance. In a comparator group of ten companies, median falls between two companies.

Other policies

For details of our existing policies on recruitment remuneration, loss of office and termination payments, please refer to the 2020 Remuneration Policy report on pages 141 to 150 of the 2019 Annual Report, available on gsk.com. No changes to our loss of office policy are proposed in the 2022 Remuneration Policy.

Value earned from long-term incentives (LTIs)

The following tables set out the performance achieved against the targets set for the company’s LTI plans and also includes an update on performance of outstanding awards. In line with the Committee’s agreed principles, for each measure applicable to the LTI awards, actual performance against the targets is reviewed and adjustments made as appropriate to ensure that the vesting outcome reflects genuine underlying business performance and that results are being delivered in line with our Culture and Trust business priority.

2019 PSP awards with a performance period ended 31 December 2021

The Committee reviewed the performance of the PSP awards granted to Executive Directors against the targets set. The Adjusted free cash flow (AFCF) target was revised in line with the disclosure on page 121 of the 2020 Annual Report. It has been further restated to take account of the revised phasing of the Future Ready programme restructuring cash payments, separation costs and revised timing of divestments based on detailed programme and separation planning undertaken in 2021. As a result, the target was increased by £0.21 billion to £11.48 billion.

For 2021, the 2019 PSP was valued based on the closing share price on 16 February 2022 of £15.76 and the closing ADS price of $43.39. Of the vested amounts for the Executive Directors, the amount attributable to share price appreciation over the performance period was for the CEO £149,246, the CFO £83,092 and the CSO $411,869.

The Committee did not exercise any discretion in relation to the vesting of the awards or share price changes.# Annual report on remuneration continued

Pay for performance (audited) continued

The performance achieved in the three years to 31 December 2021 and the vesting levels are set out in the table below.

Update on performance of ongoing LTI awards

The Committee also reviewed the performance of the PSP awards granted to Executive Directors in 2020 and 2021. The following charts provide an estimate of the vesting levels taking into account performance to 31 December 2021. Actual vesting levels will only be determined based on performance over the full three-year performance periods. The indications below should therefore not be regarded as predictions of the final vesting levels.

The AFCF threshold and associated vesting scales for the 2020 and 2021 PSP awards have been adjusted. The net overall impact is an increase of £0.17 billion to £10.09 billion for the 2020 award and an increase £0.40 billion to £8.66 billion for the 2021 award. These adjustments are to take account of the following items: revised phasing of the Future Ready programme, restructuring cash payments based on detailed programme planning undertaken in 2021, and revised dividends to non-controlling interests (ViiV Shionogi and Pfizer). There are no changes to the targets set for the Innovation sales (previously named R&D new product) or the relative TSR performance measures for the 2020 and 2021 awards.

	Maximum	Threshold
2020 PSP award
Estimated vesting level	£9.96bn	122% of threshold
Estimated lapsing level	Pivotal trial starts	Median
Innovation sales (20%)	Commercially sensitive	Commercially sensitive
Adjusted free cash flow (30%)	Major regulatory approval milestones	Pipeline progress (20%)
Relative TSR (30%)	Ranked 3rd or above	£8.66bn
2021 PSP award
Estimated vesting level	£11.60bn	122% of threshold
Estimated lapsing level	Pivotal trial starts	Median
Innovation sales (20%)	Commercially sensitive	Commercially sensitive
Adjusted free cash flow (30%)	Major regulatory approval milestones	Pipeline progress (20%)
Relative TSR (30%)	Ranked 3rd or above	£10.09bn

For threshold performance 25% of each award will vest in respect of each performance measure. Individual 2020 LTI award levels appear on page 121 of the 2020 Annual Report. They are set out below for the 2021 LTI awards.

Vesting %	Year of grant	Relative TSR	Adjusted free cash flow	R&D new product	Business diversification	Lapsed %	Total vested %
20 11	0	13	16	11	60	40	20
20 12	0	0	7	7	86	14	20
20 13	0	0	21	17	62	38	20
20 14	0	0	33	67	33
20 15	15	21	33	31	69	20
20 16	0	26	33	41	59	2
2017	0	33	33	33	67
2018	0	33	33	33	67
2019	0	33	25	42	58

Historical vesting for LTI plans

2021 LTI awards

The 2021 DABP awards (in respect of the deferral of 2020 bonus) and the 2021 PSP awards are shown in the table below.

	2021 DABP awards	2021 PSP awards
	% of total bonus deferred	Number of shares

Emma Walmsley	45,779 shares	£0.585m
Iain Mackay	50%	31,725 shares
Dr Hal Barron	24,355 ADS	$0.871m

(1) The face values of the DABP awards have been calculated based on a share price of £12.77 and an ADS price of $35.75, being the closing prices on 9 February 2021 (the day before grant). These are nil-cost options for the UK Executive Directors and restricted shares for the US Executive Director. No performance conditions are attached to the DABP awards, as they reflect the mandatory 3 year deferrals in respect of the 2020 annual bonus earned.

(2) The face values of the PSP awards have been calculated based on a share price of £12.77, and an ADS price of $35.75, being the closing prices on 9 February 2021 (the day before grant). These are conditional shares, based on the performance measures outlined above.

(3) The performance period for the 2021 PSP awards is from 1 January 2021 to 31 December 2023. Awards vest at 25% of maximum for threshold performance.

Directors’ pay in a wider setting

Internal context

In setting executive pay it is important that the Committee and I do so with a good understanding of our wider workforce pay. To that end on an annual basis I meet with our Human Resources Business Leaders of Global Support Functions, Pharmaceuticals, ViiV Healthcare, Vaccines and Consumer Health care to understand perspectives on pay and GSK’s remuneration package for the wider workforce. This year was the third such annual meeting I have held. I was pleased to discuss progress on the Group’s human capital management and I&D agenda to attract and retain diverse talent which lies at the heart of the company’s fundamental commitment to the equity of its employment and reward practices.

At the meeting, we covered the current Reward environment for employees across the enterprise and notable global competitive challenges facing the company; namely:

Competitive pressures for in-high demand skills in our businesses and the actions taken to attract and retain key talent in these areas
Handling different pay levels across the Group and in different geographies. This included where the company was experiencing particular pay challenges currently or were anticipated to experience in the future and the mitigatory steps that were being taken to address these
Preparation of a competitive Reward strategy and programmes for the Consumer company for implementation after the demerger
Progress against the company’s publicly disclosed gender and ethnically diverse leader aspirations. We discussed the country-based reviews and the clear guidance, tools and support provided to markets to ensure pay equity

Finally, Dame Vivienne Cox, our Workforce Engagement Director and member of the Committee, ensures that employee views and perspectives on pay and reward are reflected in the Committee’s discussions.

Urs Rohner

Remuneration Committee Chair

Remuneration structure for employees during 2021

| Element | Wider workforce pay | Comparison with Executive Director and GLT pay The CEO total single figure remuneration of £8,203,422 for 2021 and £7,031,871 for 2020 are detailed on page 125 of this Report. Total remuneration for all UK full-time equivalent employees of the company on 31 December 2021 has been calculated in line with the single figure methodology, except for employer pension contributions for employees with a Defined Benefit pension due to the cost and complexity of such calculations. Instead, the Future Service Rate agreed at the most recent actuarial funding valuation has been used for these employees. Otherwise, this reflects their actual earnings received in 2021 (excluding business expenses), which were used to produce the percentile calculation under Option A of the Remuneration regulations. Business expenses have been excluded as they are reimbursed to employees and not sufficiently substantial in value to significantly impact the ratios. GSK continues to choose Option A because it is the most robust and statistically accurate way for the company to calculate the three ratios from the options available in the Remuneration regulations. The increase in the pay ratio for 2021 is due to a higher level of bonus received compared to 2020, reflecting higher business and individual performance. Set out in the table below are the base salary, and total pay and benefits for each of the percentiles.

	P25	P50	P75
2021
Salary	37,251	51,492	72,997
Total pay and benefits	53,151	76,234	122,852
2020
Salary	36,924	50,000	70,203
Total pay and benefits	54,133	73,340	113,830
2019
Salary	34,510	47,029	66,561
Total pay and benefits	50,467	68,200	110,638

The Committee believes that the median pay ratio is consistent with the company’s pay, reward and progression policies. The base salaries of all employees, including the Executive Directors, are set with reference to a range of factors including market practice, experience and performance in role.

Supplemental/Additional ratios

GSK’s CEO pay ratio is likely to vary, potentially significantly, over time since it will be driven largely by CEO variable pay outcomes. In line with our reward principles, the CEO has a larger portion of her pay based on performance than the individuals at P25, P50 and P75. This means that depending on GSK’s performance, the ratio could increase or decrease significantly. The Committee believes that our senior executives should have a significant proportion of their pay directly linked to performance. In light of this, we have also provided supplemental ratios, where LTI compensation has been excluded. We believe this provides an additional view as LTIs formed a substantial percentage of the CEO’s total remuneration, which is highly variable and dependent on business performance. The CEO 2021 total remuneration excluding LTI compensation is £3,877,617.

Financial Year	Methodology	P25	P50	P75
2021	Option A*	73:1	51:1	34:1
2020		51:1	38:1	26:1
2019		65:1	48:1	32:1

Total remuneration less vesting of long-term incentive awards.

Historic CEO remuneration

Emma Walmsley

	2021	2020	2019	2018	2017
Total remuneration	8,203	7,031	8,094	5,887	4,883
Annual bonus award (2) (% of maximum)	93%	49%	79%	93%	77%
Vesting of LTI awards (% of maximum)	58%	67%	67%	59%	69%

Sir Andrew Witty

	2017 (2)	2016	2015	2014	2013
Total remuneration	715	6,830	6,661	3,902	7,207
Annual bonus award (2) (% of maximum)	0% (2)	97%	100%	42%	88%
Vesting of LTI awards (% of maximum)	0% (3)	33%	38%	14%	31%

(1) Emma Walmsley’s total remuneration includes her pay for the period 1 January to 31 March 2017, before she became CEO.
(2) Sir Andrew Witty received a pro-rata payment for 2017 in lieu of a variable bonus opportunity, in accordance with the 2014 Remuneration policy.
(3) PSP and DABP awards for Sir Andrew Witty granted in 2015 did not vest until April 2018, in accordance with the terms of the Executive financial recoupment policy.

Annual report on remuneration continued

Directors’ pay in a wider setting continued

134 GSK Annual Report 2021

	2021 percentage change	2020 percentage change
	Salary/fee %	Beneﬁts %
UK Employees (1)	2.0	0.0
Executive Directors (2,3)
Emma Walmsley	2.0	(5.0)
Iain Mackay	2.0	56.1
Dr Hal Barron	5.4	150.0
Non-Executive Directors (2,4)
Sir Jonathan Symonds	–	50.0
Charles Bancroft (5)	156.1	–
Vindi Banga	(4.6)	(50.0)
Dr Anne Beal (5)	–	–
Dame Vivienne Cox	(5.6)	(50.0)
Lynn Elsenhans	(7.3)	(75.0)
Dr Laurie Glimcher	(8.3)	(61.8)
Dr Jesse Goodman	(5.6)	–
Urs Rohner	(5.6)	175.0
Judy Lewent (6)	(73.8)	(25.0)

(1) The UK employee population was considered to be the most relevant comparison as it most closely reflects the economic environment encountered by the majority of the Executive Directors.
(2) Percentage changes have been calculated based on the 2021 Total remuneration table on page 125 for Executive Directors and the 2021 Total fees table on page 139 for Non-Executive Directors.
(3) Further information on salary and benefits for Executive Directors can be found on page 126. Further information on annual bonus for Executive Directors can be found on page 128.
(4) Fees of Non-Executive Directors include fees received as cash and in the form of shares or ADS under the terms of the Non-Executive Directors’ share allocation plan.
(5) Charles Bancroft and Dr Anne Beal were appointed to the Board on 1 May 2020 and 6 May 2021 respectively.
(6) Judy Lewent retired from the Board on 5 May 2021.

Directors’ pay in a wider setting continued

Annual report on remuneration continued

Participants of the company’s Share Save plan may save up to £250 a month for three years and at the end of the period have the option to buy GSK shares at a 20% discount to the share price at the start of the savings contract. Participants of the Share Reward plan contribute up to £125 a month to purchase GSK shares which the company then matches. For further details see page 140.

Dilution limits

All awards are made under plans which incorporate dilution limits consistent with the guidelines published by the Investment Association. These limits are 10% in any rolling ten-year period for all plans and 5% in any rolling ten-year period for executive share plans (granted to senior executives). Estimated dilution from existing awards made over the last ten years up to 31 December 2021 is as follows:

	Actual Limit	Estimated Dilution
All GSK employee share plans	10%	1.56%
Executive share plans	5%	1.22%

Relative importance of spend on pay

The table shows total employee pay and the Group’s dividends paid to shareholders.

	Change %	2021 £m	2020 £m
Total employee pay (1)	(12.2)	9,003	10,249
Dividends paid in the year	0.6	3,999	3,977

The figures in the table above, which reflect payments made during each year and the impact of movements in exchange rates, are as set out on pages 185 and 192. However, dividends declared in respect of 2021 were £4,006 million (2020 – £3,989 million), an increase of 0.4%. Total employee pay is based on 91,961 employees, the average number of people employed during 2021 (2020 – 95,884). There were no share repurchases made by the company during 2021 and 2020.

All-employee share plans

UK Executive Directors may participate in HMRC approved all-employee share plans with the wider UK workforce, i.e. Share Save and Share Reward plans.

GSK Annual Report 2021 135

Strategic report

Governance and remuneration

Financial statements

Investor information

Annual report on remuneration continued

Directors’ pay in a wider setting continued

* This index comprises AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Johnson & Johnson, Merck & Co, Novartis, Pfizer, Roche Holdings and Sanofi.

Chart showing GSK Total Return, FTSE 100 Total Return Index, and GSK Pharma Peers Total Return Index over time.

Global pharmaceutical group	European cross-industry group
Emma Walmsley’s current position (£m)

AstraZeneca
Roche Holding AG
Novartis
LVMH
Anheuser-Busch Inbev
Unilever
SAP
L’Oreal
Novo Nordisk A/S
Airbus
Linde
Sanofi
Diageo
Siemens
Christian Dior
Inditex
BAT
Volkswagen
Deutsche Telekom
Kering
Heineken
BASF
Vinci
Adidas
Bayer
Safran
Reckitt Benckiser

Remuneration includes salary and the expected value of incentives based on the Committee’s agreed benchmarking methodology.

External context

Comparator groups for pay and relative TSR

The Committee used two pay comparator groups when considering executive pay for 2021. The Global pharmaceutical comparator group is also used to measure relative TSR performance. The primary groups used for each Executive Director were as follows:

2021 CEO total remuneration positioning

When reviewing the CEO’s remuneration, the Committee has also referenced pay for the Global pharmaceutical group.# Performance graph
The following graph sets out the performance of the company relative to the FTSE 100 index and to the pharmaceutical performance comparator group for the ten-year period to 31 December 2021. These indices were selected for comparison purposes as they reflect both the primary index of which GSK is a constituent and the industry in which it operates.

Global pharmaceutical comparator group

Dr Hal Barron
France Sanoﬁ
Switzerland Novartis
Roche Holdings
UK AstraZeneca
US AbbVie (1)
Amgen (1)
Bristol-Myers Squibb
Eli Lilly
Johnson & Johnson
Merck & Co
Pfizer (1)

(1) AbbVie and Amgen are included for remuneration benchmarking, but are not included in the relative TSR comparator group.

136 GSK Annual Report 2021

Fixed Pay

Salary

The Committee considered the average increases being awarded to employees below the level of Executive Directors in the UK and US. After due consideration of performance, it was agreed that it was appropriate to award increases in line with the wider workforce to the CEO, CFO and CSO to ensure the competitiveness of their remuneration could be maintained.

	2022 % change
Wider workforce (1)	– 3.0
Emma Walmsley	£1,259,855
Iain Mackay	£915,335
Dr Hal Barron (2)	$2,026,549

(1) Based on the average increase budget for employees below the level of GLT in the UK and US.
(2) Dr Barron will transition to a Non-Executive Director with effect from 1 August 2022.

Benefits

No significant changes to the provision of benefits are proposed for 2022. For full details of the policy in relation to benefits, please refer to the proposed new 2022 Remuneration Policy report, page 144.

Pension

The table below provides an overview of the pension arrangements for each ongoing Executive Director in 2022. The Committee has previously committed to reduce existing UK Executive Directors’ pensions to align with the wider UK workforce by 1 January 2023. Any new UK-based or US-based Executive Director’s pension will be aligned to the appropriate wider workforce on appointment.

| Emm a W alms ley and D r Barr on cur rentl y exceed t heir SO R. Ia in Mac kay, who joi ned the B oard i n earl y 20 1 9, i s curre ntly work ing towa rds sat isf ying hi s SOR . Th e compa ny has pr oce sse s in plac e to ensur e that eac h E xecut ive Dir ector ’ s SOR w ill cont inue to be s atisﬁ ed af ter leaving GSK , including the monitoring of nominee accounts. Ea ch E xecuti ve Dire ctor al so agre es to the ter ms of the S OR inc luded w ithin t heir se rv ice co ntrac t. Implementation of Remuneration p olicy for 2022 continued 13 8 GS K Ann ual R epor t 2021 Remuneration go v erna nce Annual report on remuneration continued This is subj ect to election and subsequent ann ual re-election. Sub ject to mu tual agr eeme nt, they a re eac h expec ted to ser ve a fur the r three ye ars , and up to ni ne year s from a ppoi ntment i n line wit h the prov ision s of the 201 8 C ode, s ubjec t to annua l re-election. Committee focus during 2021 Remuneration policy The Committee sets the broad structure for the Remuneration policy and determines the remuneration of the Executive Directors, the Chair and other corporate ofﬁcers. Items discussed: – Proposed 2022 Remuneration policy – Remuneration impact of major Group restructuring and CH demerger – Engagement with shareholders and consideration of feedback Salary review The Committee periodically reviews and considers the remuneration environment for Executive Directors and G L T , approving annual adjustments as necessary having regard to performance and the remuneration of the wider workforce. Items discussed: – Review of remuneration environment and wider employee trends – Executive Director and G L T benchmarking, competitiveness and GS K comparator groups – G L T and Company Secretary s alary review and recommendations for 2021 – Executive Director salary review and recommendations for 2022 Annual bonus The Committee is responsible for setting speciﬁc performance measures for the Annual bonus and for assessments of performance. Items discussed: CE O, Executive Directors and GL T 2020 bonus recommendations and 2021 CE O and Executive Directors’ bonus objectives L TI plans The Committee is responsible for approving L TI plan rule changes, grants, assessments of performance, and the vesting of L TI awards for the Executive Directors, G L T and below (including interim awards). Items discussed: – L TI performance outcomes and vesting of L TI awards for G L T and below – Conﬁrmation of L TI grants for G L T and below Governance and other areas of focus The Committee adheres to a robust remuneration governance framework, ensuring alignment between internal actions and external reporting/compliance requirements. Items discussed: – Remuneration considerations and committee programme for 2021 – Review of T erms of Reference – Committee evaluation annual review – 2020 Remuneration report – Conﬁrmation of 2021 Group Budget for remuneration purposes – AGM and Remuneration report feedback, the external remuneration environment and performance target disclosure for incentive plans – 2021 Remuneration report disclosures, including CE O pay ratio – Annual governance meeting key Committee messages – Committee Chair consultation with employee represent atives on setting pay and wider workforce pay practices Committee role and membership Th ese det ails a re availa ble on p age 93 an d are inc orpo rated by refe renc e to this Re por t. Th e Chair, CEO, Chi ef Peop le Of ﬁ cer, Head o f Reward , Group F inan cial C ontro ller an d the Co mpany S ecret ar y as sisted t he Com mit tee durin g the yea r . Adviser to the Committee Pr icewater hous eCo oper s LLP (P w C ) ha s been th e indep ende nt adv iser to th e Com mitte e sinc e it was ap pointe d in 20 1 8 f or an in itial p erio d of thre e year s after a f ull com merc ial tend er exer cise wa s conc lude d by the com pany. Prio r to the expi ry of this i nitia l peri od, the C omm ittee r eviewed t he qual ity of t he ser vi ces P w C provi ded. A s a resul t, it wa s agree d to exte nd P wC ’ s term fu rth er to the en d of 2022. Thi s would all ow for a full m arket r eview to be un der take n over the sum mer of 2022, follow ed b y a fu ll commercial t ender if appropriat e, prior t o presenting recommendat ions t o the Committee for adviser sup por t from J anuar y 2023 . Pw C is a me mber of th e Remuneration Consultants’ Group and, as such, vol untarily ope rates un der the c ode of c onduc t in rel ation to exec utive rem unera tion co nsulti ng in the U K . The co de of co nduct c an be found at ww w .remunerationconsul tantsgroup.com. Dur ing the ye ar , in add ition to p rovidi ng cons ulta ncy ser vi ces to the C ommi ttee , Pw C provi ded oth er con sultin g and as sura nce ser vi ces to th e comp any . In li ne with th e protoc ols agr eed an d set by the C ommi ttee C hair un der whi ch P wC pr ovide d their ad vic e, the C ommi ttee i s satis ﬁed th at such ad vic e has be en obje ctive and independent. P wC has provided in dependent commentary on matters u nder consideration by the Committee and updat es on ma rket pr actic e and le gislat ive req uirem ents. I t als o reviewe d the p otentia l for con ﬂict s of intere st and j udged t hat ther e were appropriate safeguards a gainst such conﬂicts. PwC ’ s fees f or adv ice du ring the ye ar , whi ch were c harge d on both a ﬁ xed an d a tim e and mater ials b asis , were £1 68,20 0. Wi llis T owe rs Watson provided add itional mark et data to the Committee. Shareholder votes on r emuneration matters

Total votes cast (billion)	Total votes for (%)	Total votes against (%)	Votes withheld (million)
Remuneration report 2021 AGM	3.5	93.1	6.9
Remuneration policy 2020 AGM	2.7	88.2	11.8

Service contracts and letters of appointment Th e table b elow se ts out the d ates of th e Exe cutive D irec tors’ ser vi ce co ntrac ts, wh ich ar e a vail able fo r review at th e comp any’s registered o fﬁ ce an d on gsk.com. Each Executive Direct or’ s ser vice con tract contains a 1 2-mont h not ice pe riod.

Date of contract	Effective date	Expiry date
Emma W almsley	29.03.1 7	01.04.1 7
Iain Mackay	18.09.18	14.0 1.19
Dr Hal Barron (1)	16.12.1 7	0 1.0 1.18

(1) Dr B arron will transition to a Non-Executive Director (with a letter of appointment) with effect from 1 August 2022. Th e Non- Exe cutive D irec tors (N ED) have lette rs of ap point ment, which are a vailable to view at the company’ s registered ofﬁ c e. Ea ch NED i s expe cted to ser ve on t he Boa rd until th e end of th e AGM fo llowin g the thir d annive rsa ry o f their ap point ment. GS K Ann ual R epor t 2021 13 9 Strategic report Governance and remuneration Financial st atements Investor information Chair and other Non-Executive Directors Th e compa ny aims to pr ovide th e Chai r and othe r Non- E xecut ive Dir ector s with fe es that a re com petiti ve with th eose paid by other companies o f equiv alent s ize an d complexity , sub ject to th e limits c onta ined in i ts Ar tic les of A ssoc iation . Chair ’ s fees Th e Chair i s paid a fe e of £7 00, 000 p er annu m, of wh ich he ta kes 25% in GS K sha res . The Ch air’s fee s were rev iewed on his a ppoin tment a nd have bee n reviewe d annua lly sin ce. It w as concluded the y remained appro priate. 2021 Non-Executive Directors’ fees Th e Non- Exe cutive D irec tors’ fe es that a pplie d durin g 202 1 a re set o ut in the t able b elow:

	Per annum
Standard annual fee	£95,000
Supplemental fees
Chair of the Audit & Risk Committee	£8 0,000
Senior Independent Director	£5 0,000
Scientiﬁc & Medical Experts	£30,000
Chairs of the Remuneration, Corporate Responsibility and Science Committees
Workforce Engagement Director	£40,000
Non-Executive Director undertaking intercontinental travel to meetings	£7 ,500 per meeting

Implementation of Non-Executive Directors’ p olicy in 2022 No n-E xecu tive Dir ector s’ stan dard a nd supp leme ntal fe es were l ast in crea sed w ith ef fect f rom 1 Ja nuar y 2020. Fol lowing a r eview, and sub ject to s hareh olde r approva l, it wa s agree d to autho rise th e paymen t of fees f rom 1 Ja nuar y 2022 to Sci ence C omm ittee m embe rs of up to £20 0,000 per a nnum. T hes e would be p aid in re spe ct of addi tiona l res ponsib iliti es und er taken on b ehal f of GSK a nd to supp or t R&D an d would re ﬂect th e time c ommit ment of su ch res ponsib iliti es . We do not exp ect to ma ke any other i ncre ase s t o the fe es payab le to Non- E xecuti ve Dir ector s durin g the new pol icy per iod. 2021 T ot al fees (audited) Th e audited t able b elow se ts out the va lue of fe es and b eneﬁ ts rec eived by th e Non- E xecuti ve Dir ector s i n the for m of cas h and sha res or A DS . Fur ther det ails of t he Non -E xecut ive Dir ector s’ share a lloc ation pl an are s et out on p age 1 4 1 . N on- Exe cutive Dir ector s’ fees th at are pa id in a cur renc y other th an Sterli ng are c onver ted usi ng an avera ge excha nge rate th at is revi ewed fro m tim e t o time . The aver age exch ange r ates were u pdated in 2021 . Non- Exe cuti ve Dire ctors’ fe es were c onver ted to US D ollar s usin g an exc hange r ate of $1 . 3481 in 202 1 . Bene ﬁts co mpri se the gr osse d up ca sh valu e of travel an d subs istenc e cos ts incur red in t he nor mal co urse o f busin ess , in rel ation to at tenda nce at Bo ard an d Comm itte e meetin gs. F or overs eas -bas ed Dir ector s, thi s inc ludes travel to mee tings in t he UK .# Non-Executive Directors’ emoluments (000) (audited)

	2021					2020
	Fixed fees	Fixed fees	Cash	Shares/ADS	Beneﬁts	T otal pay	Cash	Shares/ADS	Beneﬁts	T otal pay
Sir Jonathan Symonds	£ 525	£ 175	£ 3			£703	£525	£175	£2	£702
V indi Banga	£ 109	£ 36	£ 1			£146	£114	£38	£2	£154
Charles Bancroft	–	$ 210	$ 5			$215	–	$82	–	$82
Dr Anne Beal	$ 62	$ 21	–			$83	–	–	–	–
Dame V ivienne Cox	£ 101	£ 34	£ 1			£136	£107	£36	£2	£145
L ynn Elsenhans	$ 134	$ 45	$ 5			$184	$93	$100	$20	$213
Dr Laurie Glimcher	–	$ 165	$ 13			$178	–	$180	$34	$214
Dr Jesse Goodman	$ 164	$ 55	$ 23			$242	$174	$58	$23	$255
Urs Rohner	£ 101	£ 34	£11			£146	£107	£36	£4	£147
Judy Lewent (1)	$ 48	$ 16	$ 9			$73	$183	$61	$12	$256

( 1 ) R eti red fr om th e Boa rd on 5 M ay 2021.

Non-E x ecut iv e Direc tors’ fees

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GS K Ann ual R epor t 2021

Executive Directors’ interests in shares

Th e intere sts of the E xec utive D irec tors of th e comp any in of ﬁce d uring 2021 and th eir per son s close ly as soci ated (PC A) are show n in the t able be low:

	As at 31 December 2021 (1)	Unvested share plan interests	Total directors’ interests as at 27 February 2022 (1)
	Beneﬁcial interests	Not subject to performance	Subject to performance
	Shares/ADS (2)	Shares/ADS (3,7)	Options (4,7)
Emma W almsley	1,521,1 33	1,195,364	364,520
Iain Mackay	275,681	71,972	–
Dr Hal Barron	519,723	424,186	224,353
	Shares/ADS (5)
Emma W almsley	654,043	176,801	1,495,049
Iain Mackay	71,972	779,782	ADS
Dr Hal Barron	199,833	740,680

1) T otal directors’ inter ests include beneﬁcial interests and unvested share plan interests not subject to performance. T he balance as at 27 F ebruary 2022 includes shares/ ADS awarded in 2019 under the Performance Share Plan (PSP) and the Deferred Annual B onus Plan (D ABP) which vested in February 2022 less those sold to satisfy t ax liabilities on the vested amounts. Executive Directors’ shareholdings versus their S OR are outlined on page 137 .
2) Beneﬁcial interests include shares/ ADS held by the Executive Directors and their PCAs. For Emma W almsley, this includes 2,385 shares purchased through the GlaxoSmithKline Share Reward Plan. Iain Mackay does not currently participate in the Share Reward Plan. As a US employee, Dr Hal B arron is not eligible to participate in the Share Reward Plan which is only open to UK employees. Dr B arron’ s beneﬁcial interests include AD S and notional ADS held by way of his investments in the GS K 401(k) plan and the Executive Supplemental Savings Plan (E SSP). Further det ails on Dr Barron’ s membership of the plans can be found on page 127 .
3) Unvested shares/ADS not subject to performance represent PSP shares/ADS which have vested but are subject to an additional two-year holding period for Emma W almsley and Dr Barron. Unvested ADS not subject to performance for Dr B arron also represent bonus deferrals (as described in note 7 below).
4) Unvested options not subject to performance represent bonus deferrals under the DABP which are awarded as nil-cost options (as described in note 7 below).
5) Unvested shares/ADS subject to performance represent unvested PS P awards.
6) Vested but unexer cised options: None of the Directors hold vested but unexercised options.
7) DABP: The table below shows bonus deferrals and subsequent reinvestment of dividends under the DABP . The amounts represent the gross shares/ ADS balances prior to the sale of any shares/ADS to satisfy t ax liabilities on vesting.

Deferred Annual Bonus Plan (Bonus deferrals)

	27 F ebruary 2022	31 December 2021	1 January 2021
Shares
Emma W almsley	178,962	176,801	189,554
Iain Mackay	122,866	71,972	36,655
ADS
Dr Hal Barron	100,301	101,801	72,192

As U K employees, bonus deferrals under the D AB P are granted as nil-cost options to Emma W almsley and Iain Mackay and the following table sets out details of nil-cost options exercised.

DAB P

	Date of grant	Number of shares under option	Date of exercise	Grant price	Market price at exercise	Gain on exercise (000)
Emma W almsley
Deferral award	01.03.18	68,716	01.03.21	£0.00	£12.11	£832

In respect of nil-cost options awarded in 2018 under the DABP , the bonus which is deferred by the Executive Director was recorded as remuneration (under Annual bonus) in the T otal remuneration t able in respect of 2017 . Number of shares under option includes the initial award amount together with reinvested dividends accrued to the date of exercise.

Dire ctors’ interes ts in shar es (audited)

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GS K Ann ual R epor t 2021

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Strategic report
Governance and remuneration
Financial st atements
Investor information
Directors and Senior Managemen t

Non-Executive Directors’ interests in shares

Th e intere sts of the N on- Exe cutive D irec tors of th e comp any in of ﬁc e durin g 202 1 and the ir per sons cl osel y ass ociate d (PCA) a re show n in the t able be low:

	Total directors’ interests as at (1)	Number of shares/ADS
	27 F ebruary 2022	31 December 2021
	Beneﬁcial interests at 31 December 2021 (2)	Dividends reinvested after year end 31 December 2021
Shares
Sir Jonathan Symonds	64,467	63,474
V indi Banga	106,013	104,473
Dame V ivienne Cox	10,997	10,548
Urs Rohner	17,168	16,427
ADS
Charles Bancroft	7,665	7,466
Dr Anne Beal	509	504
Dr Hal Dietz	–	–
L ynn Elsenhans	47,168	44,984
Dr Laurie Glimcher	23,664	22,653
Dr Jesse Goodman	10,695	10,223
Judy Lewent (4)	–	–

1) T otal directors’ interests include beneﬁcial interests and any shares/ ADS received as all or part of their fees under the Non-Executive Directors’ share allocation plan. Dividends received on shares/ ADS under the plan during the year and in January 2022 were converted into shares/ADS as at 13 January 2022.
2) Beneﬁcial interests includes shares/ADS held by the Non-Executive Directors and their PCAs.
3) Shares/ADS allocated during the year under the Non-Executive Directors’ share allocation plan cover ﬁve quarters of allocations for the period from October 2020 to December 2021 due to a change in the timing of allocations during 2021. Shares/ ADS allocated also includes dividends reinvested during the year .
4) Judy Lewent retired from the Board on 5 May 2021, at which time her holding of 20,820 ADS under the Non-Executive Directors’ share allocation plan was released to her under the terms of the plan. The holding was subject to UK income t ax.

Directors’ interests in shar es (audited) continued

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142

Fur th er infor mation i s provid ed on co mpen satio n and inter ests o f Dire ctors a nd Seni or Ma nagem ent as a gr oup ( the gr oup ). For t his pur pose , the grou p is deﬁ ned as t he E xecuti ve and No n-E xecu tive Di rector s, oth er mem bers o f the GL T and th e Com pany Se creta ry. For t he ﬁnan cial ye ar 202 1 , the foll owing ta ble se ts out agg regate r emune ration f or the gro up for the p erio ds duri ng whi ch they se rve d in that c apac ity.

Remuneration for 2021

	£
T otal compens ation paid	29,205,417
Aggregate increase in accrued pension beneﬁts (net of inﬂation)	39,483
Aggregate payments to deﬁned contribution schemes	1,421,723

Dur ing 2021 , me mber s of the gr oup were awa rded s hare s and AD S unde r the com pany’s vari ous L TI pla ns, a s set out i n the tab le bel ow . T o al ign the i nteres ts of Sen ior Ma nagem ent wi th those o f shar ehold ers , Exe cutive D irec tors a nd GL T memb ers ar e requi red to buil d and mai ntai n signi ﬁca nt holdi ngs of sh ares i n GSK ove r time. G L T m embe rs ar e r equir ed to hold s hare s to an equi valent mult iple of t wo time s their b ase s alar y, and mus t cont inue to sat isf y thes e shar e owner ship re quire ments fo r a minim um of 1 2 mon ths af ter leavi ng GSK .

Awards

	Dividend reinvestment awards
	Awarded during 2021
	Shares	ADS	Shares	ADS
Performance Share Plan	2,305,483	471,211	351,369	83,884
Deferred Investment Awards (1,2)	274,510	–	18,759	–
Share V alue Plan (2)	16,380	–	–	–

1) Notional shares and ADS.
2) Executive Directors are not eligible to receive Deferred Investment A wards or participate in the Share V alue Plan.

At 27 Febr uar y 2022, the g roup and t heir P CAs had t he follow ing inte rest s in shar es and A DS of the c ompa ny . Inter ests awa rded und er the var ious L TI pl ans ar e desc ribe d in Note 44 to th e ﬁnan cial s tatemen ts, ‘ Employe e shar e sche mes’ on pa ge 2 45.

Interests at 27 February 2022

	Shares	ADS
Owned	2,482,185	526,342
Unexercised options	3,440	–
Deferred Annual Bonus Plan	588,815	121,198
Performance Share Plan	7,245,586	959,612
Deferred Investment Awards (1,2)	348,947	8,563
Share V alue Plan (2)	32,760	11,480

1) Notional shares.
2) Executive Directors are not eligible to receive Deferred Investment Awards or participate in the Share V alue Plan.

Fees in r espect of Executive Dir ectors’ external appointments

CEO
Emma W almsley is an i ndepe ndent n on-exe cutive d irec t or of M icro sof t Cor porat ion. D uring 2021 , she rec eive d $325,000, o f whi ch $125,000 wa s delive red a s cas h and $200,000 as stoc k option s under t he Mic rosof t C orpo ration’s Defe rred C omp ensat ion Pl an for its n on-e mployee d irec tors .

CSO
Dr H al Bar ron wa s a non-e xecuti ve direc tor of GR A IL I nc (a private c ompa n y ) until 24 Aug ust 202 1 . Duri ng 202 1 , h e ear ned $30,000 in fee s.

Payments to past Directors (audited)

Sim on Din geman s lef t the Bo ard on 8 M ay 2019 a s a volunt ary l eaver.# Annual report on remuneration continued

Directors and Senior Management continued

The vesting of the DABP awards is governed by the Remuneration policy prevailing at the time Mr Dingemans left the Board. The table below reflects the value of the deferred bonus and accrued dividends to the point of release.

Date of vesting	Number of shares vested
14 February 2022	51,712

Payments for loss of office (audited)

No loss of office payments were made in 2021 or 2020.

How our Remuneration policy continues to reflect Provision 40 of the UK Corporate Governance Code (the Code)

Clarity and Simplicity

The remuneration arrangements for the Executive Directors are set out in a clear and simple way in the Remuneration policy. Prior to finalising the Remuneration policy, the Committee consulted extensively with our shareholders to ensure transparency and clarity regarding its implementation. The fixed remuneration elements (salary, benefits and pension) are closely aligned with wider workforce arrangements and our pay for performance plans (annual bonus and long-term incentive) reward delivery of financial, strategic and ESG objectives in the short and long-term.

Risk

In line with the Code, we operate both deferral and post-vesting holding periods, in addition to malus and claw back provisions. The Committee retains discretion to adjust award outcomes (to zero if appropriate) if it considers the payout determined does not appropriately reflect the overall position and performance of the company.

Predictability and proportionality

Our Remuneration policy defines maximum limits on the total annual bonus and long-term incentive opportunities, and payouts under these elements are linked to fulfilment of performance conditions that support the company’s publicly stated ambitions. Through its implementation, maximum reward under our short and long-term plans are only achievable for material outperformance against our stated ambitions.

Alignment to culture

GSK’s purpose, values and strategy are directly reflected in the performance conditions set under the annual bonus and long-term incentive. In particular, we are introducing an ESG measure in both our short and long-term plans given our external ambitions for our Trust priority, and our Nature Net Positive and Climate Net Zero ambition by 2030. Our Share Ownership Requirements strengthen the focus on our strategic aims, and ensure alignment with the interests and experiences of shareholders, both during and after employment. The Remuneration policy has operated as intended in terms of company performance and quantum during 2021.

GSK Annual Report 2021 143

Strategic report

Governance and remuneration

Financial statements

Investor information

Our current Remuneration policy (policy) was approved by our shareholders at our Annual General Meeting on 6 May 2020 when it received a 88.18% vote in favour. Shareholders are being asked to approve a new policy at our Annual General Meeting on 4 May 2022 which is intended to apply for the next three years.

During 2021, the Committee considered the policy to define the biopharma business’ new approach to remuneration. The decision-making process that the Committee followed for its determination, review and implementation of the proposed new policy is set out in the Committee Chair’s statement on pages 120 to 124.

The Committee’s review of the policy sought to ensure that it continues to:
* Align with the company’s business priorities, culture, wider workforce pay policies and emerging best practice
* Support the bold performance ambitions announced to investors in June 2021 and company’s key ESG commitments
* Create long-term shareholder value, and
* Drive the success of the company for the benefit of shareholders, patients, our people and other key stakeholders

In addition, changes to the policy have been made to ensure its implementation will support the delivery of business strategy whilst delivering a clear, understandable and appropriately competitive package to attract, retain and motivate executive talent. The Committee developed the new policy for Executive and Non-Executive Directors in the context of its oversight of wider workforce pay, however, it did not consult directly with employees on the new policy. It consulted with our largest shareholders in respect of the proposed changes and took shareholders’ feedback into account when finalising the new policy.

The table below provides an overview of the main changes that are proposed in respect of the new policy. The full policy that shareholders are asked to approve is set out on pages 144 to 152.

2022 Remuneration policy summary

| Remuneration element | Proposed changes to policy Executive Directors in the UK are also eligible to participate in all-employee share schemes (e.g. Share Save and Share Reward Plan), under which they are subject to the same terms as all other employees. In order to recognise the high business travel requirements of the role, Executive Directors are also entitled to car travel and exceptionally may be accompanied by their spouse/partner on business trips. Other benefits include expenses incurred in the ordinary course of business, which are deemed to be taxable benefits on the individual. Where an Executive Director is based outside the UK, but is required to travel to the UK to fulfil the responsibilities of their role and to attend Board Meetings, they may be subject to tax on their business travel expenses to and from the UK and on the provision of any accommodation in the UK. Although in reality it represents a business expense, the tax treatment requires that their travel and accommodation expenses are then included as benefits. Because of the business context, the tax liabilities will be covered by the company on a grossed-up basis. Benefit provision is tailored to reflect market practice in the geography in which the Executive Director is based and different policies may apply if current or future Executive Directors are based in a different country.

Opportunity
There is no formal maximum limit as benefits costs can fluctuate depending on changes in provider cost and individual circumstances. Details of current benefits and costs are set out in the Annual report on remuneration.

Performance measure
None

2022 Remuneration policy report

Future Policy Table

Salary
* Change: No change
* To provide a core reward for the role. Set at a level appropriate to secure and retain high calibre individuals needed to deliver the Group’s strategic priorities.

Benefits
* Change: No change
* Levels are set to recruit and retain high calibre individuals to execute the business strategy.

Future policy table continued

Operation
Financial, operational and business targets are set at the start of the year by the Committee and bonus levels are determined by the Committee based on performance against those targets. Strategic and operational measures are set at the start of the year by the Committee and performance against those measures is assessed by the Committee. Executive Directors are required to defer part of any bonus earned into shares, or ADS as appropriate, for three years. 50% of the equivalent of the first 200% of salary is deferred, and any portion in excess of 200% is deferred in full. Deferred bonus shares are eligible for dividend equivalents up to the date of vesting. The Committee may adjust the formulaic vesting outcome (either up or down) to ensure that the overall outcome reflects underlying business performance over the vesting period. Clawback and/or malus provisions apply as described on page 147.

Opportunity
The maximum bonus opportunity for Executive Directors is 300% of salary. Below 99% of target performance, the bonus payout on the financial measures will be nil. For target performance, the bonus payout will be 100% of salary.

Annual bonus
* Change: To incentivise and recognise execution of the business strategy on an annual basis. Rewards the achievement of stretching annual financial, strategic and operational measures.

Pension arrangements
Provide a competitive level of retirement income.

Operation
Pension arrangements are structured in accordance with the plans operated in the country in which the individual is likely to retire. Where the individual chooses not to become a member of the pension plan, cash in lieu of the relevant pension contribution is paid instead. Executive Directors in the UK are entitled either to join the defined contribution pension plan or to receive a cash payment in lieu of pension contribution. Where an individual is a member of a GSK legacy defined benefit plan, a defined contribution plan or an alternative pension plan arrangement and is subsequently appointed to the Board, he or she may remain a member of that plan.

Opportunity
The policy for all current Executive Directors is:

UK:
20% of base salary contribution to defined contribution plan and further 5% in matched contributions subject to any relevant cap and in line with implementation principles for other members of the plan; and
- 20% of base salary as a cash payment in lieu of pension contribution for the portion above the relevant cap; or
- 20% of base salary as a cash payment in lieu of pension contribution.

From 1 January 2023, any current UK Directors who are still in role will have their pension arrangements aligned to new Executive Directors’ arrangements as follows. Any new Executive Directors in the UK will receive from date of appointment:
* 7% of base salary contribution to defined contribution plan and further 3% in matched contributions subject to any relevant cap and in line with implementation principles for other members of the plan; and
* 7% of base salary as a cash payment in lieu of pension contribution for the portion above the relevant cap; or
* 7% of base salary as a cash payment in lieu of pension contribution.

US (1):
- Supplemental Cash Balance pension plan, providing annual contribution of 38% of base salary, less 5% of total base salary and bonus (net of the bonus deferred under the DAB P) (3).
- GSK 401(k) plan (1) and the ESSP (1) with core contributions of 7% of salary and bonus (2) and matched contributions of 4% of salary and bonus (2).

From 1 January 2023, any current US Executive Directors who are still in role will have their pension arrangements aligned to new Executive Directors’ arrangements as follows. Any new Executive Directors in the US will receive from date of appointment:
* GSK 401(k) plan (1) and the ESSP (1) with core contributions of 7% of salary and bonus (2) and matched contributions of 4% of salary and bonus (2).

Global:
- Eligible for appropriate equivalent arrangement not in excess of the US/UK arrangements.

Performance measures
None.

2022 Remuneration policy report continued

Pension
* Change: Pension arrangements provide a competitive level of retirement income.

(1) In the event of any change to the plans operated in the US, a similar treatment would be provided under any successor arrangements introduced within the market
(2) Less bonus deferred under the DAB P
(3) The 5% of set is equal to the contribution to the 401(k) and ESSP which was moved from the pension plans, in line with the wider US workforce, from 1 January 2021

Performance measures

Based on a combination of financial targets and individual/ strategic and ESG performance objectives, with the majority of the bonus assessed against the financial measures. The weighting between different measures will be determined each year according to business priorities. Further details, including the measures to be used in the financial year, are provided in the Annual report on remuneration.

Selection of annual bonus measures

The annual bonus is designed to drive the achievement of GSK’s annual financial, strategic and operational measures. For this reason the majority of the annual bonus opportunity is based on a formal review of performance against stretching financial targets, with the remainder of the bonus subject to assessment of individual performance against the key strategic and operational measures which are aligned to the company’s key objectives for that financial year and/or assessment of performance against ESG targets. The annual bonus financial targets are set by reference to internal budget and external consensus targets.

Operation

Conditional awards are made annually with vesting dependent on the achievement of performance conditions over three years and are subject to an additional two-year holding period. PSP targets are set by reference to internal budget and external consensus targets. Awards are eligible for dividend equivalents up to the date of vesting and release. The Committee may adjust the formulaic vesting outcome (either up or down) to ensure that the overall outcome reflects underlying business performance over the vesting period. Clawback and/or malus provisions apply as described on page 147.

Opportunity

The normal maximum award limits that may be granted under the PSP to an individual in any one year are set out in the table below:

% of salary	CEO	CFO	Other Executive Directors
	600	400	500

Performance measures

Based on a combination of financial, share price related and strategic and ESG performance conditions which are aligned to the company’s strategic plan. For all measures, 25% of awards will vest at threshold performance. Further details, including the performance targets attached to the PSP in respect of each year, and the weightings of the targets for the 2022 PSP awards are provided in the Annual report on remuneration.# Performance Share Plan (PS P)

No change T o i ncent ivis e and rec ogni se deli ver y of the lo nger ter m busin ess p riori ties , ﬁna ncial g row th and increases in shareholder value compared t o other pharmaceutical companies . In addition, t o provide al ign ment with shareholder i nterests, a reten tion element, to encourage long- t erm sha reho lding an d disc ourag e exces sive r isk ta king . Futur e policy t able continued 2022 Remuneration policy report continued

Share Ownership Requir ements

No c hange T o a lign th e intere sts of E xecu tive Dir ector s with th ose of shareholders, they are required t o b uild and maintain sig niﬁc ant ho lding s of shar es in GS K over tim e. The req uirem ents for e ach E xecu tive Dir ector a re as fo llows:

	% salary
CEO	650
Other Executive Directors	300

As a mi nimum , Exe cutive D irec tors ar e requi red to ma intai n 1 00% o f their s hare ow ners hip req uirem ents to the e nd of the ﬁ rst ye ar follow ing ret ireme nt from t he comp any and 50 % to the en d of the se cond ye ar .

Selection of long-term incentive measures

The Committee selects per formance measures which focus Executive Directors’ long- ter m rem uneration on the delivery of GS K’s key stra t egi c prio ritie s over the lo nger ter m. In a dditi on to setting robust targets, the Committee has implement ed a n umber of s afegua rds to ens ure the t arget s are met i n a sust ainab le way and p er forma nce re ﬂec ts genui ne achi evement a gains t targ ets and theref ore represents the deliv ery of value for shareholders.

For e ach pe rfo rman ce me asur e, the imp act of a ny acqui sitio n or dive stment will b e quanti ﬁed a nd adju sted for af ter th e event. Any m ajor ad justm ent in the c alcu lation o f per form ance me asur es will b e disc lose d t o sha reho lder s on vesti ng. Th e Audit & R isk C ommit tee ch air and ot her mem ber s, who a re als o memb ers of th e Remun erati on Com mit tee, prov ide inp ut on the Au dit & Ri sk Co mmit tee’ s revi ew of the Gr oup’ s per fo rmanc e and over sigh t of any ris k factor s relev ant to remuneration decisions.

Det ails of t he rati onale b ehind th e per for manc e meas ures sel ected a nd how they a re ca lculate d are set o ut in the A nnual report on remuneration.

GS K Ann ual R epor t 2021
147
Strategic report
Governance and remuneration
Financial st atements
Investor information

In th e event of a ‘ trig geri ng event’ (i .e. si gniﬁ cant mi sco nduct by way of viola tion o f regulat ion, la w , a signiﬁcant GSK policy , such as th e Cod e of Co nduct , or a mater ial mis state ment of r esult s, or se riou s reput ationa l dama ge ), the com pany wi ll have the abi lity to c law back u p to three ye ars’ an nual an d defer red bon uses a s well a s vested a nd unveste d L T Is. I n addi tion, i n r espec t of PS P awards ma de fro m 2020, if a par tic ipant i s sub ject to an i nvesti gation , then th e vestin g of their awa rds may be d elayed unt il the outc ome of th at invest igatio n.

A sep arate Re coup ment C ommit tee ha s been e sta blish ed to inves tigate r elevant c laims o f misc onduc t. The R ecou pment C ommit tee exer cise s this aut horit y for th e wide r employe e bas e. It c ompr ises o f senio r executi ves wi th releva nt oversight an d appropriat e e xperience, includi ng the Senior Vice President, Chi ef Co mplia nce O fﬁ cer, and the S enior V ice P res ident a nd Group General Counsel, Legal and Compliance.

In r espe ct of ea ch ﬁna ncial ye ar , the Re muner ation C ommi ttee wil l discl ose wh ether i t ( or the Rec oupm ent C ommi ttee ) has exercised cla wback or malus. Disclosure will only be made whe n the mat ter ha s been s ubjec t to public r epor ts of mis cond uct, w here it h as be en full y reso lved, w here i t is lega lly per mis sible to di sclo se and w here i t can be m ade wi thout unduly prej udicing t he company and there fore shareholders.

Additionally , where there has been con tinuity of responsibility bet ween i nitiat ion of an a dvers e event and i ts eme rgenc e as a pro blem , the adve rse even t shoul d be take n into acc ount in as ses sing a nnual b onus awar ds and L TI ve sting l evels in the yea r the prob lem is i denti ﬁed a nd for futu re per iods . The Remuneration Commi ttee ( or Recoupm ent Commit t ee ) ma y make appropria te adjustments to individual ann ual bonuses as well a s gran t and ves ting leve ls of L T I award s to reﬂe ct this .

Futur e policy t able continued

Clawback and malus

No change 2022 Remuneration policy report continued

The Committee det ermines the rem uneration package of new E xecut ive Dir ector s on a ca se-by -ca se ba sis dep endin g on the r ole, the m arket f rom whi ch they wi ll oper ate and th eir exp erie nce. T otal r emune ration l evels wi ll be set by r efere nce to a rel evant pay co mpar ator grou p and, w here ap prop riate, will allow for fut ure dev elopment in the role.

It i s expec ted that ne w Exe cutive D irec tors wi ll par tici pate in sh or t and lon g-term in centi ve plans o n the sa me bas is as existing directors. Howe ver , in exceptional circumstances, the C ommi ttee r eser ves t he ﬂexi bilit y to set the i ncen tive limi t for a new E xe cutive D irec tor at up to an ad dition al 50 % of the existing limits. Th e Comm itte e retai ns this ﬂ exibil ity i n reco gnitio n of the hig h level s of vari able pay i n GSK ’ s glob al pha rmac eutic al co mpetito rs. H owever , the C ommi ttee w ill only u se this ﬂ exibi lity whe n it is co nsid ered to be i n the be st inter ests of t he comp any and i ts inves tors .

Pens ion ar rang ement s for any ex terna l recr uit as a n Exe cutive D irec tor w ill be a s set out i n the Remu nerat ion pol icy tab le on page 1 45. Ot her ben eﬁts w ill be pr ovide d in line w ith the po licy for e xisti ng E x ecutive Directors. Where required t o mee t business needs, relocation support wil l be provi ded in li ne with c ompa ny polic y .

For an y int ernal appo intment s, entitl ements u nder e xisting remuneration elements wil l contin ue, includin g pension enti tleme nts and a ny outst andin g awards . However,wher e not a lread y the ca se, i n ternal a ppoi ntments w ill be r equir ed to move to E xecut ive Dir ector c ontra ctual ter ms, i nclud ing terminat ion pro visions.

Th e Comm itte e is mind ful of the s ensi tivit y rel ating to recruitment packages and, in particular , the ‘buying o ut’ of rights rela ting t o pre vious emplo yment. It wil l theref ore seek to mini mise su ch arr ange ments . However, in cer ta in circumstances, to enable the recruitmen t of exceptional talent, the C ommi ttee m a y deter mine th at such a rran ge ments are in the b est inte rest s of the co mpany a nd its sh areho lder s. Su ch ar range ments w ill, w here po ssib le, be o n a like-for-li ke basi s with the forfeited remunera tion t erms. Arrangements will the refore va ry d epen ding on th e plans a nd arr ange ments pu t in pl ace by the p revio us empl oyer and may b e in the for m of ca sh or sh ares a nd may or may n ot be subj ect to pe rfo rman ce conditions. Explanations will be provided where pa yments are made as compensation for previous rem uneration forfeited.

The remuneration arrangements f or an y newly appoint ed E xecut ive Dir ector wi ll be dis clos ed as s oon as p racti cab le af t er the appointme nt.

Approac h to r ecruitment r emuneration

No change

148
GS K Ann ual R epor t 2021

T ermination of employment

In th e event that a n Exe cutive D irec tor’s empl oymen t with the c ompa ny termin ates, th e follow ing pol icie s and paym ents wi ll appl y .

| Element of Remuneration | Loss of ofﬁce payment policy | T ermination payment

T ermination by notice: 12 months’ annual salary payable on termination by the company (pro-rated where part of of the notice period is worked). No termination payment is made in respect of any part of a notice period that extends beyond the contract expiry date. A bonus element is not normally included in the termination payment. However, the terms of the contracts seek to balance commercial imperatives and best practice.

Redundancy: As above, for termination by notice. In the U K, only statutory redundancy pay will apply. In the US, general severance policy does not apply.

Retirement, death and ill-health, injury or disability: No termination payment.

L TI awards

PS P awards are governed by the plan rules as approved by shareholders. The following provisions will normally apply:

T ermination by notice: Unvested awards will lapse.

Redundancy, retirement, death, ill-health, injury, disability or any other reason: Generally, awards will continue to vest over the original timescales subject to performance and pro-rated for time. In the event of a change of control, PSP awards will vest, taking into account performance to date and normally taking into account the proportion of the performance period that has elapsed. Alternatively, the awards may be exchanged for new awards.

Annual bonus

T ermination by notice by individual: If an individual serves notice and the termination date falls before 31 December, the bonus is forfeited.

T ermination by notice by the company, redundancy, retirement, death, ill-health, injury or disability: If the termination date falls during the financial year, eligible for pro-rated on-target bonus (if employed on 31 December, bonus payable based on actual results).

Mandatorily deferred bonus under the DABP

DABP deferred bonus awards in respect of mandatorily deferred bonus amounts are governed by the plan rules as approved by shareholders. The following provisions will normally apply:

T ermination for gross misconduct: Generally, unvested awards will lapse.

Any other reason: Generally, awards will vest in full on the original vesting date. In the event of a change of control, awards will vest or may be exchanged for new awards.# 2022 Remuneration policy report continued

Pensions

Pension scheme contributions by the individual and the company, and any pension scheme benefit accruals, generally cease at the termination date in accordance with pension scheme rules. Access to pension scheme benefits is governed by the pension scheme rules and country legislation.

Benefits

Generally, benefits will continue to apply until the termination date. The Committee may make payments in connection with an existing legal obligation or in respect of any claim related to the cessation of employment. This may include fees for outplacement assistance, legal and/or professional advice.

Termination by notice by the company and retirement (US executives)

In line with the policy applicable to US senior executives, they may become eligible, at a future date, to receive continuing medical and dental insurance after termination/retirement. The company does not have a policy of fixed term contracts. Generally, contracts for new appointments will expire in line with the applicable policy on retirement age, which since 2009 has been 65. Contracts for existing Executive Directors will expire on the dates shown on page 138. Notice period on termination by the employing company or the Executive Director is 12 calendar months. The ability to impose a 12-month non-compete period (and a non-solicitation restriction) on an Executive Director is considered important by the company to have the ability to protect the Group’s intellectual property and staff. In light of this, the Committee believes that it would not be appropriate to provide for mitigation in the contracts.

Termination by mutual agreement

In certain circumstances, it can be in the best interests of the company for the Board to manage proactively succession planning and the development of the senior talent pipeline. In such circumstances, the Board may therefore agree that an Executive’s departure will be by mutual agreement. In order for this to apply, the Committee will need to be satisfied that the Executive has demonstrated performance in line with expectations and where required they should have contributed to an orderly succession. In the case of an Executive Director, they would then be treated as a ‘good leaver’ for the purpose of GSK’s long-term incentive plans. If the termination date falls during the financial year, they would be eligible for a pro-rated on-target bonus and if they are employed on 31 December, the bonus payable would be based on actual results.

Loss of office payment policy

No change

Future policy table continued

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	Governance and remuneration
	Financial statements
	Investor information

The Committee does not anticipate the exercise of discretion provided by the PSP and DABP plan rules in respect of termination payments in a manner which would benefit an Executive Director. However, there may be unforeseen circumstances where this is in the best interests of the company and its shareholders. Where it is necessary to exercise discretion, explanations will be provided. Where an Executive Director leaves the company, the Committee will carry out an assessment of the individual’s performance and conduct over the time in role. If it is determined that the individual’s performance or conduct was contrary to the legitimate expectations of the company, the Committee reserves the right to apply appropriate mechanisms such as claw back or reduction or lapsing of outstanding incentive awards (malus), to ensure that any termination payments are in the best interests of the company and its shareholders (see page 147).

When setting remuneration for the Executive Directors, the Committee considers the company’s strategic priorities, prevailing market conditions for global talent, the competitive environment (through comparison with the remuneration of executives at companies of similar size, complexity and international reach) and the positioning and relativities of pay and employment conditions across the broader GSK workforce. In particular, the Committee considers the range of base salary rises for the workforce of those parts of GSK where the Executive Directors are employed. This is considered to be the most relevant comparison as these populations reflect most closely the economic environments encountered by the individuals.

The same principles apply to the Remuneration Policy for Executive Directors and other employees although the remuneration offered to Executive Directors under this policy has a stronger emphasis on performance-related pay than that offered to other employees of the Group.

Salary and benefits (including pension) are tailored to the local market.
The annual bonus plan applies to the wider employee population and is based on business performance.
A combination of performance-related and restricted share plans apply to the wider employee population.
All-employee share plans are available to employees in the UK, including the HM Revenue & Customs approved UK Share Save and Share Reward Plans.

While employees are not directly consulted in respect of the Remuneration policy, Urs Rohner, the Committee Chair, meets with senior HR representatives from across the business to review employee feedback. Dame Vivienne Cox, an Independent Non-Executive Director, engages with employees on various topics, including remuneration, in her role as Workforce Engagement Director. Board members engage with employees around during Board meetings where they are encouraged to share their views on the company, management and remuneration.

In the wider organisation, we have aligned our performance and reward systems with our Innovation, Performance and Trust priorities and a culture anchored in purpose and performance. Our performance system evaluates employees on both ‘what’ they need to do and ‘how’ they do it. Also, for our most senior people we disincentivise unethical working practices using a claw back mechanism that allows us to recover performance-related pay.

Loss of office payment policy continued

Differences between remuneration policy for Executive Directors and other employees

	2022
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GSK Annual Report 2021
	Strategic report
	Governance and remuneration
	Financial statements
	Investor information

The charts opposite provide illustrations of the future total remuneration for each of the Executive Directors in respect of the remuneration opportunity granted to each of them in 2022 under the proposed 2022 Remuneration policy. A range of potential outcomes is provided for each Executive Director and the underlying assumptions are set out below.

All scenarios:

2022 base salary has been used.
2021 benefits figures have been used, i.e. based on actual amounts received in 2021.
Pensions for Emma Walmsley and Iain Mackay are based upon their 2022 salaries.
The amounts shown under value of PSP awards are based upon the relevant multiples for 2022. They do not include amounts in respect of dividends reinvseted and do not factor in changes in share price over the vesting period (except as described below).

Fixed:

Includes base salary, pension and benefits. Excludes Pay for performance, ie. no Annual bonus would be paid and PSP awards would not vest.

Expected:

Includes Fixed pay.
For the Annual bonus, it is assumed that target performance is achieved.
For PSP awards, amounts reflect 50% vesting levels.

Maximum:

It is assumed that the Annual bonus would be payable at the maximum level (i.e. 300%) and that the awards under the PSP would vest in full.

Maximum with 50% share price increase:

All elements are the same as Maximum but assuming a 50% increase in share price.

Scenarios for future total remuneration

| Element | Purpose and link to strategy | Operation H3>Termination by notice by the company and retirement (US executives)

Termination by mutual agreement

Loss of office payment policy

No change

Future policy table continued

	2022
Remuneration policy report continued	GSK Annual Report 2021
149	Strategic report
	Governance and remuneration
	Financial statements
	Investor information

Salary and benefits (including pension) are tailored to the local market.
The annual bonus plan applies to the wider employee population and is based on business performance.
A combination of performance-related and restricted share plans apply to the wider employee population.
All-employee share plans are available to employees in the UK, including the HM Revenue & Customs approved UK Share Save and Share Reward Plans.

Loss of office payment policy continued

Differences between remuneration policy for Executive Directors and other employees

	2022
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	Strategic report
	Governance and remuneration
	Financial statements
	Investor information

All scenarios:

2022 base salary has been used.
2021 benefits figures have been used, i.e. based on actual amounts received in 2021.
Pensions for Emma Walmsley and Iain Mackay are based upon their 2022 salaries.
The amounts shown under value of PSP awards are based upon the relevant multiples for 2022. They do not include amounts in respect of dividends reinvseted and do not factor in changes in share price over the vesting period (except as described below).

Fixed:

Includes base salary, pension and benefits. Excludes Pay for performance, ie. no Annual bonus would be paid and PSP awards would not vest.

Expected:

Includes Fixed pay.
For the Annual bonus, it is assumed that target performance is achieved.
For PSP awards, amounts reflect 50% vesting levels.

Maximum:

It is assumed that the Annual bonus would be payable at the maximum level (i.e. 300%) and that the awards under the PSP would vest in full.

Maximum with 50% share price increase:

All elements are the same as Maximum but assuming a 50% increase in share price.

Scenarios for future total remuneration

Element	PSP	Annual bonus	Fixed pay	Maximum with 50% share price increase

	2,000	4,000	6,000	8,000
	10,000	12,000	14,000	16,000
	18,000
Emma Walmsley (£000)			Fixed £1.65m 19% 57% £6.53m £12.67m £16.29m	45%

	56%	45%	45%
Ia in Ma ckay (£000)	2,000	4,000	6,000	8,000
	10,000		Fixed £1.34m £4.09m £7.75m	£9.58m
	47%	38%	33%
	13%	30%	23%
	10%	22%	10%
	100%	33%	17%
	22%	36%	14%
	29%	19%	45%

| Element | Fixed pay # Remuneration policy report continued

Fees, benefits and share ownership requirements

The Chair and CEO are responsible for evaluating and making recommendations to the Board on the fees payable to the company’s Non-Executive Directors.

Fee payment

Alignment with shareholders

Fees are paid in cash. Non-Executive Directors (including the Chair) are required to invest at least 25% of their total net fees in shares or ADSs of the company, but the company may choose to replace this with an ownership requirement to hold shares or ADS with an aggregate value at or above one times their gross annual standard fee until their retirement from the Board. If the current investment requirement is replaced with this ownership requirement, shares or ADS previously acquired through investment of fees would continue to be held under those arrangements and would be delivered or released following retirement from the Board. Such shares or ADS would count towards any minimum ownership requirement.

Supplemental fees

To compensate Non-Executive Directors (other than the Chair) for taking on additional Board responsibilities or undertaking intercontinental travel. Additional fees for the Senior Independent Director, Committee Chairs, Science and Medical Experts, the Workforce Engagement Director role and intercontinental travel. The company has the authority to pay an additional fee, up to the equivalent of the Committee Chair supplement to a Non-Executive Director, should the company require significant additional time commitment in exceptional or unforeseen circumstances. The company has the authority to pay an additional fee of up to £200,000 to Non-Executive Directors (excluding the Chair) who are members of the Science Committee for undertaking additional responsibilities on behalf of GSK and to support R&D.

Benefits

To facilitate execution of responsibilities and duties required by the role. Travel and subsistence costs for Non-Executive Directors are incurred in the normal course of business in relation to meetings on Board and Committee matters and other GSK-hosted events. For overseas-based Non-Executive Directors, this includes travel to meetings in the UK. In the event it is necessary for business purposes, whilst not normal practice, Non-Executive Directors may be accompanied by their spouse or partner to these meetings or events. The costs associated with the above are all met by the company and, in some instances, they are deemed to be taxable and therefore treated as benefits for the Non-Executive Director.

Non-Executive Director remuneration policy 2022

Non-Executive Directors’ fees

	Change 2022	Remuneration policy report continued
	No change	Approac h to r ecruitment r emuneration

The following policy and principles apply to the roles of Chair and Non-Executive Director. It seeks to ensure alignment with shareholders through the requirement to invest in company shares and ADSs.

Chair

Fees will be set at a level that is competitive with those paid by other companies of equivalent size and complexity. Fees will be paid partly in shares.

Non-Executive Directors

Fee levels for new Non-Executive Directors will be set on the same basis as for existing Non-Executive Directors of the company, subject to local laws and regulations. In the event of a Non-Executive Director with a different role and responsibilities being appointed, fee levels will be benchmarked and set by reference to comparable roles in companies of equivalent size and complexity.

Loss of office

	Change 2022
	No change

The Chair and other Non-Executive Directors are not entitled to receive any payments in respect of fees for loss of office when they retire or step down from the Board.

152 GSK Annual Report 2021

The Remuneration policy (Policy) is set out on pages 144 to 152 of the 2021 Annual Report and it is intended that the Policy for GSK’s Executive and Non-Executive Directors will operate for a period of three years from the date of approval at the company’s Annual General Meeting on 4 May 2022. The Committee wrote the Policy principally in relation to the remuneration arrangements for the Executive Directors, whilst taking into account the possible recruitment of a replacement or an additional Executive Director during the operation of the Policy. The Committee intends the Policy to operate for the period set out above in its entirety. However, it may after due consideration seek to change the Policy during this period, but only if it believes it is appropriate to do so for the long-term success of the company, after consultation with shareholders and having sought shareholder approval at a general meeting. The Committee reserves the right to make any remuneration payments and/or payments for loss of office (including exercising any discretions available to it in connection with such payments) notwithstanding that they are not in line with the Policy where the terms of the payment were agreed:

(i) before the AGM on 7 May 2014 (the date the company’s first shareholder-approved Directors’ remuneration policy came into effect);

(ii) before the Policy came into effect, provided that the terms of the payment were consistent with the shareholder-approved Remuneration policy in force at the time they were agreed; or

(iii) at a time when the relevant individual was not a Director of the company and, in the opinion of the Committee, the payment was not in consideration for the individual becoming a Director of the company.

For these purposes ‘payments’ includes the Committee satisfying awards of variable remuneration and, in relation to an award over shares or ADS, the terms of the payment are ‘agreed’ at the time the award is granted. Performance Share Plan (PSP) awards are subject to the terms of the PSP plan rules under which the award has been granted. The Committee may adjust or amend awards only in accordance with the provisions of the plan rules. This includes making adjustments to reflect one-off corporate events, such as a change in the company’s capital structure. The Committee may also make minor amendments to the Policy (for regulatory, exchange control, tax or administrative purposes or to take account of a change in legislation) without obtaining shareholder approval for such amendments.

Statement of consideration of shareholder views

The Committee engages in regular dialogue with shareholders and holds annual meetings with GSK’s largest investors to discuss and take feedback on its Remuneration policy practices and governance matters.

Operation and scope of Remuneration policy 2022

Remuneration policy report continued

The Annual report on remuneration has been prepared in accordance with the Companies Act 2006 and The Large and Medium-sized Companies and Groups (Accounts and Reports) (Amendment) Regulations 2013 (the Regulations). In accordance with the Regulations, the following parts of the Annual report on remuneration are subject to audit: total remuneration figures for Executive Directors including further details for each element of remuneration (salary, benefits, pension, annual bonus and long-term incentive awards); Non-Executive Directors’ fees and emoluments received in the year; Directors’ interests in shares, including interests in GSK share plans; payments to past Directors; payments for loss of office; and share ownership requirements and holdings, for which the opinion thereon is expressed on page 164. The remaining sections of the Annual report on remuneration are not subject to audit nor are the pages referred to from within the audited sections.

The Annual report on remuneration has been approved by the Board of Directors and signed on its behalf by:

Urs Rohner
Remuneration Committee Chair
28 February 2022

GSK Annual Report 2021 153

Strategic report Governance and remuneration Financial statements Investor information

Financial statements

GSK Annual Report 2021 153

In this section
Directors’ statement of responsibilities 154
Independent Auditor’s report 156
Financial statements 168
Notes to the financial statements 172
Financial statements of GlaxoSmithKline plc prepared under UK GAAP 252

Strategic report Governance and remuneration Financial statements Investor information

154 GSK Annual Report 2021

The Directors are responsible for preparing the Annual Report, the Remuneration report and the Group and parent company financial statements in accordance with applicable law and regulations. UK company law requires the Directors to prepare financial statements for each financial year. The Directors are required to prepare the Group consolidated financial statements in accordance with International Accounting Standards in conformity with the requirements of the Companies Act 2006 and the International Financial Reporting Standards (IFRS) as issued by the International Accounting Standards Board (IASB). The Directors have elected to prepare the parent company financial statements in accordance with United Kingdom Accounting Standards and applicable law (United Kingdom Generally Accepted Accounting Practice). Under company law the Directors must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Group and its profit or loss for that period.# Directors' statement of responsibilities

In preparing the financial statements, the Directors are required to:
– select suitable accounting policies and then apply them consistently;
– make judgments and accounting estimates that are reasonable and prudent;
– state that the Group financial statements comply with IFRS, as issued by the IASB and in conformity with the requirements of the Companies Act 2006;
– state with regard to the parent company financial statements that applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the parent company financial statements; and
– prepare the financial statements on a going concern basis unless it is inappropriate to presume that the Group and the parent company will continue in business.

The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the company’s transactions and disclose with reasonable accuracy at any time the financial position of the Group and to enable them to ensure that the Group financial statements and the Remuneration report comply with the Companies Act 2006 and Article 4 of the IAS Regulation. They are also responsible for safeguarding the assets of the Group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The Group financial statements for the year ended 31 December 2021, comprising principal statements and supporting notes, are set out in the ‘Financial statements’ on pages 168 to 251 of this report. The parent company financial statements for the year ended 31 December 2021, comprising the balance sheet and the statement of changes in equity for the year ended 31 December 2021 and supporting notes, are set out on pages 252 to 256. The responsibilities of the auditor in relation to the financial statements are set out in the Independent Auditor’s report on pages 156 to 167.

The financial statements for the year ended 31 December 2021 are included in the Annual Report, which is published in printed form and made available on our website. The Directors are responsible for the maintenance and integrity of the Annual Report on our website in accordance with UK legislation governing the preparation and dissemination of financial statements. Access to the website is available from outside the UK, where comparable legislation may be different.

Each of the current Directors, whose names and functions are listed in the Corporate Governance section of the Annual Report 2021 confirms that, to the best of his or her knowledge:
– the Group financial statements, which have been prepared in accordance with IFRS, as issued by the IASB and in conformity with the requirements of Companies Act 2006, give a true and fair view of the assets, liabilities, financial position and profit of the Group; and
– the Strategic report and risks sections of the Annual Report, which represent the management report, include a fair review of the development and performance of the business and the position of the company and the Group taken as a whole, together with a description of the principal risks and uncertainties that it faces.

Directors’ statement of responsibilities

GSK Annual Report 2021

155 Strategic report

Governance and remuneration

Financial statements

Investor information

Disclosure of information to auditor

The Directors in office at the date of this Annual Report have each confirmed that:
– so far as he or she is aware, there is no relevant audit information of which the company’s auditor is unaware; and
– he or she has taken all the steps that he or she ought to have taken as a Director to make himself or herself aware of any relevant audit information and to establish that the company’s auditor is aware of that information.

This confirmation is given and should be interpreted in accordance with the provisions of section 418 of the Companies Act 2006.

Going concern basis

Pages 56 to 81 contain information on the performance of the Group, its financial position, cash flows, net debt position and borrowing facilities. Further information, including Treasury risk management policies, exposures to market and credit risk and hedging activities, is given in Note 43 to the financial statements, ‘Financial instruments and related disclosures’.

Having assessed the principal risks and other matters considered in connection with the viability statement, the Directors considered it appropriate to adopt the going concern basis of accounting in preparing the financial statements.

Internal control

The Board, through the Audit & Risk Committee, has reviewed the assessment of risks and the internal control framework that operates in GSK and has considered the effectiveness of the system of internal control in operation in the Group for the year covered by this Annual Report and up to the date of its approval by the Board of Directors. Further detail on the review of internal controls is set out in the Governance report on page 112.

The 2018 UK Corporate Governance Code

The Board considers that GlaxoSmithKline plc applies the principles and complies with the provisions of the UK Corporate Governance Code maintained by the Financial Reporting Council, as described in the Corporate Governance section on pages 83 to 118. The Board further considers that the Annual Report, taken as a whole, is fair, balanced and understandable, and provides the information necessary for shareholders to assess the Group’s position and performance, business model and strategy.

As required by the Financial Conduct Authority’s Listing Rules, the auditor has considered the Directors’ statement of compliance in relation to those points of the UK Corporate Governance Code which are specified for their review.

Annual Report

The Annual Report for the year ended 31 December 2021, comprising the Report of the Directors, the Remuneration report, the Financial statements and Additional information for investors, has been approved by the Board of Directors and signed on its behalf by

Sir Jonathan Symonds
Chairman
28 February 2022

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156 GSK Annual Report 2021

Independent Auditor’s report to the members of GlaxoSmithKline plc

Report on the audit of the financial statements

1. Opinion

In our opinion:
– The financial statements of GlaxoSmithKline plc (the ‘Parent company’) and its subsidiaries (the ‘Group’) give a true and fair view of the state of the Group’s and of the Parent company’s affairs as at 31 December 2021 and of the Group’s profit for the year then ended;
– The Group financial statements have been properly prepared in accordance with United Kingdom adopted international accounting standards and International Financial Reporting Standards (IFRSs) as issued by the International Accounting Standards Board (IASB);
– The Parent company financial statements have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice including FRS 101 “Reduced Disclosure Framework”; and
– The financial statements have been prepared in accordance with the requirements of the Companies Act 2006.

We have audited the financial statements which comprise the:
Group
– Consolidated balance sheet as at 31 December 2021;
– Consolidated income statement for the year then ended;
– Consolidated statement of comprehensive income for the year then ended;
– Consolidated statement of changes in equity for the year then ended;
– Consolidated cash flow statement for the year then ended; and
– Notes 1 to 47 to the financial statements, which include the accounting principles and policies.

Parent company
– Balance sheet as at 31 December 2021;
– Statement of changes in equity for the year then ended; and
– Notes A to L to the financial statements, which include the accounting principles and policies.

The financial reporting framework that has been applied in the preparation of the Group financial statements is applicable law, United Kingdom adopted international accounting standards and IFRSs as issued by the IASB. The financial reporting framework that has been applied in the preparation of the Parent company financial statements is applicable law and United Kingdom Accounting Standards, including FRS 101 “Reduced Disclosure Framework” (United Kingdom Generally Accepted Accounting Practice).

2. Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of our report.We are independent of the Group and the Parent company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the Financial Reporting Council’s (the ‘FRC’s’) Ethical Standard as applied to listed public interest entities, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We confirm that we have not provided any non-audit services prohibited by the FRC’s Ethical Standard to the Group or the Parent company, as noted in the Audit & Risk Committee report within the Corporate Governance section of the Annual Report on page 111. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

3. Audit scope and execution

We structured our approach to the audit to reflect how the Group is organised as well as ensuring our audit was both effective and risk focused. Our audit approach can be summarised into the following areas that enabled us to obtain the evidence required to form an opinion on the Group and Parent company financial statements:

– Risk assessment and audit planning at a Group level. The central control and common systems throughout most of the Group enabled us to structure our audit centrally. The use of data analytic tools allowed for a more detailed understanding of the flow of transactions, enabling us to focus our risk assessment and design targeted audit testing procedures. Our risk assessment procedures considered, amongst other factors, the impact of the global pandemic and climate change on the account balances, disclosures and company practices. We appointed partners from the Group audit team to lead the global audit of each of the three business units (pharmaceuticals, vaccines and consumer healthcare), in addition to partners responsible for the component and legal entity audits in each country. These global business unit partners met regularly with senior business unit management to understand the strategy, performance and other matters which arose throughout the year that could have impacted the financial reporting. In addition, we held regular meetings with members of the Internal Audit, the internal Legal Counsel and the Global Ethics & Compliance teams to understand their work and to review their reports to enhance our risk assessment;

– Audit work performed at global shared service centres. A significant amount of the Group’s operational processes that cover financial reporting is undertaken in shared service centres. Our Group audit team included senior individuals responsible for each of the global processes who coordinated our audit work at the shared service centres in scope for the Group audit to ensure we developed a good understanding of the end-to-end processes that supported material account balances, classes of transactions and disclosures within the Group financial statements. We then evaluated the effectiveness of internal controls over financial reporting for these processes and considered the implications for the remainder of our audit work;

– Audit work executed at component level and individual legal entities. The following components were subject to audit procedures as well as the assessment of the effectiveness of internal controls over financial reporting: Australia; Belgium; Canada; China; France; Germany; Italy; Japan; Spain; Switzerland; United Kingdom; and the United States. The Group audit team was in active dialogue throughout the audit with the component audit teams responsible for the audit work under the direction and supervision of the Group audit team. This included determining whether the work was planned and performed in accordance with the overall Group audit strategy and the requirements of our Group audit instructions to the components. Due to restrictions on overseas travel, we did not visit the components this year, consistent with the prior year. To satisfy ourselves that our oversight and supervision was appropriate we performed remote reviews of audit working papers using videoconferencing technology, increased the frequency and length of those reviews depending on the significance and risk of the component and continued to attend the planning and clearance meetings of components;

– Audit procedures undertaken at a Group level and on the parent company. In addition to the above, we also performed audit work on the Group and Parent company financial statements, including but not limited to the consolidation of the Group’s results, the preparation of the financial statements, certain disclosures within the Directors’ Remuneration report, litigation provisions and exposures in addition to entity level and oversight controls relevant to financial reporting. All components or legal entities with annual revenue greater than 1.8% of the total Group revenue were included in our audit scope. The components or legal entities not covered by our audit scope were subject to analytical procedures to confirm our conclusion that there were no significant risks of material misstatement in the aggregated financial information; and

– Internal controls testing approach. We tested the effectiveness of internal controls over financial reporting across all in-scope entities and entity level controls at the Group level. Common systems allowed for relevant IT controls to be tested centrally across all components. We were able to place reliance on controls where planned and it was more efficient. Notwithstanding the IT controls deficiencies disclosed in the key audit matters section of this report, mitigating controls existed which allowed us to continue to take reliance on controls where planned. Our audit scope addressed 73% of the Group’s revenue, 76% of the Group’s profit before tax and 85% of the Group’s total assets.

The impact of climate change on our audit

Climate change has the potential to impact the Group in a number of ways as set out in the strategic report on pages 49 - 52 of the Annual Report and Notes 17, 19 and 20 of the financial statements. The Group has set out their environmental goals under the Paris Climate Accord to have a net zero impact on climate and a net positive impact on nature by 2030. In the planning of our audit, we have considered the potential impact of climate change on the Group’s business and its financial statements. We have sought to understand the Group’s identification and assessment of the potential impacts of climate change, how these risks influence the Group’s strategy and their implications on the financial statements. The Group’s assessment focused on the impacts of more frequent extreme weather conditions, water scarcity, changes in the political landscape and media focus which has the propensity to cause changes in consumer and market behaviour; volatility in the costs and availability of materials and resources that could impact future financial performance and asset valuations. In consultation with our climate change specialists, we:

– Conducted detailed risk assessment procedures across all in-scope balances and transactions to determine any risks of material misstatement in the financial statements by applying the expected impact of climate change to our understanding of the business;

– Challenged the appropriateness of the Group’s assessment of the potential impact of climate change and the impact of these on the financial statements, including in the area of intangible assets as described in section 6 to this report; and

– Used our own assessment of the impact of climate change to challenge the Group’s assessment of going concern, including considering the potential impact on future performance and availability of financing.

We have not been engaged to provide assurance over the accuracy of climate change disclosures set out on pages 49 to 52 in the Annual Report. As part of our audit procedures, we are required to read and consider these disclosures to consider whether they are materially inconsistent with the financial statements or knowledge obtained in the audit. We did not identify any material inconsistencies as a result of these procedures.

4. Our application of materiality

We define materiality as the magnitude of misstatement in the financial statements that makes it probable that the economic decisions of a reasonably knowledgeable person would be changed or influenced. We use materiality both in planning the scope of our audit work and in evaluating the results of our work.# Report on the audit of the financial statements continued

Independent Auditor’s report continued

GSK Annual Report 2021

Based on our professional judgement, we determined materiality for the financial statements as a whole as follows:


Group financial statements	£275 million (2020 – £290 million)
Parent company financial statements	£68 million (2020 – £68 million)

Basis for determining materiality

In determining our benchmark for materiality, we considered the metrics used by investors and other readers of the financial statements. In particular, we considered: Statutory profit before tax, Adjusted profit before tax, Revenue and Net cash flows from operations.

Using professional judgement, we have determined materiality to be £275 million.

Metric
Statutory profit before tax	5.1%
Adjusted profit before tax*	4.1%
Revenue	0.8%
Net cash inflow from operating activities	3.5%

A reconciliation between the Statutory profit before tax and Adjusted profit before tax is detailed in the Adjusting Items section of the strategic report.

Materiality was determined using the total assets benchmark capped at 25% of Group materiality. Our materiality represents 0.1% of total assets.

Rationale for the benchmark applied

Given the importance of the above metrics used by investors and other readers of the financial statements, we concluded Statutory profit before tax to be the primary benchmark with Adjusted profit before tax, Revenue and Net cash inflow from operating activities the supporting benchmarks.

The component materiality allocated to the in-scope components ranged between £83 million and £193 million. The range of materiality allocated across components in the audit of the prior year’s Group financial statements was between £87 million and £203 million.

The Parent company holds the Group’s investments and is not in itself profit-oriented. The strength of the balance sheet is the key measure of financial health that is important to shareholders since the primary concern for the Parent company is the payment of dividends. Using a benchmark of total assets is therefore the appropriate metric.

We set performance materiality at a level lower than materiality to reduce the probability that, in aggregate, uncorrected and undetected misstatements exceed the materiality for the financial statements as a whole. Group and Parent company performance materiality was set at 70% of Group and Parent materiality respectively for the 2021 audit (2020 – 70%).

In determining performance materiality, we considered factors including:

Our risk assessment, including our assessment of the Group’s overall control environment and that we consider it appropriate to rely on controls over a number of business processes; and
Our past experience of the audit, which has indicated a low number of corrected and uncorrected misstatements identified in prior periods.

We agreed with the Audit & Risk Committee that we would report to the Committee all audit differences in excess of £10 million (2020 – £10 million) as well as any differences below this threshold, which in our view, warranted reporting on qualitative grounds. We also report to the Audit & Risk Committee on disclosure matters that we identified when assessing the overall presentation of the financial statements.

5. Conclusions relating to going concern

In auditing the financial statements, we have concluded that the directors’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Our evaluation of the directors’ assessment of the Group’s and Parent company’s ability to continue to adopt the going concern basis of accounting included:

Enquiries of the Group directors and management regarding the assumptions used in the going concern models, including the potential impact of climate change;
Evaluating the Group’s existing access to sources of financing, including undrawn committed bank facilities;
Reading analyst reports, industry data and other external information to determine if it provided corroborative or contradictory evidence in relation to assumptions used;
Comparing forecasted sales to recent historical financial information;
Testing the underlying data generated to prepare the forecast scenarios and determined whether there was adequate support for the assumptions underlying the forecast; and
Evaluating the Group’s disclosures on going concern against the requirements of IAS 1.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Group’s and Parent company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

In relation to the reporting on how the Group has applied the UK Corporate Governance Code, we have nothing material to add or draw attention to in relation to the Directors’ statement in the financial statements about whether the Directors considered it appropriate to adopt the going concern basis of accounting.

Our responsibilities and the responsibilities of the Directors with respect to going concern are described in the relevant sections of this report.

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Independent Auditor’s report continued

GSK Annual Report 2021

| Key audit matter description This involved benchmarking forecast market share data against external data, such as total prescription volumes and new patient prescription volumes, in order to assess for any sources of contradictory evidence; – Evaluated the reasonableness of US pricing assumptions by the Group, by comparing the forecasted Returns and Rebates rate by product against the current rate, and assessing the forecasted Returns and Rebates against comparable products and expected changes in payer policy; – Considered the results of clinical studies undertaken in the year by the Group and key competitors in order to assess whether these are corroborative or contradictory to assumptions used in the product portfolio sales forecasts in the US; – Benchmarked the Group’s sales forecasts against those included in reports from 14 analysts and considered sales forecasts on both a total ViiV basis and an individual product basis, assessing against identified contradictory data; – Inspected the agreement with Gilead and evaluated management’s approach to ensure it meets relevant accounting standards requirements and that the inputs used in estimating the impact on the fair value of the ViiV CL are consistent with the agreement and external data; and – Tested the controls over the key inputs and assumptions used in the valuation of the contingent consideration liability, including review controls over the sales forecasts of the treatment product portfolio used to value the ViiV CL.

Key observations communicated to the Audit & Risk Committee
The sales forecasts used in the valuation are reasonable and in line with relevant supporting information. We are satisfied that the sales forecasts are reasonable and appropriately reflect trends in the overall HIV treatment market including changes in the competitive environment and shifts towards both long-acting injectable treatments and 2-drug regimens. The approach to valuing the ViiV CL was consistent with prior periods and overall we are satisfied that the valuation liability is reasonable and consistent with IFRS.

Key audit matters
Key audit matters are those matters that, in our professional judgment, were of most significance in our audit of the financial statements of the current period and include the most significant assessed risks of material misstatement (whether or not due to fraud) that we identified. These matters included those which had the greatest effect on the overall audit strategy, the allocation of resources in the audit and directing the efforts of the engagement team. These matters were addressed in the context of our audit of the financial statements as a whole, and in forming our opinion on the financial statements as a whole, we do not provide a separate opinion on these matters.

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Key audit matter description
How the scope of our audit responded to the key audit matter

Valuation of US Returns and Rebates (RAR) accruals
In the US the Group sells to customers under various commercial and government mandated contracts and reimbursement arrangements that include rebates, chargebacks and a right of return for certain pharmaceutical products. As such, revenue recognition reflects gross-to-net sales adjustments. These adjustments are known as the Returns and Rebates (RAR) accruals and are a source of significant estimation uncertainty which could have a material impact on reported revenue.
In the US Pharmaceuticals business in 2021 $17,215 million of RAR deductions were made to gross revenue of $33,598 million, resulting in net revenue of $16,383 million. The balance sheet accrual at 31 December 2021 for the combined US Pharmaceuticals and Vaccines businesses amounted to $6,795 million.
The three most significant payer channels (also referred to as buying groups) to which the RAR accrual relates are managed healthcare organisations, Medicaid, Ryan White and Medicare Part D.
The two main causes of significant estimation uncertainty are:
– The utilisation rate, which is the portion of total sales that will be made into each payer channel, estimated by the Group in recording the accruals. The utilisation assumption is the most challenging of the key assumptions used to derive the accrual given that it is influenced by market demand and other factors outside of the control of the Group; and
– The time lag between the point of sale and the point at which exact rebate amounts are known to the Group upon receipt of a claim. Those payer channels with the longest time lag result in a greater accrued period, and therefore, a greater level of estimation uncertainty in estimating the period end accrual. The level of estimation uncertainty is also impacted by significant shifts in channel mix driven by changes in the competitive landscape, including competitor and generic product launches and other macroeconomic factors.
As such, we focus on the utilisation assumptions for those products where we deem the level of estimation uncertainty to be the most significant.

Furthermore, auditing standards presume that a significant fraud risk exists in revenue recognition. In line with this presumption, we also focus on the period-end adjustments made to the RAR accruals. These adjustments reflected updates made to the initial assumptions included within the forecasted RAR rates and, in our view, present the greatest opportunity for fraud in revenue recognition (notwithstanding the existence of internal controls).

US Pharmaceuticals returns and rebates are disclosed as a key source of estimation uncertainty in Note 3 of the Group financial statements with further disclosures provided in Note 28. The matter is also discussed in the Audit & Risk Committee report within the Corporate Governance section of the Annual Report.

Audit procedures performed
We performed the following audit procedures, amongst others, related to estimates in the RAR accruals:
– Challenged assumptions for a selection of utilisation rates, focusing on certain products where we concluded the accrual is most sensitive to these assumptions. Our challenge included comparison to historical utilisation rates, consideration of historical accuracy and drivers of market changes such as the impact of ongoing generic competition and the macroeconomic impacts from the COVID-19 pandemic;
– Supplemented this with substantive analytical procedures by developing an independent expectation of the accrual balance for each of the key segments, based on historical claims received adjusted to reflect market changes in the period including an assessment of the time lag between the initial point of sale and the claim receipt. We then compared this independent expectation to those recorded to evaluate the appropriateness of the year end accrual position;
– Considered the historical accuracy of estimates and evaluated whether forecast assumptions had been appropriately updated in a selection of cases where the actual rebate claims differed to the amount accrued;
– Challenged the appropriateness of, and completeness of, period-end adjustments to the liability made as part of the ongoing review of the estimated accrual; and
– Tested the key controls over the estimation of RAR accruals including the controls associated with the forecasting of utilisation rates process and the month-end accrual review controls.

Key observations communicated to the Audit & Risk Committee
We are satisfied that the estimated liability of the RAR accruals at the year-end is appropriate. We observed a level of prudence in the estimate when assessing against our own independent expectations, which is in accordance with the requirements of IFRS 15 Revenue from contracts with customers to limit the risk of a significant reversal of revenue.

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Strategic report Governance and remuneration Financial statements Investor information

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Key audit matter description
How the scope of our audit responded to the key audit matter

Valuation of other intangible assets
As at 31 December 2021, the Group held £29,115 million of other intangible assets (including licences, patents, trademarks and brand names, but excluding goodwill and computer software). The recoverable amount of these other intangible assets relies on certain assumptions and estimates of future trading performance which create estimation uncertainty. The assets most at risk of material impairment were identified using sensitivity analysis on key assumptions and a review of potential triggering events that could be indicative of an impairment in the carrying value of associated assets. As a result of this analysis, we performed additional audit procedures on certain indefinite life Consumer Healthcare intangible assets.Key assumptions applied in determining the recoverable amount include the future sales growth rates and profit margin levels, as well as the likelihood of successful new product innovations. Changes in these assumptions could lead to an impairment of the carrying value of the other intangible assets. We identified the valuation of other intangible assets as a key audit matter due to the inherent judgments involved in estimating future cash flows. During the year, there was increased uncertainty brought about by the COVID-19 pandemic and associated lockdowns. Auditing such estimates required extensive audit effort to challenge and evaluate the reasonableness of forecasts. The disclosures relating to other intangible assets are included in Note 20 and 40 of the Group financial statements. The matter is also discussed in the Audit & Risk Committee report within the Corporate Governance section of the Annual Report.

Audit procedures performed
We performed the following audit procedures, amongst others, related to the future sales growth, likelihood of successful new product innovations and profit margin levels used in the assessment of other intangible assets for impairment:
– Met with the key individuals from the senior leadership team, product category leads, and key personnel involved in the forecasting process to discuss and evaluate the Group’s evidence to support future sales growth rates and profitability assumptions;
– Evaluated the Group’s risk assessment of the impact of climate change on long term forecasts which focused on the largest products with material carrying values and the least headroom by comparing to external data points.
– Evaluated the business assumptions applied in estimating sales and gross profit margin forecasts, including benchmarking of forecasts against external market data and actual trading performance costs. This included independent market research of expected category growth and assessment of any sources of contradictory evidence;
– Compared the forecast sales and gross profit margins to the Plan data (asset by asset internal forecasts) approved by the GSK Leadership Team and the Board of Directors;
– Assessed the historical accuracy of forecasts including consumption data and estimates of new sales from innovation;
– Considered whether events or transactions that occurred after the balance sheet date but before the reporting date affect the conclusions reached on the carrying values of the assets and associated disclosures; and
– Tested review controls over the key inputs and assumptions used in the valuation of other intangible assets. The controls encompass review of the valuation models, which contain a number of assumptions such as the revenue growth rates and profit margins.

Key observations communicated to the Audit & Risk Committee
Our audit challenged the future forecast performance of consumer healthcare products, and we concluded that the assumptions underpinning the impairment review of intangible assets were reasonable and in accordance with IFRS.

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| Key audit matter description | How the scope of our audit responded to the key audit matter # Independent Auditor’s Report (Continued)

7. Other Information

The other information comprises the information included in the Annual Report, other than the financial statements and our auditor’s report thereon. The Directors are responsible for the other information contained within the Annual Report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We summarise below our work in relation to areas of the other information including those areas upon which we are specifically required to report:

Matters we are specifically required to report	Our responsibility	Our reporting
Principal risks and viability statement	Review the confirmation and description in the light of the knowledge gathered during the audit, such as through considering the directors’ processes to support the statements made, challenging key judgements and estimates, consideration of historical forecasting accuracy and evaluating macro-economic assumptions. Consider if the statements are aligned with the relevant provisions of the Code.	As set out in the “Corporate governance statement” section, we have nothing material to report, add or draw attention to in respect of these matters.
Directors’ Remuneration report	Report whether the part of the Directors’ Remuneration report to be audited is properly prepared and the disclosures specified by the Companies Act have been made.	As set out in the ‘Opinions on other matters prescribed by the Companies Act 2006’ section, in our opinion, the part of the directors’ remuneration report to be audited has been prepared in accordance with the Companies Act 2006.
Strategic report and directors’ report	Report whether they are consistent with the audited financial statements and are prepared in accordance with applicable legal requirements. Report if we have identified any material misstatements in either report in the light of the knowledge and understanding of the Group and of the Parent company and their environment obtained in the course of the audit.	As set out in the “Opinions on other matters prescribed by the Companies Act 2006” section, in our opinion, based on the work undertaken in the course of the audit, the information in these reports is consistent with the audited financial statements and has been prepared in accordance with applicable legal requirements.

Independent Auditor’s Report (Continued)

8. Responsibilities of directors

As explained more fully in the directors’ responsibilities statement, the directors are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the directors determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the directors are responsible for assessing the Group’s and the Parent company’s ability to continue as a going concern, disclosing as applicable, matters related to going concern and using the going concern basis of accounting unless the directors either intend to liquidate the Group or the Parent company or to cease operations, or have no realistic alternative but to do so.

9. Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

A further description of our responsibilities for the audit of the financial statements is located on the FRC’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

10. Extent to which the audit was considered capable of detecting irregularities, including fraud

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.

Identifying and assessing potential risks related to irregularities

In identifying and assessing the risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, we considered the following:

the nature of the industry and sector, control environment and business performance including the design of the Group’s remuneration policies, key drivers for directors’ remuneration, bonus levels and performance targets;
results of our enquiries of the senior leadership team, internal audit and the Audit & Risk Committee, including obtaining and reviewing supporting documentation, concerning the Group’s policies and procedures relating to:
- identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance;
- detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud; and
- the internal controls established to mitigate risks related to fraud or non-compliance with laws and regulations; and
the matters discussed among the engagement team including significant component audit teams and involving relevant internal specialists, including tax, valuations, pensions, IT and industry specialists regarding how and where fraud might occur in the financial statements and any potential indicators of fraud.

Other reporting on other information

Alternative performance measures (APMs)

APMs are measures that are not defined by generally accepted accounting practice (GAAP) and therefore are not typically included in the financial statement part of the Annual Report. The Group uses APMs, such as adjusted profit, free cash flow and constant currency growth rates in its reporting of financial performance.

We have reviewed and assessed the calculation and reporting of these metrics to assess consistency with the Group’s published definitions and policies for these items. We have also considered and assessed whether the use of APMs in the Group’s reporting results is consistent with the guidelines produced by regulators such as the European Securities and Markets Authority (ESMA) guidelines on the use of APMs and the FRC Alternative Performance Measures Thematic Review published in October 2021. We also considered whether there was an appropriate balance between the use of statutory metrics and APMs, in addition to whether clear definitions and reconciliation for APMs used in financial reporting have been provided.

In our opinion:
– the use, calculation and disclosure of APMs is consistent with the Group’s published definitions and policies;
– the use of APMs in the Group’s reporting results is consistent with the guidelines produced by ESMA and FRC; and
– there is an appropriate balance between the use of statutory metrics and APMs, together with clear definitions and reconciliation for APMs used in financial reporting.

Dividends and distribution policy

Consider whether the dividends policy is transparent, and the dividends paid are consistent with the policy, as outlined in the strategic report on page 69.

In our opinion the dividends policy is appropriately disclosed, and dividends paid are consistent with the policy.

Independent Auditor’s Report (Continued)

GSK Annual Report 2021 165

Strategic report

Governance and remuneration

Financial statements

Investor information

Independent Auditor’s Report (Continued)

GSK Annual Report 2021 166# Independent Auditor's Report

We obtained an understanding of the legal and regulatory frameworks that the Group operates in, focusing on provisions of those laws and regulations that had a direct effect on the determination of material amounts and disclosures in the financial statements. The key laws and regulations we considered in this context included the provisions of the UK Companies Act, pensions legislation and tax legislation. We have also considered key laws and regulations that had a fundamental effect on the operations of the Group, including the Good Clinical Practice, the FDA regulations, General Data Protection requirements, Anti-bribery and corruption policy and the Foreign Corrupt Practices Act.

Report on the audit of the financial statements continued

Audit response to risks identified

As a result of performing the above, we identified the Valuation of US Returns and Rebates accruals as a key audit matter related to the potential risk of fraud. The key audit matters section of our report explains the matter in more detail and also describes the specific procedures in response to that key audit matter.

In common with all audits under ISAs (UK), we are also required to perform specific procedures to respond to the risk of management override. In addition to the above, our procedures to respond to risks identified included the following:

reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements;
enquiring of the senior leadership team, the Audit & Risk Committee and in-house and external legal counsel concerning actual and potential litigation and claims;
performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud;
reading minutes of meetings of those charged with governance, reviewing internal audit reports and correspondence with regulators; and
in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the business rationale of any significant transactions that are unusual or outside the normal course of business.

We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members and significant component audit teams and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.

Report on other legal and regulatory requirements

1. Opinions on other matters prescribed by the Companies Act 2006

In our opinion, the part of the Directors’ Remuneration report to be audited has been properly prepared in accordance with the Companies Act 2006.

In our opinion, based on the work undertaken in the course of the audit:

the information given in the strategic report and the directors’ report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
the strategic report and the directors’ report have been prepared in accordance with applicable legal requirements.

In the light of the knowledge and understanding of the Group and of the Parent company and their environment obtained in the course of the audit, we have not identified any material misstatements in the strategic report or the directors’ report.

2. Corporate governance statement

The Listing Rules require us to review the directors’ statement in relation to going concern, longer-term viability and that part of the corporate governance statement relating to the Group’s compliance with the provisions of the UK Corporate Governance Code specified for our review.

Based on the work undertaken as part of our audit, we have concluded that each of the following elements of the Corporate Governance Statement is materially consistent with the financial statements and our knowledge obtained during the audit:

the directors’ statement with regards to the appropriateness of adopting the going concern basis of accounting and any material uncertainties identified set out on page 154;
the directors’ explanation as to its assessment of the Group’s prospects, the period this assessment covers and why the period is appropriate is set out on page 53;
the directors’ statement on fair, balanced and understandable Annual Report set out on page 115;
the board’s confirmation that it has carried out a robust assessment of the emerging and principal risks set out on pages 46 to 48;
the section of the Annual Report that describes the review of effectiveness of risk management and internal control systems set out on pages 111 to 112; and
the section describing the work of the audit and risk committee set out on pages 111 to 115.

3. Matters on which we are required to report by exception

Adequacy of explanations received and accounting records

Under the Companies Act 2006 we are required to report to you if, in our opinion:

we have not received all the information and explanations we require for our audit; or
adequate accounting records have not been kept by the Parent company, or returns adequate for our audit have not been received from branches not visited by us; or
the Parent company financial statements are not in agreement with the accounting records and returns.

We have nothing to report in respect of these matters.

Directors’ remuneration

Under the Companies Act 2006 we are also required to report if in our opinion certain disclosures of directors’ remuneration have not been made or the part of the directors’ remuneration report to be audited is not in agreement with the accounting records and returns.

We have nothing to report in respect of these matters.

4. Other matters which we are required to address

Auditor tenure

Following the recommendation of the Audit & Risk Committee, with effect from 1 January 2018 we were appointed by the Board of Directors to audit the financial statements for the year ended 31 December 2018 and subsequent financial periods. The period of total uninterrupted engagement of the firm is four years.

Consistency of the audit report with the additional report to the Audit & Risk Committee

Our audit opinion is consistent with the additional report to the Audit & Risk Committee we are required to provide in accordance with ISAs (UK).

5. Use of our report

This report is made solely to the Parent company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the Parent company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Parent company and the Parent company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

In due course, as required by the Financial Conduct Authority (FCA) Disclosure Guidance and Transparency Rule (DTR) 4.1.14R, these financial statements will form part of the European Single Electronic Format (ESEF)-prepared Annual Financial Report filed on the National Storage Mechanism of the UK FCA in accordance with the ESEF Regulatory Technical Standard (ESEF RTS). This auditor’s report provides no assurance over whether the annual financial report has been prepared using the single electronic format specified in the ESEF RTS.

The Parent company has passed a resolution in accordance with section 506 of the Companies Act 2006 that the senior statutory auditor’s name should not be stated.

Deloitte LLP
Statutory Auditor
London, United Kingdom
28 February 2022

Consolidated income statement for the year ended 31 December 2021

	Notes	2021 £m	2020 £m	2019 £m
Turnover	6	34,114	34,099	33,754
Cost of sales		(11,603)	(11,704)	(11,863)
Gross profit		22,511	22,395	21,891
Selling, general and administration		(10,975)	(11,456)	(11,402)
Research and development		(5,278)	(5,098)	(4,568)
Royalty income		419	318	351
Other operating (expense)/income	7	(476)	1,624	689
Operating profit	8	6,201	7,783	6,961
Finance income	11	28	44	98
Finance expense	12	(784)	(892)	(912)
Share of after tax profits of associates and joint ventures	13	33	33	74
Loss on disposal of interest in associates		(36)	–	–
Profit before taxation		5,442	6,968	6,221
Taxation	14	(346)	(580)	(953)
Profit after taxation for the year		5,096	6,388	5,268
Profit attributable to non-controlling interests		711	639	623
Profit attributable to shareholders		4,385	5,749	4,645
		5,096	6,388	5,268
Basic earnings per share (pence)	15	87.6 p	115.5p	93.9p
Diluted

For the year ended 31 December 2021

Notes	2021 £m	2020 £m	2019 £m
Profit for the year	5,096	6,388	5,268
Other comprehensive income/(expense) for the year
Items that may be subsequently reclassified to income statement:
Exchange movements on overseas net assets and net investment hedges	37	(239)	(59)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries and associates	37	(25)	36
Fair value movements on cash flow hedges	5	(19)	(20)
Tax on fair value movements on cash flow hedges		(8)	(18)
Reclassification of cash flow hedges to income statement	12	54	3
Subtotal		(237)	(58)
Items that will not be reclassified to income statement:
Exchange movements on overseas net assets of non-controlling interests	37	(20)	(34)
Fair value movements on equity investments		(911)	1,348
Tax on fair value movements on equity investments		131	(220)
Remeasurement gains/(losses) on defined benefit plans		941	(187)
Tax on remeasurement of defined benefit plans		(223)	69
Subtotal		(122)	976
Other comprehensive (expense)/income for the year	37	(337)	970
Total comprehensive income for the year		4,759	7,358
Total comprehensive income for the year attributable to:
Shareholders		4,068	6,753
Non-controlling interests		691	605
Total comprehensive income for the year		4,759	7,358

GSK Annual Report 2021 169

Strategic report Governance and remuneration Financial statements Investor information

Consolidated Balance Sheet

as at 31 December 2021

Notes	2021 £m	2020 £m
Non-current assets
Property, plant and equipment	17	9,932
Right of use assets	18	740
Goodwill	19	10,552
Other intangible assets	20	30,079
Investments in associates and joint ventures	21	88
Other investments	22	2,126
Deferred tax assets	14	5,218
Derivative financial instruments	43	18
Other non-current assets	23	1,676
Total non-current assets		60,429
Current assets
Inventories	24	5,783
Current tax recoverable	14	486
Trade and other receivables	25	7,860
Derivative financial instruments	43	188
Liquid investments	29	61
Cash and cash equivalents	26	4,274
Assets held for sale	27	22
Total current assets		18,674
Total assets		79,103
Current liabilities
Short-term borrowings	29	(3,601)
Contingent consideration liabilities	32	(958)
Trade and other payables	28	(17,554)
Derivative financial instruments	43	(227)
Current tax payable	14	(489)
Short-term provisions	31	(841)
Total current liabilities		(23,670)
Non-current liabilities
Long-term borrowings	29	(20,572)
Corporation tax payable	14	(180)
Deferred tax liabilities	14	(3,556)
Pensions and other post-employment benefits	30	(3,113)
Other provisions	31	(630)
Derivative financial instruments	43	(1)
Contingent consideration liabilities	32	(5,118)
Other non-current liabilities	33	(921)
Total non-current liabilities		(34,091)
Total liabilities		(57,761)
Net assets		21,342
Equity
Share capital	36	1,347
Share premium account	36	3,301
Retained earnings	37	7,944
Other reserves	37	2,463
Shareholders’ equity		15,055
Non-controlling interests		6,287
Total equity		21,342

The financial statements on pages 168 to 251 were approved by the Board on 28 February 2022 and signed on its behalf by Sir Jonathan Symonds, Chairman.

170 GSK Annual Report 2021

Strategic report Governance and remuneration Financial statements Investor information

Consolidated Statement of Changes in Equity

for the year ended 31 December 2021

Shareholders’ equity	Share capital £m	Share premium £m	Retained earnings £m	Other reserves* £m	Total £m	Non-controlling interests £m	Total equity £m
At 31 December 2018, as revised	1,345	3,091	(2,716)	2,061	3,781	(109)	3,672
Implementation of IFRS 16	–	–	(93)	–	(93)	–	(93)
At 31 December 2018, as adjusted	1,345	3,091	(2,809)	2,061	3,688	(109)	3,579
Profit for the year	–	–	4,645	–	4,645	623	5,268
Other comprehensive (expense)/income for the year	–	–	(1,766)	274	(1,492)	(75)	(1,567)
Total comprehensive income for the year	–	–	2,879	274	3,153	548	3,701
Distributions to non-controlling interests	–	–	–	–	–	(364)	(364)
Changes in non-controlling interests	–	–	–	–	–	(10)	(10)
Dividends to shareholders	–	–	(3,953)	–	(3,953)	–	(3,953)
Recognition of interest in Consumer Healthcare JV	–	–	8,082	–	8,082	6,887	14,969
Realised losses on disposal of equity investments	–	–	(4)	4	–	–	–
Shares issued	1	50	–	–	51	–	51
Shares acquired by ESOP Trusts	–	33	295	(328)	–	–	–
Write-down of shares held by ESOP Trusts	–	–	(344)	344	–	–	–
Share-based incentive plans	–	–	365	–	365	–	365
Tax on share-based incentive plans	–	–	19	–	19	–	19
At 31 December 2019	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 for the year	–	–	(133)	1,137	1,004	(34)	970
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 in non-controlling interests	–	–	–	–	–	(131)	(131)
Dividends to shareholders	–	–	(3,977)	–	(3,977)	–	(3,977)
Shares issued	–	29	–	–	29	–	29
Realised profits on disposal of equity investments	–	–	163	(163)	–	–	–
Share of associates and joint ventures realised profits on disposal of equity investments	–	–	44	(44)	–	–	–
Shares acquired by ESOP Trusts	–	78	531	(609)	–	–	–
Write-down of 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
Profit for the year	–	–	4,385	–	4,385	711	5,096
Other comprehensive (expense)/income for the year	–	–	454	(771)	(317)	(20)	(337)
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)
Realised profits on disposal of equity investments	–	–	132	(132)	–	–	–
Share of associates and joint ventures realised profits on disposal of equity investments	–	–	7	(7)	–	–	–
Shares issued	1	20	–	–	21	–	21
Write-down of 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

* An analysis of Other reserves is presented as part of Note 37, ‘Movements in equity’.

GSK Annual Report 2021 171

Strategic report Governance and remuneration Financial statements Investor information

Consolidated Cash Flow Statement

for the year ended 31 December 2021

Notes	2021 £m	2020 £m	2019 £m
Cash flow from operating activities
Profit after taxation for the year	5,096	6,388	5,268
Adjustments reconciling profit after tax to operating cash flows	41	4,147	3,708
Cash generated from operations	9,243	10,096	9,532
Taxation paid	(1,291)	(1,655)	(1,512)
Net cash inflow from operating activities	7,952	8,441	8,020
Cash flow from investing activities
Purchase of property, plant and equipment	(1,172)	(1,226)	(1,265)
Proceeds from sale of property, plant and equipment	143	68	95
Purchase of intangible assets	(1,759)	(1,013)	(898)
Proceeds from sale of intangible assets	772	1,255	404
Purchase of equity investments	(162)	(411)	(258)
Proceeds from sale of equity investments	202	3,269	69
Contingent consideration paid	(114)	(120)	(113)
Purchase of businesses, net of cash acquired	40	–	15
Disposal of businesses, net of cash disposed	40	(17)	259
Investments in associates and joint ventures	40	(1)	(4)
(Increase)/decrease in liquid investments	18	(1)	1
Interest received	27	39	82
Proceeds from disposal of associates and joint ventures	277	–	–
Dividends from associates, joint ventures and equity investments	9	31	7
Net cash inflow/(outflow) from investing activities	(1,777)	2,161	(5,354)
Cash flow from financing activities
Issue of share capital	36	21	29
Purchase of non-controlling interests	–	–	(7)
Increase in long-term loans	–	3,298	4,794
Repayment of short-term Notes	(2,313)	(3,738)	(4,160)
(Repayment of)/increase in other short-term loans	318	(3,567)	3,095
Repayment of lease liabilities	(215)	(227)	(214)
Interest paid	(786)	(864)	(895)
Dividends paid to shareholders	(3,999)	(3,977)	(3,953)
Distributions to non-controlling interests	(642)	(1,208)	(364)
Contributions from non-controlling interests	7	3	–
Other financing cash flows	20	119	(187)
Net cash outflow from financing activities	(7,589)	(10,132)	(1,840)
(Decrease)/increase in cash and bank overdrafts	42	(1,414)	470
Cash and bank overdrafts at beginning of 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 year		3,819	5,262
Cash and bank overdrafts at end of year comprise:
Cash and cash equivalents		4,274	6,292
Cash and cash equivalents reported in assets held for sale		–	–
		4,274	6,292
Overdrafts		(455)	(1,030)
		3,819	5,262

172 GSK Annual Report 2021

Notes to the financial statements

1. Presentation of the financial statements

Description of business

GSK is a major global healthcare group which is engaged in the creation and discovery, development, manufacture and marketing of pharmaceutical products, vaccines, over-the-counter (OTC) medicines and health-related consumer products.# GSK ’ s principal pharmaceutical products include medicines in the following therapeutic areas: respiratory, HIV, immuno-inflammation, oncology as well as metabolic, anti-bacterials and dermatology.

Compliance with applicable law and IFRS

The financial statements have been prepared in accordance with international accounting standards in conformity with the requirements of the Companies Act 2006 and the International Financial Reporting Standards as issued by the IASB.

Composition of financial statements

The consolidated financial statements are drawn up in Sterling, the functional currency of GlaxoSmithKline plc, and in accordance with IFRS accounting presentation. The financial statements comprise:

Consolidated income statement
Consolidated statement of comprehensive income
Consolidated balance sheet
Consolidated statement of changes in equity
Consolidated cash flow statement
Notes to the financial statements.

Composition of the Group

A list of the subsidiaries and associates which, in the opinion of the Directors, principally affected the amount of profit or net assets of the Group is given in Note 45, ‘Principal Group companies’.

Financial period

These financial statements cover the financial year from 1 January to 31 December 2021, with comparative figures for the financial years from 1 January to 31 December 2020 and, where appropriate, from 1 January to 31 December 2019.

Accounting principles and policies

The financial statements have been prepared using the historical cost convention modified by the revaluation of certain items, as stated in the accounting policies, and on a going concern basis. The financial statements have been prepared in accordance with the Group’s accounting policies approved by the Board and described in Note 2, ‘Accounting principles and policies’.

Information on the application of these accounting policies, including areas of estimation and judgment is given in Note 3, ‘Critical accounting judgements and key sources of estimation uncertainty’.

The preparation of the financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Parent company financial statements

The financial statements of the parent company, GlaxoSmithKline plc, have been prepared in accordance with UK GAAP and with UK accounting presentation. The company balance sheet is presented on page 252 and the accounting policies are given on pages 253 to 256.

Consolidation

The consolidated financial statements include:

the assets and liabilities, and the results and cash flows, of the company and its subsidiaries, including ESOPT Trusts
the Group’s share of the results and net assets of associates and joint ventures
the Group’s share of assets, liabilities, revenue and expenses of joint operations.

The financial statements of entities consolidated are made up to 31 December each year.

Entities over which the Group has the power to direct the relevant activities so as to affect the returns to the Group, generally through control over the financial and operating policies, are accounted for as subsidiaries.

Where the Group has the ability to exercise joint control over, and rights to, the net assets of entities, the entities are accounted for as joint ventures.

Where the Group has the ability to exercise joint control over an arrangement, but has rights to specified assets and obligations for specified liabilities of the arrangement, the arrangement is accounted for as a joint operation.

Where the Group has the ability to exercise significant influence over entities, they are accounted for as associates. The results and assets and liabilities of associates and joint ventures are incorporated into the consolidated financial statements using the equity method of accounting.

The Group’s rights to assets, liabilities, revenue and expenses of joint operations are included in the consolidated financial statements in accordance with those rights and obligations.

Interests acquired in entities are consolidated from the date the Group acquires control and interests sold are de-consolidated from the date control ceases.

2. Accounting principles and policies

GSK Annual Report 2021 17
Strategic report
Governance and remuneration
Financial statements
Investor information
Notes to the financial statements continued

Transactions and balances between subsidiaries are eliminated and no profit before tax is taken on sales between subsidiaries until the products are sold to customers outside the Group.

The relevant proportion of profits on transactions with joint ventures, joint operations and associates is also deferred until the products are sold to third parties.

Transactions with non-controlling interests are recorded directly in equity.

Deferred tax relief on unrealised intra-Group profit is accounted for only to the extent that it is considered recoverable.

Business combinations

Business combinations are accounted for using the acquisition accounting method. Identifiable assets, liabilities and contingent liabilities acquired are measured at fair value at acquisition date. The consideration transferred is measured at fair value and includes the fair value of any contingent consideration. The fair value of contingent consideration liabilities are reassessed at each balance sheet date with changes recognised in the income statement. Payments of contingent consideration reduce the balance sheet liability and as a result are not recorded in the income statement. The part of each payment relating to the original estimate of the fair value of the contingent consideration on acquisition is reported within investing activities in the cash flow statement and the part of each payment relating to the increase in the liability since the acquisition date is reported within operating cash flows.

Where the consideration transferred, together with the non-controlling interest, exceeds the fair value of the net assets, liabilities and contingent liabilities acquired, the excess is recorded as goodwill.

The costs of effecting an acquisition are charged to the income statement in the period in which they are incurred.

Goodwill is capitalised as a separate item in the case of subsidiaries and as part of the cost of investment in the case of joint ventures and associates. Goodwill is denominated in the currency of the operation acquired.

Where the cost of acquisition is below the fair value of the net assets acquired, the difference is recognised directly in the income statement.

Where not all of the equity of a subsidiary is acquired the non-controlling interest is recognised either at fair value or at the non-controlling interest’s share of the net assets of the subsidiary, on a case-by-case basis. Changes in the Group’s ownership percentage of subsidiaries are accounted for within equity.

Foreign currency translation

Foreign currency transactions are booked in the functional currency of the Group company at the exchange rate ruling on the date of transaction. Foreign currency monetary assets and liabilities are retranslated into the functional currency at rates of exchange ruling at the balance sheet date. Exchange differences are included in the income statement.

On consolidation, assets and liabilities, including related goodwill, of overseas subsidiaries, associates and joint ventures, are translated into Sterling at rates of exchange ruling at the balance sheet date. The results and cash flows of overseas subsidiaries, associates and joint ventures are translated into Sterling using average rates of exchange. Exchange adjustments arising when the opening net assets and the profits for the year retained by overseas subsidiaries, associates and joint ventures are translated into Sterling, less exchange differences arising on related foreign currency borrowings which hedge the Group’s net investment in these operations, are taken to a separate component of equity within Retained Earnings.

When translating into Sterling the assets, liabilities, results and cash flows of overseas subsidiaries, associates and joint ventures which are reported in currencies of hyper-inflationary economies, adjustments are made where material to reflect current price levels. Any loss on net monetary assets is charged to the consolidated income statement.

Revenue Turnover

The Group receives revenue for supply of goods to external customers against orders received. The majority of contracts that GSK enters into relate to sales orders containing single performance obligations for the delivery of pharmaceutical, vaccine and consumer healthcare products. The average duration of a sales order is less than 12 months.## 2. Accounting principles and policies continued

Product revenue

Product revenue is recognised when control of the goods is passed to the customer. The point at which control passes is determined by each customer arrangement, but generally occurs on delivery to the customer. Product revenue represents net invoice value including fixed and variable consideration. Variable consideration arises on the sale of goods as a result of discounts and allowances given and accruals for estimated future returns and rebates. Revenue is not recognised in full until it is highly probable that a significant reversal in the amount of cumulative revenue recognised will not occur. The methodology and assumptions used to estimate rebates and returns are monitored and adjusted regularly in the light of contractual and legal obligations, historical trends, past experience and projected market conditions. Estimates associated with returns and rebates are revisited at each reporting date or when they are resolved and revenue is adjusted accordingly. Please refer to Note 3 for the details on rebates, discounts and allowances.

The Group has entered into collaborative agreements, typically with other pharmaceuticals or biotechnology companies to develop, produce and market drug candidates and vaccines that do not qualify as joint arrangements. When GSK has control over the commercialisation activities, the Group recognises turnover and cost of sales on a gross basis. Profits sharing amounts and royalties due to the counterparty are recorded within cost of sales. Cost of sales includes profit sharing costs of £640 million (2020 – £4 million; 2019 – £54 million). When the counterparty controls the commercialisation activities and records the sale, the Group is not deemed principal in the customer contract and instead records its share of gross profit as co-promotion income, on a net basis, within turnover. The nature of co-promotion activities is such that the Group records no costs of sales. Pharmaceutical turnover includes co-promotion revenue of £7 million (2020 – £12 million; 2019 – £16 million). Reimbursements to and from the counterparty in our collaborations for ‘selling, general and administration’ and ‘research and development’ costs are recorded net in respective lines in the Consolidated income statement.

Other operating income and royalty income

GSK enters into development and marketing collaborations and out-licences of the Group’s compounds or products to other parties. These contracts give rise to fixed and variable consideration from upfront payments, development milestones, sales-based milestones and royalties. Income dependent on the achievement of a development milestone is recognised when it is highly probable that a significant reversal in the amount of cumulative revenue recognised will not occur, which is usually when the related event occurs. Sales-based milestone income is recognised when it is highly probable that the sales threshold will be reached. Sales-based royalties on a licence of intellectual property are not recognised until the relevant product sale occurs. For all revenue, if the time between the recognition of revenue and payment from the customer is expected to be more than one year and the impact is material, the amount of consideration is discounted using appropriate discount rates. Value added tax and other sales taxes are excluded from revenue.

Expenditure

Expenditure is recognised in respect of goods and services received when supplied in accordance with contractual terms. Provision is made when an obligation exists for a future liability in respect of a past event and where the amount of the obligation can be reliably estimated. Manufacturing start-up costs between validation and the achievement of normal production are expensed as incurred. Advertising and promotion expenditure is charged to the income statement as incurred. Shipment costs on inter-company transfers are charged to cost of sales; distribution costs on sales to customers are included in selling, general and administrative expenditure. Restructuring costs are recognised and provided for, where appropriate, in respect of the direct expenditure of a business reorganisation where the plans are sufficiently detailed and well advanced, and where appropriate communication to those affected has been undertaken.

Research and development

Research and development expenditure is charged to the income statement in the period in which it is incurred. Development expenditure is capitalised when the criteria for recognising an asset are met, usually when a regulatory filing has been made in a major market and approval is considered highly probable. Property, plant and equipment used for research and development is capitalised and depreciated in accordance with the Group’s policy.

Environmental expenditure

Environmental expenditure related to existing conditions resulting from past or current operations and from which no current or future benefit is discernible is charged to the income statement. The Group recognises its liability on a site-by-site basis when it can be reliably estimated. This liability includes the Group’s portion of the total costs and also a portion of other potentially responsible parties’ costs when it is probable that they will not be able to satisfy their respective shares of the clean-up obligation. Recoveries of reimbursements are recorded as assets when virtually certain.

Legal and other disputes

Provision is made for the anticipated settlement costs of legal or other disputes against the Group where an outflow of resources is considered probable and a reliable estimate can be made of the likely outcome. In respect of product liability claims related to certain products, provision is made when there is sufficient history of claims made and settlements to enable management to make a reliable estimate of the provision required to cover unasserted claims. In certain cases, an incurred but not reported (IBNR) actuarial technique is used to determine this estimate. In addition, provision is made for legal or other expenses arising from claims received or other disputes. The Group may become involved in 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. In these cases, appropriate disclosure about such cases would be included but no provision would be made. Costs associated with claims made by the Group against third parties are charged to the income statement as they are incurred.

Pensions and other post-employment benefits

The costs of providing pensions under defined benefit schemes are calculated using the projected unit credit method and spread over the period during which benefit is expected to be derived from the employees’ services, consistent with the advice of qualified actuaries. Pension obligations are measured as the present value of estimated future cash flows discounted at rates reflecting the yields of high-quality corporate bonds. Pension scheme assets are measured at fair value at the balance sheet date. The costs of other post-employment liabilities are calculated in a similar way to defined benefit pension schemes and spread over the period during which benefit is expected to be derived from the employees’ services, in accordance with the advice of qualified actuaries. The service cost of providing retirement benefits to employees during the year, together with the cost of any curtailment, is charged to operating profit in the year. Actuarial gains and losses and the effect of changes in actuarial assumptions are recognised in the statement of comprehensive income in the year in which they arise. The Group’s contributions to defined contribution plans are charged to the income statement as incurred.

Employee share plans

Incentives in the form of shares are provided to employees under share option and share award schemes. The fair values of these options and awards are calculated at their grant dates using a Black-Scholes option pricing model and charged to the income statement over the relevant vesting periods.

The Group provides finance to ESOP Trusts to purchase company shares to meet the obligation to provide shares when employees exercise their options or awards. Costs of running the ESOP Trusts are charged to the income statement. Shares held by the ESOP Trusts are deducted from other reserves. A transfer is made between other reserves and retained earnings over the vesting periods of the related share options or awards to reflect the ultimate proceeds receivable from employees on exercise.

Property, plant and equipment

Property, plant and equipment (PP&E) is stated at the cost of purchase or construction, less provisions for depreciation and impairment.Financing costs are capitalised within the cost of qualifying assets in construction. Depreciation is calculated to write off the cost less residual value of PP&E, excluding freehold land, using the straight-line basis over the expected useful life. Residual values and lives are reviewed, and where appropriate adjusted annually. The normal expected useful lives of the major categories of PP&E are:

Freehold buildings: 20 to 50 years
Leasehold land and buildings: Lease term or 20 to 50 years
Plant and machinery: 10 to 20 years
Equipment and vehicles: 3 to 10 years

On disposal of PP&E, the cost and related accumulated depreciation and impairments are removed from the financial statements and the net amount, less any proceeds, is taken to the income statement.

Leases
The Group recognises right of use assets under lease arrangements in which it is the lessee, except for short-term leases (defined as leases with a lease term of 12 months or less) and leases of low value assets. Rights to use assets owned by third parties under lease agreements are capitalised at the inception of the lease and recognised on the consolidated balance sheet. The corresponding liability to the lessor is recognised as a lease obligation within short and long-term borrowings. The carrying amount is subsequently increased to reflect interest on the lease liability and reduced by lease payments made. For calculating the discounted lease liability on leases with annual payments of £2 million or more, the implicit rate in the lease is used. If this is not available, the incremental borrowing rate with a lease specific adjustment is used. If neither of these is available, and for leases with annual payments of less than £2 million, the incremental borrowing rate is used. The incremental borrowing rate is calculated at the rate of interest at which GSK would have been able to borrow for a similar term and with a similar security the funds necessary to obtain a similar asset in a similar market. Finance costs are charged to the income statement so as to produce a constant periodic rate of charge on the remaining balance of the obligations for each accounting period. Variable rents are not part of the lease liability and the right of use asset. These payments are charged to the income statement as incurred. Short-term and low-value leases are not capitalised and lease rentals are also charged to the income statement as incurred. Non-lease components are accounted for separately from the lease components in plant and equipment leases but are not separately accounted for in land and buildings or vehicle leases. If modifications or reassessments of lease obligations occur, the lease liability and right of use asset are remeasured. Right of use assets where title is expected to pass to GSK at a point in the future are depreciated on a basis consistent with similar owned assets. In other cases, right of use assets are depreciated over the shorter of the useful life of the asset or the lease term.

Goodwill
Goodwill is stated at cost less impairments. Goodwill is deemed to have an indefinite useful life and is tested for impairment at least annually. Where the fair value of the interest acquired in an entity’s assets, liabilities and contingent liabilities exceeds the consideration paid, this excess is recognised immediately as a gain in the income statement.

Other intangible assets
Intangible assets are stated at cost less provisions for amortisation and impairments. Licences, patents, know-how and marketing rights separately acquired or acquired as part of a business combination are amortised over their estimated useful lives, generally not exceeding 30 years, using the straight-line basis, from the time they are available for use. The estimated useful lives for determining the amortisation charge take into account patent lives (exclusivity period), where applicable, as well as the value obtained from periods of non-exclusivity. For Pharmaceutical intangible assets, depending on the characteristics, competitive environment and estimated long-term profits of the asset, between 80% to 90% of the book value is amortised over the exclusivity period on a straight-line basis and the remaining book value is amortised over a non-exclusivity period of 5-15 years on a straight-line basis. For Vaccines intangible assets, cost is usually amortised over the exclusivity period plus 10 years, or 30 years if no exclusivity period is granted, on a straight-line basis. Asset lives are reviewed, and where appropriate adjusted, annually. Contingent milestone payments are recognised at the point that the contingent event becomes probable. Any development costs incurred by the Group and associated with acquired licences, patents, know-how or marketing rights are written off to the income statement when incurred, unless the criteria for recognition of an internally-generated intangible asset are met, usually when a regulatory filing has been made in a major market and approval is considered highly probable. Acquired brands are valued independently as part of the fair value of businesses acquired from third parties where the brand has a value which is substantial and long-term and where the brands either are contractual or legal in nature or can be sold separately from the rest of the businesses acquired. Brands are amortised over their estimated useful lives of up to 20 years using the straight-line basis, except where it is considered that the useful economic life is indefinite.

2. Accounting principles and policies continued
Notes to the financial statements continued
17
6 GS K Annual Report 2021

The costs of acquiring and developing computer software for internal use and internet sites for external use are capitalised as intangible fixed assets where the software or site supports a significant business system and the expenditure leads to the creation of a durable asset. ERP systems software is amortised over seven to ten years and other computer software over three to five years using the straight-line basis.

Impairment of non-current assets
The carrying values of all non-current assets are reviewed for impairment, either on a stand-alone basis or as part of a larger cash generating unit, when there is an indication that the assets might be impaired. Additionally, goodwill, intangible assets with indefinite useful lives and intangible assets which are not yet available for use are tested for impairment annually. Any provision for impairment is charged to the income statement in the year concerned. Impairments of goodwill are not reversed. Impairment losses on other non-current assets are only reversed if there has been a change in estimates used to determine recoverable amounts and only to the extent that the revised recoverable amounts do not exceed the carrying values that would have existed, net of depreciation or amortisation, had no impairments been recognised.

Investments in associates, joint ventures and joint operations
Investments in associates and joint ventures are carried in the consolidated balance sheet at the Group’s share of their net assets at date of acquisition and of their post-acquisition retained profits or losses and other comprehensive income together with any goodwill arising on the acquisition. The Group recognises its rights to assets, liabilities, revenue and expenses of joint operations.

Inventories
Inventories are included in the financial statements at the lower of cost (including raw materials, direct labour, other direct costs and related production overheads) and net realisable value. Cost is generally determined on a first in, first out basis. Pre-launch inventory is held as an asset when there is a high probability of regulatory approval for the product. Before that point a provision is made against the carrying value to its recoverable amount; the provision is then reversed at the point when a high probability of regulatory approval is determined.

Financial instruments
Financial assets
Financial assets are measured at amortised cost, fair value through other comprehensive income (FVTOCl) or fair value through profit or loss (FVtPL). The measurement basis is determined by reference to both the business model for managing the financial asset and the contractual cash flow characteristics of the financial asset. For financial assets other than trade receivables a 12-month expected credit loss (ECL) allowance is recorded on initial recognition. If there is subsequent evidence of a significant increase in the credit risk of an asset, the allowance is increased to reflect the full lifetime ECL. If there is no realistic prospect of recovery, the asset is written off. Expected credit losses are recognised in the income statement on financial assets measured at amortised cost and at fair value through other comprehensive income apart from equity investments.

Other investments
Other investments comprise equity investments and investments in limited life funds.The Group has elected to designate the majority of its equity investments as measured at FVOCI. They are initially recorded at fair value plus transaction costs and then remeasured at subsequent reporting dates to fair value. Unrealised gains and losses are recognised in other comprehensive income. On disposal of the equity investment, gains and losses that have been deferred in Other comprehensive income are transferred directly to retained earnings. Investments in limited life funds are measured at FVTPL. They are initially recorded at fair value and then remeasured at subsequent reporting dates to fair value. Unrealised gains and losses are recognised in the income statement. Dividends on equity investments and distributions from funds are recognised in the income statement when the Group’s right to receive payment is established. Purchases and sales of Other investments are accounted for on the trade date.

Trade receivables

Trade receivables are measured in accordance with the business model under which each portfolio of trade receivables is held. The Group has portfolios in each of the three business models under IFRS 9: to collect the contractual cash flows where there is no factoring agreement in place (measured at amortised cost), to sell the contractual cash flows where the trade receivables will be sold under a factoring agreement (measured at FVTPL), and both to collect and to sell the contractual cash flows where the trade receivables may be sold under a factoring arrangement (measured at FVOCI). Trade receivables measured at amortised cost are carried at the original invoice amount less allowances for expected credit losses. Expected credit losses are calculated in accordance with the simplified approach permitted by IFRS 9, using a provision matrix applying lifetime historical credit loss experience to the trade receivables. The expected credit loss rate varies depending on whether, and the extent to which, settlement of the trade receivables is overdue and it is also adjusted as appropriate to reflect current economic conditions and estimates of future conditions. For the purpose of determining credit loss rates, customers are classified into groupings that have similar loss patterns. The key drivers of the loss rate are the nature of the business unit and the location and type of customer. When a trade receivable is determined to have no reasonable expectation of recovery it is written off, firstly against any expected credit loss allowance available and then to the income statement. Subsequent recoveries of amounts previously provided for or written off are credited to the income statement. Long-term receivables are discounted where the effect is material.

Notes to the financial statements continued

Accounting principles and policies continued

GSK Annual Report 2021 17 7

Strategic report Governance and remuneration Financial statements Investor information

Cash and cash equivalents

Cash held in deposit accounts is measured at amortised cost. Investments in money market funds are held at fair value through profit or loss because the funds fail the solely payments of principal and interest (SPPI) test.

Borrowings

All borrowings are initially recorded at the amount of proceeds received, net of transaction costs. Borrowings are subsequently carried at amortised cost, with the difference between the proceeds, net of transaction costs, and the amount due on redemption being recognised as a charge to the income statement over the period of the relevant borrowing.

Derivative financial instruments

Derivative financial instruments are used to manage exposure to market risks. The principal derivative instruments used by GSK are foreign currency swaps, interest rate swaps, foreign exchange forward contracts and options. The Group does not hold or issue derivative financial instruments for trading or speculative purposes. Derivative financial assets and liabilities, including derivatives embedded in host contracts which have been separated from the host contract, are classified as held-for-trading and are measured at fair value. Changes in the fair value of any derivative instruments that do not qualify for hedge accounting are recognised immediately in the income statement.

Hedge accounting

Derivatives designated as hedging instruments are classified at inception of hedge relationship as cash flow hedges, net investment hedges or fair value hedges. Changes in the fair value of derivatives designated as cash flow hedges are recognised in other comprehensive income to the extent that the hedges are effective. Ineffective portions are recognised in profit or loss immediately. Amounts deferred in other comprehensive income are reclassified to the income statement when the hedged item affects profit or loss. Net investment hedges are accounted for in a similar way to cash flow hedges. Changes in the fair value of derivatives designated as fair value hedges are recorded in the income statement, together with the changes in the fair value of the hedge(s) asset or liability.

Taxation

Current tax is provided at the amounts expected to be paid, applying tax rates that have been enacted or substantively enacted by the balance sheet date. Deferred tax is provided in full, on temporary differences arising between the tax bases of assets and liabilities and their carrying amounts in the financial statements. Deferred tax assets are recognised to the extent that it is probable that future taxable profits will be available against which the temporary differences can be utilised. Deferred tax is provided on temporary differences arising on investments in subsidiaries, associates and joint ventures, except where the timing of the reversal of the temporary difference can be controlled and it is probable that the temporary difference will not reverse in the foreseeable future. Deferred tax is provided using rates of tax that have been enacted or substantively enacted by the balance sheet date. Where an uncertain tax position is identified, management will make a judgement as to what the probable outcome will be, assuming the relevant tax authority has full knowledge of the situation. Where it is assessed that an economic outflow is probable to arise, a provision is made for the best estimate of the liability. In estimating any such liability GSK applies a risk-based approach which takes into account, as appropriate, the probability that the Group would be able to obtain compensatory adjustments under international tax treaties. These estimates take into account the specific circumstances of each dispute and relevant external advice.

Discounting

Where the time value of money is material, balances are discounted to current values using appropriate discount rates. The unwinding of the discounts is recorded in finance income and finance expense.

Accounting principles and policies continued

Notes to the financial statements continued

3. Critical accounting judgements and key sources of estimation uncertainty

In preparing the financial statements, management is required to make judgements about when or how items should be recognised in the financial statements and estimates and assumptions that affect the amounts of assets, liabilities, revenue and expenses reported in the financial statements. Actual amounts and results could differ from those estimates. The following are considered to be the critical accounting judgements and key sources of estimation uncertainty.

Turnover

Reported Group turnover for 2021 was £34,114 million (2020 – £34,099 million).

Estimates

Gross turnover is reduced by rebates, discounts, allowances and product returns given or expected to be given, which vary by product arrangements and buying groups. These arrangements with purchasing organisations are dependent upon the submission of claims some time after the initial recognition of the sale. Accruals are made at the time of sale for the estimated rebates, discounts or allowances payable or returns to be made, based on available market information and historical experience.

17 8 GSK Annual Report 2021

Notes to the financial statements continued

The US Pharmaceuticals business has the largest and most complex arrangements for rebates, discounts and allowances. The US Pharmaceuticals turnover for 2021 of £8,442 million (2020 – £7,451 million) was after recording deductions of £11,486 million (2020 – £12,584 million) for rebates, discounts, allowances and returns. The balance sheet accruals for rebates, discounts, allowances and returns for the US Pharmaceuticals and Vaccines businesses are managed on a combined basis. At 31 December 2021, the total accrual amounted to £5,044 million (2020 – £4,686 million). Because of the nature of these accruals it is not practicable to give meaningful sensitivity estimates due to the large volume of variables that contribute to the overall rebates, chargebacks, returns and other revenue accruals.# 3. Critical accounting judgements and key sources of estimation uncertainty continued

As there can be significant variability in final outcomes, the group applies a constraint when measuring the variable element within revenue, so that revenue is recognised at a suitably cautious amount. The objective of the constraint is to ensure that it is highly probable that a significant reversal of revenue will not occur when the uncertainties are resolved. The constraint is applied by making suitably cautious estimates of the inputs and assumptions used in estimating the variable consideration. Because the amounts are estimated they may not fully reflect the final outcome, and the amounts are subject to change dependent upon, amongst other things, the types of buying group and product sales mix. The constraints applied in recognising revenue mean that the risk of a material downward adjustment to revenue in the next financial year is low. The level of accrual for rebates and returns is reviewed and adjusted regularly in the light of contractual and legal obligations, historical trends, past experience and projected market conditions. Market conditions are evaluated using wholesaler and other third-party analyses, market research data and internally-generated information. It is reasonably possible that there could be a significant adjustment within the next 12 months to recognise additional revenue, if actual outcomes are better than the cautious constrained estimates. Revenue is not recognised in full until it is highly probable that a significant reversal in the amount of cumulative revenue recognised will not occur. The amount of turnover recognised in the year from performance obligations satisfied in previous periods is set out in Note 6, ‘Turnover and segment information’, and is an indication of the level of sensitivity in the estimate. Future events could cause the assumptions on which the accruals are based to change, which could materially affect the future results of the Group.

Taxation

The tax charge for the year was £346 million (2020 – £580 million). At December 2021, current tax payable was £489 million (2020 – £545 million), non-current corporation tax payable was £180 million (2020 – £176 million) and current tax recoverable was £486 million (2020 – £671 million).

Estimates

The Group has open tax issues with a number of revenue authorities. Management makes a judgement of whether there is sufficient information to be able to make a reliable estimate of the outcome of the dispute. If insufficient information is available, no provision is made. If sufficient information is available, in estimating a potential tax liability GSK applies a risk-based approach which takes into account, as appropriate, the probability that the Group would be able to obtain compensatory adjustments under international tax treaties. These estimates take into account the specific circumstances of each dispute and relevant external advice, are inherently judgemental and could change substantially over time as each dispute progresses and new facts emerge.

At 31 December 2021, the Group had recognised provisions of £858 million in respect of uncertain tax positions (2020 – £856 million). Due to the number of uncertain tax positions held and the number of jurisdictions to which these relate, it is not practicable to give meaningful sensitivity estimates. No uncertain tax position is individually significant to the Group. Factors affecting the tax charge in future years are set out in Note 14, ‘Taxation’. GSK continues to believe that it has made adequate provision for the liabilities likely to arise from open assessments. Where open issues exist, the ultimate liability for such matters may vary from the amounts provided and is dependent upon the outcome of negotiations with the relevant tax authorities or, if necessary, litigation proceedings.

Legal and other disputes

Legal costs for the year were £52 million (2020 – £231 million). At 31 December 2021 provisions for legal and other disputes amounted to £196 million (2020 – £320 million).

Estimates

Management makes a judgement of whether there is sufficient information to be able to make a reliable estimate of the likely outcome of the dispute and the legal and other expenses arising from claims against the Group. If insufficient information is available, no provision is made and disclosure of the claim is given. The estimated provisions take into account the specific circumstances of each dispute and relevant external advice, are inherently judgemental and could change substantially over time as each dispute progresses and new facts emerge. Details of the status and various uncertainties involved in the significant unresolved disputes are set out in Note 46, ‘Legal proceedings’. The company’s Directors, having taken legal advice, have established provisions after taking into account the relevant facts and circumstances of each matter and in accordance with accounting requirements. In respect of product liability claims related to certain products, there is sufficient history of claims made and settlements to enable management to make a reliable estimate of the provision required to cover unasserted claims.

3. Critical accounting judgements and key sources of estimation uncertainty continued

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The Group previously accounted for SaaS (software as a service) configuration and customisation costs as intangible assets. Following the IFRSIC (Interpretation Committee) agenda decision on SaaS in April 2021, the Group has adopted the treatment set out in the IFRSIC agenda decision and expensed configuration and customisation costs where the entity does not control the software being configured. The impacts of the change were an impairment of £68 million from previously capitalised intangible assets and an increase in 2021 expenses of £40 million presented in Selling, general and administration and Research and development.

Where the retirement benefit to which an employee is entitled is capped at a specified number of consecutive years, the Group previously accounted for these employee benefits from the employment commencement date. Following the IFRSIC agenda decision on Attributing Benefit to Periods of Service in May 2021, the Group has adopted the treatment set out in the IFRSIC agenda decision to account for the employee benefits during the last specified number of years where the employee earns the benefit. The impact of the change was a reduction of expenses of £42 million presented in Cost of sales, Selling, general and administration and Research and development.

During the year, the Group implemented ‘Interest Rate Benchmark Reform Phase 2 - Amendments to IFRS 9, IAS 39, IFRS 7, IFRS 4 and IFRS 16’ which was issued in August 2020 and adopted by the UK Endorsement Board on 5 January 2021. The amendments address issues that arise from implementation of the reforms, including the replacement of one benchmark with an alternative one. A practical expedient is provided such that the change to contractual cash flows for financial assets and liabilities (including lease liabilities) is accounted for prospectively by revising the effective interest rate. In addition, hedge accounting will not be discontinued solely because of the IBOR reform. Further information is provided in Note 43.

Certain new accounting standards, amendments to accounting standards and interpretations have been published that are not mandatory for 31 December 2021 reporting periods and have not been early adopted by the group. These standards, amendments or interpretations are not expected to have a material impact on the Group in the current or future reporting periods.

4. New accounting requirements

Critical accounting judgements and key sources of estimation uncertainty continued
Notes to the financial statements continued

The Group may become involved in 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. In these cases, appropriate disclosure about such cases would be provided, but no provision would be made and no contingent liability can be quantified. 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 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 the amount of the provisions reported in the Group’s financial statements by a material amount.

Contingent consideration

The 2021 income statement charge for contingent consideration was £1,063 million (2020 – £1,275 million). At 31 December 2021, the liability for contingent consideration amounted to £6,076 million (2020 – £5,869 million).Of this amount, £5,559 million (2020 – £5,359 million) related to the acquisition of the former Shionogi-ViiV Healthcare joint venture in 2012.

Estimates

Any contingent consideration included in the consideration payable for a business combination is recorded at fair value at the date of acquisition. These fair value s are generally based on risk-adjusted future cash flows discounted using appropriate post-tax discount rates. The fair values are reviewed on a regular basis, at least annually, and any changes are reflected in the income statement. See Note 32, ‘Contingent consideration liabilities’.

Pensions and other post-employment benefits

Judgement

Where a surplus on a defined benefit scheme arises, or there is potential for a surplus to arise from committed future contributions, the rights of the Trustees to prevent the Group obtaining a refund of that surplus in the future are considered in determining whether it is necessary to restrict the amount of the surplus that is recognised. Three UK schemes are in surplus, with a combined surplus of £606 million at 31 December 2021 (2020 – £77 million). There are further recognised pension surpluses totalling £135 million spread across 6 countries (2020 – £106 million across 6 countries). GSK has made the judgement that these amounts meet the requirements of recoverability.

Estimates

The costs of providing pensions and other post-employment benefits are assessed on the basis of assumptions selected by management. These assumptions include future earnings and pension increases, discount rates, expected long-term rates of return on assets and mortality rates, and are disclosed in Note 30, ‘Pensions and other post-employment benefits’. Discount rates are derived from AA rated corporate bond yields except in countries where there is no deep market in corporate bonds where government bond yields are used. A sensitivity analysis is provided in Note 30, ‘Pensions and other post-employment benefits’, a 0.25% reduction in the discount rate would lead to an increase in the net pension deficit of approximately £772 million and an increase in the annual pension cost of approximately £17 million. Similarly, a 0.25% increase in the discount rate would lead to a decrease in the net pension deficit of approximately £729 million and a decrease in the annual pension cost of approximately £19 million. The selection of different assumptions could affect the future results of the Group.

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Notes to the financial statements continued

6. Turnover and 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 Health care, and individual members of the GLT are responsible for each 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 includes the results of certain Consumer Health care 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.

Revenue recognised in the year from performance obligations satisfied in previous periods totalled £1,558 million (2020 – £1,207 million) and included £1,069 million (2020 – £649 million) impacting turnover arising from changes to prior year estimates of R.A.R. (returns and rebates) accruals, £61 million (2020 – £238 million) of milestone income and £428 million (2020 – £320 million) of royalty income recognised in the current year.

Turnover by segment

	2021 £m	2020 £m	2019 £m
Pharmaceuticals	17,729	17,056	17,554
Vaccines	6,778	6,982	7,157
Consumer Healthcare	9,607	10,033	8,995
Segment turnover	34,114	34,071	33,706
Corporate and other unallocated turnover	–	28	48
	34,114	34,099	33,754

GSK has reviewed the presentation of its pharmaceuticals products and from 1 January 2021 has moved sales of Arnuity Ellipta, Incruse Ellipta and Relvar/Breo Ellipta from the Respiratory therapeutic area to the Established Pharmaceuticals therapeutic area. Comparative information has been revised on to a consistent basis.

Pharmaceuticals turnover by therapeutic area

	2021 £m	2020 (revised) £m	2019 (revised) £m
Respiratory	2,863	2,360	1,800
HIV	4,777	4,876	4,854
Immuno-inflammation	885	727	613
Oncology	489	372	230
Pandemic	958	–	–
New and Specialty	9,972	8,335	7,497
Established Pharmaceuticals	7,757	8,721	10,057
	17,729	17,056	17,554

Vaccines turnover by category

	2021 £m	2020 £m	2019 £m
Meningitis	961	1,029	1,018
Influenza	679	733	541
Shingles	1,721	1,989	1,810
Established Vaccines	2,970	3,231	3,788
	6,331	6,982	7,157
Pandemic Vaccines	447	–	–
	6,778	6,982	7,157

The Group uses the average of exchange rates prevailing during the period to translate the results and cash flows of overseas subsidiaries, joint ventures and associates into Sterling and period end rates to translate the net assets of those entities. The currencies which most influence these translations and the relevant exchange rates were:

5. Exchange rates

	2021	2020	2019
Average rates:
US$/£	1.38	1.29	1.28
Euro/£	1.16	1.13	1.14
Yen/£	151	137	139
	2021	2020	2019
Period end rates:
US$/£	1.35	1.36	1.32
Euro/£	1.19	1.11	1.18
Yen/£	155	141	143

181
GSK Annual Report 2021
Notes to the financial statements continued

Strategic report Governance and remuneration Financial statements Investor information

6. Turnover and segment information continued

During 2021, the US operations of the Pharmaceuticals and Vaccines businesses made sales to three wholesalers of £3,159 million (2020 – £2,928 million, 2019 – £2,835 million), £3,081 million (2020 – £3,085 million, 2019 – £3,146 million) and £2,670 million (2020 – £2,795 million, 2019 – £2,820 million) respectively, after allocating final customer discounts to the wholesalers.

Consumer Healthcare turnover by category

	2021 £m	2020 £m	2019 £m
Oral health	2,732	2,753	2,673
Pain relief	2,276	2,219	1,781
Vitamins, minerals and supplements	1,512	1,506	611
Respiratory health	1,133	1,209	1,186
Digestive health and other	1,803	1,824	1,646
	9,456	9,511	7,897
Brands divested/ under review	15	522	1,098
	9,607	10,033	8,995

Segment profit

	2021 £m	2020 £m	2019 £m
Pharmaceuticals	8,170	7,723	7,964
Pharmaceuticals R&D	(3,489)	(3,538)	(3,369)
Pharmaceuticals, including R&D	4,681	4,185	4,595
Vaccines	2,256	2,713	2,966
Consumer Healthcare	2,239	2,213	1,874
Segment profit	9,176	9,111	9,435
Corporate and other unallocated costs	(370)	(205)	(463)
Other reconciling items between segment profit and operating profit	(2,605)	(1,123)	(2,011)
Operating profit	6,201	7,783	6,961
Finance income	28	44	98
Finance costs	(784)	(892)	(912)
Loss on disposal of interest in associates	(36)	–	–
Share of after-tax profits of associates and joint ventures	33	33	74
Profit before taxation	5,442	6,968	6,221
Taxation	(346)	(580)	(953)
Profit after taxation for the year	5,096	6,388	5,268

Other reconciling items between segment profit and operating profit comprise items not specifically allocated to segment profit. These include impairment and amortisation of intangible assets; major restructuring costs, which include impairments of tangible assets and computer software; transaction-related adjustments related to significant acquisitions; proceeds and costs of disposals of associates, products and businesses, significant legal charges and expenses on the settlement of litigation and government investigations, other operating income other than royalty income and other items, and separation costs. Please refer to the detail of “Other reconciling items between segment profit and operating profit” in the analysis of adjusting items (Group financial review).

Depreciation and amortisation by segment

	2021 £m	2020 £m	2019 £m
Pharmaceuticals	553	557	606
Pharmaceuticals R&D	325	298	230
Pharmaceuticals, including R&D	878	855	836
Vaccines	416	404	418
Consumer Healthcare	226	235	224
Segment depreciation and amortisation	1,520	1,494	1,478
Corporate and other unallocated depreciation and amortisation	54	82	79
Other reconciling items between segment depreciation and amortisation and total depreciation and amortisation	802	775	777
Total depreciation and amortisation	2,376	2,351	2,334

182
GSK Annual Report 2021
Notes to the financial statements continued
6.## 6. Turnover and segment information continued

PP&E, intangible asset and goodwill impairment by segment

	2021 £m	2020 £m	2019 £m
Pharmaceuticals	11	38	137
Pharmaceuticals R&D	54	37	16
Pharmaceuticals, including R&D	65	75	153
Vaccines	20	49	33
Consumer Healthcare	12	5	–
Segment impairment	97	129	186
Corporate and other unallocated impairment	63	5	19
Other reconciling items between segment impairment and total impairment	4	16	680
Total impairment	576	814	826

PP&E and intangible asset impairment reversals by segment

	2021 £m	2020 £m	2019 £m
Pharmaceuticals	(5)	(12)	(6)
Pharmaceuticals R&D	(2)	(4)	–
Pharmaceuticals, including R&D	(7)	(16)	(6)
Vaccines	(3)	(2)	(1)
Consumer Healthcare	–	–	–
Segment impairment reversals	(10)	(18)	(7)
Corporate and other unallocated impairment reversals	–	(1)	(3)
Other reconciling items between segment impairment reversals and total impairment reversals	(38)	(53)	(15)
Total impairment reversals	(48)	(72)	(25)

Net operating assets by segment

	2021 £m	2020 £m
Pharmaceuticals	(149)	78
Pharmaceuticals R&D	3,795	3,345
Pharmaceuticals, including R&D	3,646	4,134
Vaccines	8,429	8,995
Consumer Healthcare	25,185	25,176
Segment net operating assets	37,260	38,305
Corporate and other unallocated net operating assets	2,353	2,250
Net operating assets	39,613	40,555
Net debt	(19,838)	(20,780)
Investments in associates and joint ventures	88	364
Derivative financial instruments	(22)	(74)
Current and deferred taxation	1,479	637
Assets held for sale (excluding cash and cash equivalents)	22	106
Net assets	21,342	20,808

The Pharmaceuticals segment includes the Shionogi-ViiV Healthcare contingent consideration liability of £5,559 million (2020 – £5,359 million) and the Pfizer put option of £1,008 million (2020 – £960 million).

Geographical information

The UK is regarded as being the Group’s country of domicile.

Turnover by location of customer

	2021 £m	2020 £m	2019 £m
UK	975	980	942
US	15,093	14,556	13,890
Rest of World	18,046	18,563	18,922
External turnover	34,114	34,099	33,754

Non-current assets by location of subsidiary

	2021 £m	2020 (revised) £m
UK	6,618	6,279
US	17,852	17,899
Belgium	5,065	5,437
Switzerland	6,552	6,133
Rest of World	15,390	16,142
Non-current assets	51,477	51,890

Non-current assets by location excludes amounts relating to other investments, deferred tax assets, derivative financial instruments, pension assets, amounts receivable under insurance contracts and certain other non-current receivables. There are no other countries with individually material external revenue or non-current assets. GSK has revised the presentation of its non-current assets by location to include Belgium and Switzerland independently from the rest of the world.

7. Other operating income/ (expense)

	2021 £m	2020 £m	2019 £m
Fair value remeasurements of equity investments	37	(6)	(14)
Disposal of businesses and assets	591	2,779	541
Fair value remeasurements on contingent consideration recognised in business combinations	(1,058)	(1,286)	(92)
Remeasurement of ViiV Healthcare put option liabilities and preferential dividends	(48)	52	234
Fair value adjustments on derivative financial instruments	(4)	20	–
Other income	6	65	20
	(476)	1,624	689

Disposal of businesses and assets in 2021 included a net gain on disposal of the rights to the royalty stream for cabozantinib and a net gain on disposal of the cephalosporin antibiotic brands to Sandoz. Disposal of businesses and assets in 2020 included a net profit on disposal of the Horlicks and other Consumer Healthcare nutritional brands and two subsidiaries in India and Bangladesh of £2,815 million, which reflected reversal of £240 million of embedded derivative gains on the value of the shares taken in prior years. This was partly offset by the related £476 million loss on the shares in Hindustan Unilever Limited, including fair value remeasurement losses between their acquisition as consideration for the divestment of GSK Consumer Healthcare Limited in India and their subsequent disposal. Other operating income also included an increase in profit and milestone income from a number of asset disposals. Fair value remeasurements on contingent consideration recognised as business combinations included £1,026 million related to the acquisition of the former Shionogi-ViiV Healthcare joint venture and £27 million payable to Novartis related to the Vaccines acquisition, together with fair value movements on related hedging contracts.

8. Operating profit

The following items have been included in operating profit:

	2021 £m	2020 £m	2019 £m
Employee costs (Note 9)	9,003	10,249	9,855
Advertising	1,806	1,777	1,567
Distribution costs	379	408	393
Depreciation of property, plant and equipment	982	989	1,017
Impairment of property, plant and equipment, net of reversals	10	34	43
Depreciation of right of use assets	213	225	214
Impairment of right of use assets	7	3	2
Amortisation of intangible assets	1,181	1,137	1,103
Impairment of intangible assets, net of reversals	4	16	257
Impairment of property, plant and equipment held for sale, net of reversals	1	3	–
Impairment of intangible assets held for sale, net of reversals	1	20	1
Impairment of goodwill allocated to a disposal group, net of reversals	–	16	4
Net foreign exchange (gains)/losses	(2)	1	10
Inventories: Cost of inventories included in cost of sales	9,192	9,480	9,482
Write-down of inventories	946	699	578
Reversal of prior year write-down of inventories	(384)	(274)	(230)
Short-term lease charge	7	11	12
Low-value lease charge	3	5	4
Variable lease payments	10	11	13
Fees payable to the company’ s auditor and its associates in relation to the Group (see below)	31.7	29.9	30.4

The reversals of prior year write-downs of inventories principally arise from the reassessment of usage or demand expectations prior to inventory expiration. Net foreign exchange (gains)/losses include a net gain of £35 million (2020 – £36 million loss; 2019 – £75 million gain) arising from the recycling of exchange on liquidation or disposal of overseas subsidiaries. The recycling of exchange on disposal of overseas associates of a loss of £10 million (2020 – £nil) is reported through loss on disposal of interest in associates. Included within operating profit are Major restructuring charges of £626 million (2020 – £1,532 million; 2019 – £1,105 million), see Note 10, ‘Major restructuring costs’.

Fees payable to the company’s auditor and its associates:

	2021 £m	2020 £m	2019 £m
Audit of parent company and consolidated financial statements including attestation under s.404 of Sarbanes-Oxley Act 2002	13.2	13.8	15.6
Audit of the company’ s subsidiaries	14.5	14.5	13.5
Total audit services	27.7	28.3	29.1
Audit related and other assurance services	4.0	1.6	1.2
All other services	–	–	0.1
Total audit-related and non-audit services	4.0	1.6	1.3
	31.7	29.9	30.4

The other assurance services provided by the auditor related to agreed upon procedures and other assurance services outside of statutory audit requirements. In addition to the above, fees paid to the auditor in respect of the GSK pension schemes were:

	2021 £m	2020 £m	2019 £m
Audit	0.2	0.2	0.2
Other services	–	–	–

There was no material fee paid in 2021 to other auditors in respect of audits of certain of the company’s subsidiaries acquired during the year (2020 – £0.2 million, 2019 – £0.8 million). Audit fees include £0.9 million in relation to incremental audit work performed in 2021 for audit opinions issued compliant with PCAOB auditing standards in preparation for the Consumer Healthcare demerger. Audit related and other assurance services include £2.4 million due to reporting accountant work performed in preparation for the Consumer Healthcare demerger.

9. Employee costs

	2021 £m	2020 £m	2019 £m
Wages and salaries	6,941	7,802	7,583
Social security costs	856	917	852
Pension and other post-employment costs, including augmentations (Note 30)	463	519	560
Cost of share-based incentive plans	404	393	432
Severance and other costs from integration and restructuring activities	339	618	428
	9,003	10,249	9,855

The Group provides benefits to employees, commensurate with local practice in individual countries, including, in some markets, healthcare insurance, subsidised car schemes and personal life assurance. The cost of share-based incentive plans is analysed as follows:

	2021 £m	2020 £m	2019 £m
Share Value Plan	303	313	302
Performance Share Plan	59	64	58
Share option plans	5	4	4
Cash settled and other plans	37	12	68
	404	393	432

The average monthly number of persons employed by the Group (including Directors) during the year was:

	2021 Number	2020 Number	2019 Number
Manufacturing	33,303	34,898	36,653
Selling, general and administration	46,782	49,162	48,535
Research and development	11,876	11,824	12,026
	91,961	95,884	97,214

The average monthly number of Group employees excludes temporary and contract staff.The numbers of Group employees at the end of each financial year are given in the financial record on page 265. The compensation of the Directors and senior management (members of the GLT) in aggregate, was as follows:

	2021 £m	2020 £m	2019 £m
Wages and salaries	29	23	28
Social security costs	3	4	4
Pension and other post-employment costs	3	3	3
Cost of share-based incentive plans	30	25	27
	65	55	62

Further information on the remuneration of the Directors is given in the sections of the annual report on remuneration labelled as audited within pages 120 to 152.

10. Major restructuring costs

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. Major restructuring costs are those related to specific Board-approved Major restructuring programmes, including integration costs following material acquisitions, which are structural and are of a significant scale where the costs of individual or related projects exceed £25 million.

The existing Combined restructuring and integration programme incorporates the previous Major Change programme, the Pharmaceuticals restructuring programme and the restructuring and integration programme following the Novartis transaction in 2015. This programme is now substantially complete.

In July 2018, the Board approved a Major restructuring programme, designed to significantly improve the competitiveness and efficiency of the Group’s cost base with savings delivered primarily through supply chain optimisation and reductions in administrative costs. This programme is now substantially complete.

In February 2019, the Board approved a Major restructuring plan to generate synergies from the integration of the Pfizer consumer health care business into GSK’s Consumer Healthcare business.

In January 2020, the Board approved a two-year Separation Preparation programme to prepare for the separation of GSK into two companies.

The total restructuring costs of £626 million in 2021 were incurred in the following areas:

Restructuring costs to prepare for separation of GSK into two companies
Restructuring following the integration of the Pfizer consumer healthcare business into GSK Consumer Healthcare
Continued implementation of the restructuring programme that started in July 2018, to simplify the operating models and improve resource allocation of the Pharmaceutical and Consumer Healthcare supply chains
Continued transformation of central functions, including GSK technology platforms and interfaces, to deliver greater digital synergies, simplification of applications and staff reductions.

The analysis of the costs charged to operating profit under these programmes was as follows:

	2021 £m	2020 £m	2019 £m
Increase in provision for Major restructuring programmes (see Note 31)	383	74	63
Amount of provision reversed unused (see Note 31)	(151)	(96)	(148)
Impairment losses recognised	27	361	521
Other non-cash charges	29	10	99
Other cash costs	33	8	4
	288	626	1,532

Provision reversals of £151 million (2020 – £96 million, 2019 – £148 million) reflected provision releases mainly for the Separation Preparation programme and 2018 Major restructuring programme.

Asset impairments of £27 million and other non-cash charges of £29 million principally comprised fixed asset write-downs of manufacturing facilities and accelerated depreciation where asset lives have been shortened in the supply chain manufacturing network as a result of the Major restructuring programmes. All other charges have been or will be settled in cash and include site closure costs, consultancy and project management costs.

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

2021

	Cash £m	Non-cash £m	Total £m
Separation Preparation programme	37	159	196
Consumer Healthcare Joint Venture integration programme	173	11	184
2018 Major restructuring programme (including Tesaro)	18	9	27
Combined restructuring and integration programme	8	(23)	(15)
	236	256	492

2020

	Cash £m	Non-cash £m	Total £m
Separation Preparation programme	625	216	841
Consumer Healthcare Joint Venture integration programme	298	28	326
2018 Major restructuring programme (including Tesaro)	10	5	15
Combined restructuring and integration programme	39	11	50
	972	260	1,232

2019

	Cash £m	Non-cash £m	Total £m
Separation Preparation programme	216	216	432
Consumer Healthcare Joint Venture integration programme	28	28	56
2018 Major restructuring programme (including Tesaro)	3	7	10
Combined restructuring and integration programme	11	(14)	(3)
	258	437	695

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

	2021 £m	2020 £m	2019 £m
Cost of sales	15	4	6
Selling, general and administration	426	659	332
Research and development	46	20	6
Other operating expense	–	–	1
	487	683	345

11. Finance income

	2021 £m	2020 £m	2019 £m
Finance income arising from:
Financial assets measured at amortised cost	26	29	69
Financial assets measured at fair value through profit or loss	–	10	10
Net gains arising from the forward element of forward contracts in net investment hedge relationships	–	5	19
Other finance income	2	–	–
	28	44	98

12. Finance expense

	2021 £m	2020 £m	2019 £m
Finance expense arising on:
Financial liabilities at amortised cost	(744)	(813)	(832)
Derivatives at fair value through profit or loss	–	(7)	(6)
Net losses arising from:
Financial instruments mandatorily measured at fair value through profit or loss	(599)	353	(425)
Retranslation of loans	599	(357)	424
Reclassification of hedges from other comprehensive income	(2)	(2)	(2)
Unwinding of discounts on provisions	(2)	(3)	(8)
Finance expense arising on lease liabilities	(31)	(40)	(39)
Other finance expense	(5)	(23)	(24)
	(784)	(892)	(912)

Finance expense arising on derivatives at fair value through profit or loss relates to swap interest expense.

13. Associates and joint ventures

The Group’s share of after-tax profits and losses of associates and joint ventures is set out below:

	2021 £m	2020 £m	2019 £m
Share of after-tax profits of associates	36	33	85
Share of after-tax losses of joint ventures	(3)	–	(11)
	33	33	74

Following the disposal of Innoviva, Inc in May 2021 (see details in Note 21), at 31 December 2021, the Group held no significant individual associates. At 31 December 2020, the Group held one significant associate, Innoviva, Inc.

Summarised income statement information in respect of Innoviva until May 2021 is set out below. The Group’s 2021 share of after-tax profits of associates and other comprehensive income includes a profit of £33 million and other comprehensive income of £nil in respect of Innoviva. The results of Innoviva included in the summarised income statement information below represent the estimated earnings of Innoviva in the relevant periods, based on publicly available information at the balance sheet date. 2021 figures include share of Innoviva’s turnover, profit and total comprehensive income until the date of the disposal.

	2021 £m	2020 £m	2019 £m
Turnover	10	8	253
Profit after taxation	106	174	116
Total comprehensive income	106	174	116

Aggregated financial information in respect of GSK’s share of other associated undertakings and joint ventures is set out below:

	2021 £m	2020 £m	2019 £m
Share of turnover	–	–	32
Share of after-tax losses	–	(8)	(5)
Share of other comprehensive income	28	53	1
Share of total comprehensive income/(expense)	28	45	(5)

The Group’s sales to associates and joint ventures were £nil in 2021 (2020 – £nil; 2019 – £11 million). Please refer to the Balance sheet information on associates and joint ventures in Note 21.

14. Taxation

The Group’s tax charge is the sum of the total current and deferred tax expense.

Taxation charge based on profits for the year

	2021 £m	2020 £m	2019 £m
UK current year charge	132	30	149
Rest of World current year charge	1,044	1,177	1,407
Charge/(credit) in respect of prior periods	17	266	(420)
Current tax ation	1,193	1,473	1,136
Deferred tax ation	(1,023)	(893)	(183)
	170	580	953

In 2021, GSK made payments of £114 million in UK corporation tax to HMRC. These amounts are for UK corporation tax only, and do not include the various other business taxes borne in the UK by GSK each year.

The deferred tax credits in each period reflect the origination of current year expenses where offset against taxable profits in future periods is probable. This relates primarily to the unwind of deferred tax liabilities on intangible assets, the recognition of current year tax losses and the reversal of other temporary differences. The deferred tax credit in 2021 also reflected the 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%.# Significant prior year credits in 2019 reflected the impact of the settlement of a number of open issues with tax authorities. The following table reconciles the tax charge calculated at the UK statutory rate on the Group profit before tax with the actual tax charge for the year.

Reconciliation of taxation on Group profits

	2021 £m	2021 %	2020 £m	2020 %	2019 £m	2019 %
Profit before tax	5,442		6,968		6,221
UK statutory rate of taxation	1,034	19.0	1,324	19.0	1,182	19.0
Differences in overseas taxation rates	4	0.1	552	7.9	667	10.7
Benefit of intellectual property incentives	(400)	(7.3)	(586)	(8.4)	(691)	(11.1)
R&D credits	(102)	(1.9)	(105)	(1.5)	(119)	(1.9)
Fair value remeasurement of non-taxable put options	15	0.3	(3)	(0.0)	(45)	(0.7)
Tax losses where no benefit is recognised	5	0.1	18	0.3	15	0.2
Permanent differences on disposals, acquisitions and transfers	(163)	(3.0)	(338)	(4.9)	68	1.1
Other permanent differences	74	1.4	98	1.4	119	1.9
Reassessments of prior year estimates	(172)	(3.2)	(228)	(3.3)	(364)	(5.9)
Changes in tax rates	(364)	(6.7)	(152)	(2.2)	121	2.0
Tax charge/tax rate	346	6.4	580	8.3	953	15.3

As a global health care company, we have a substantial business and employment presence in many countries around the world. The impact of differences in overseas taxation rates arose from profits being earned in countries with tax rates higher than the UK statutory rate, the most significant of which in 2021 were the US, Belgium, Germany, Italy and Japan. The adverse impact was partly offset by the benefit of intellectual property incentives such as the UK Patent Box and Belgian Patent Income Deduction regimes, which provide a reduced rate of corporation tax on profits earned from qualifying patents. We claim these incentives in the manner intended by the relevant statutory or regulatory framework.

In 2021, ‘Changes in tax rates’ included credits in relation to the enactment of the increase in the headline rate of UK corporation tax from 19% to 25% (effective 2023). In 2020, ‘Changes in tax rates’ included credits in relation to the UK, where a previously proposed reduction in the corporation tax rate from 19% to 17% was cancelled, and India, where the tax treatment of dividends changed with effect from 1 April 2020. The UK credit in 2020 partly reversed the expense in 2019 where a future benefit was provided at the formerly enacted corporation tax rate of 17%.

Permanent differences on disposals, acquisitions and transfers in 2021 reflected tax credits arising on the transfer of intellectual property within the Group and in 2020 reflected the tax impact of the disposal of Horlicks and other Consumer Healthcare brands to, and subsequent disposal of shares received in, Hindustan Unilever. The Group’s 2021 tax rate has also been influenced by the closure of open issues with tax authorities in various jurisdictions.

The reassessment of prior year estimates includes both current and deferred tax. Future tax charges, and therefore our effective tax rate, may be affected by factors such as acquisitions, disposals, restructurings, the location of research and development activity, tax regime reforms and resolution of open matters as we continue to bring our tax affairs up to date around the world. Continued focus on tax reform is expected in 2022 and future years driven by the OECD’s project to address the tax challenges arising from the digitalisation of the economy. This may result in significant changes to established tax principles and an increase in tax authority disputes. In turn, this could adversely affect GSK’s effective tax rate or could result in higher cash tax liabilities.

190
GSK Annual Report 2021
Notes to the financial statements continued
14. Taxation continued

Tax on items charged to equity and statement of comprehensive income

	2021 £m	2020 £m	2019 £m
Current taxation
Share-based payments	–	(14)	1
Defined benefit plans	–	(18)	16
Fair value movements on cash flow hedges	5	12	–
Fair value movements on equity investments	36	89	41
	41	87	58
Deferred taxation
Share-based payments	(11)	18	18
Defined benefit plans	223	(51)	173
Fair value movements on cash flow hedges	3	6	16
Fair value movements on equity investments	(167)	131	(95)
	48	104	112
Total credit to equity and statement of comprehensive income	89	173	129

All of the above items have been charged to the statement of comprehensive income except for tax on share-based payments.

Issues relating to taxation

The integrated nature of the Group’s worldwide operations involves significant investment in research and strategic manufacture at a limited number of locations, with consequential cross-border supply routes into numerous end-markets. In line with current OECD guidelines, we base our transfer pricing policy on the arm’s length principle and support our transfer prices with economic analysis and reports. However, different tax authorities may seek to attribute further profit to activities being undertaken in their jurisdiction potentially resulting in double taxation.

The Group also has open items in several jurisdictions concerning such matters as the deductibility of particular expenses and the tax treatment of certain business transactions. GSK applies a risk-based approach to determine the transactions most likely to be subject to challenge and the probability that the Group would be able to obtain compensatory adjustments under international tax treaties.

The calculation of the Group’s total tax charge therefore necessarily involves a degree of estimation and judgment in respect of certain items whose tax treatment cannot be finally determined until resolution has been reached with the relevant tax authority or, as appropriate, through a formal legal process. At 31 December 2021 the Group had recognised provisions of £858 million in respect of such uncertain tax positions (2020 – £856 million) presented as current tax payables or as reductions in current tax recoverable assets. The net increase in recognised provisions during 2021 was driven by the reassessment of estimates and the utilisation of provisions for uncertain tax positions following the settlement of a number of open issues with tax authorities in various jurisdictions.

Whilst the ultimate liability for such matters may vary from the amounts provided and is dependent upon the outcome of agreements with the relevant tax authorities, or litigation where appropriate, the Group continues to consider that it has made appropriate provision for periods which are open and not yet agreed by the tax authorities.

A provision for deferred tax liabilities of £204 million as at 31 December 2021 (2020 – £150 million) has been made in respect of taxation that would be payable on the remittance of profits by certain overseas subsidiaries. Whilst the aggregate amount of unremitted profits at the balance sheet date was approximately £15 billion (2020 – £17 billion), the majority of these unremitted profits would not be subject to tax (including withholding tax) on repatriation, as UK legislation relating to company distributions provides for exemption from tax for most overseas profits, subject to certain exceptions.

Deferred tax is not provided on temporary differences of £831 million (2020 – £974 million) arising on unremitted profits as management has the ability to control any future reversal and does not consider such a reversal to be probable.

GSK Annual Report 2021 191
Notes to the financial statements continued
Strategic report
Governance and remuneration
Financial statements
Investor information
14. Taxation continued

Movement in deferred tax assets and liabilities

	Accelerated capital allowances £m	Intangible assets £m	Contingent consideration £m	Intra-Group profit £m	Pensions & other post employment benefits £m	Tax losses £m	Share option and award schemes £m	Other net temporary differences £m	Total £m
At 1 January 2020	(242)	(4,192)	7	57	1,120	864	9	42	956
Exchange adjustments	(9)	41	–	(29)	4	(2)	(3)	(57)	(55)
Credit/(charge) to income statement	(45)	194	86	(67)	(44)	120	(5)	45	693
Credit/(charge) to statement of comprehensive income	–	–	–	–	50	–	(13)	(141)	(104)
Acquisitions / Disposals	–	(25)	–	–	–	–	–	–	(25)
R&D credits utilisation	–	–	–	–	–	–	–	(108)	(108)
At 31 December 2020	(296)	(3,982)	8	43	1,024	874	60	60	1,104
Exchange adjustments	17	(41)	–	6	(17)	(1)	–	–	(36)
Credit/(charge) to income statement	65	312	7	(31)	6	3	91	20	1,002
Credit/(charge) to statement of comprehensive income	–	–	–	–	(223)	–	11	16	(48)
Acquisitions / Disposals	3	–	–	–	–	–	–	(4)	(1)
R&D credits utilisation	–	–	–	–	–	–	–	58	58
At 31 December 2021	(211)	(3,711)	850	9	640	1,450	91	1,554	1,662

Deferred tax liabilities provided in relation to intangible assets predominantly relate to temporary differences arising on assets and liabilities acquired as part of historic business combinations. The Group continues to recognise deferred tax assets on future obligations in respect of contingent consideration amounts payable to minority shareholders.The se payme nts are t a x deduc tible at t he point i n time at w hich pay ment is m ade. A defe rred t a x ass et is rec ognis ed on in tra- Group p roﬁt s aris ing on inte r -co mpany inve ntor y whic h are eli minated w ithin th e co nsolid ated acc ounts . As int ra- Group p roﬁt s are not e liminate d from th e indiv idual e ntiti es’ ta x retur ns a tempo rar y dif fer ence a rise s that w ill rever se at the p oint in ti me inventor y is s old ex tern ally. Th e defer red ta x as set re cogn ised o n ta x loss es of £1 ,450 mil lion (2020 – £ 1 ,060 m illion) rel ates to trad ing los ses . Such d eferr ed ta x assets are only recognised where it is probable t hat fut ure taxable proﬁt will be av ailable t o uti lise losses, as supported by product level fo rec asts . Oth er net tem pora ry di ffe renc es inc luded a ccru ed exp ense s for whic h a ta x dedu ction i s only avai lable o n a paid b asis . Def erre d ta x ass ets and l iabili ties a re rec ognis ed on th e balan ce she et as fo llows:

	2021 £m	2020 £m
Deferred tax assets	5,218	4,287
Deferred tax liabilities	(3,556)	(3,600)
	1,662	687

2021 2020
Unrecognised tax losses

Tax losses £m	Unrecognised deferred tax asset £m	Tax losses £m	Unrecognised deferred tax asset £m

Trading losses expiring:
Within 10 years	1,068	19	896
More than 10 years	390	62	414
Available indefinitely	200	43	265
At 31 December	1,658	303	1,641
Capital losses expiring:
Available indefinitely	2,356	557	2,287
At 31 December	2,356	557	2,287

Deferred tax ass e ts are o nly recognised where it is probable tha t future taxable proﬁt will be a vailable to utilise losses.

192 GS K Ann ual R epor t 2021 Notes to the ﬁnancial statements continued

15. Earnings per share

	2021 pence	2020 pence	2019 pence
Basic earnings per share	87.6	115.5	93.9
Diluted earnings per share	86.6	114.1	92.6

Ba sic ea rning s per sh are ha s been c alc ulated by di vidin g the pro ﬁt att ribut able to s hareh older s by the wei ghted aver age numb er of sha res in i ssue d uring t he peri od af ter dedu cting s hare s held by th e ESOP T rus ts and T rea sur y sha res . The tr ustee s have waived the ir right s to divid ends o n the sha res he ld by the ES OP T r usts . Dil uted ea rning s per sh are ha s been c alcu lated af ter adj usting t he weigh ted averag e number o f shar es use d in the ba sic c alcul ation to as sume th e conver sion o f all poten tiall y diluti ve shar es. A p otentia lly dilu tive sha re form s par t of the e mployee s hare s chem es where its e xercise price is below the a verage market price of GSK shares during t he period and any per f ormance conditions at tachi ng to the sch eme have be en met at th e bala nce sh eet date. Th e number s of sha res us ed in c alcul ating ba sic a nd dilute d earn ings pe r shar e are rec onci led be low .

	2021 millions	2020 millions	2019 millions
Weighted average number of shares in issue
Basic	5,003	4,976	4,947
Dilution for share options and awards	62	62	69
Diluted	5,065	5,038	5,016

193 GS K Ann ual R epor t 2021 Notes to the ﬁnancial statements continued

16. Dividends

	Paid/payable	Dividend per share (pence)	Total dividend £m	Paid	Dividend per share (pence)	Total dividend £m	Paid	Dividend per share (pence)	Total dividend £m

First interim	8 July 2021	19	951	9 July 2020	19	946	11 July 2019	19	940
Second interim	7 October 2021	19	951	8 October 2020	19	946	10 October 2019	19	941
Third interim	13 January 2022	19	952	14 January 2021	19	946	9 January 2020	19	941
Fourth interim	7 April 2022	23	1,152	8 April 2021	23	1,151*	9 April 2020	23	1,144
Total		80	4,006		80	3,989		80	3,966

The estimate for the fourth interim dividend for 2020 disclosed in the 2020 annual report and accounts was £1,146 million, £5 million less than the dividend that was ultimately paid.

Under IF RS, i nterim di vide nds are o nly re cogni sed in th e ﬁnan cial s tateme nts whe n paid an d not whe n decl ared . GSK no rmal ly pays a di vide nd two qu ar ters af ter the q uar ter to whi ch it re lates and o ne qua rter a fter i t is dec lared . The 2021 ﬁnan cial s tateme nts rec ogni se thos e divi dends p aid in 2021 , n amel y the thir d and four th in terim di vide nds for 2020, a nd the ﬁr st and s eco nd interi m div idend s for 202 1 . Th e amount s reco gnise d in eac h year wer e as foll ows:

	2021 £m	2020 £m	2019 £m
Dividends to shareholders	3,999	3,977	3,953

194 GS K Ann ual R epor t 2021 Notes to the ﬁnancial statements continued

17. Property, plant and equipment

	Land and buildings £m	Plant, equipment and vehicles £m	Assets in construction £m	Total £m
Cost at 1 January 2020	7,632	12,061	1,906	21,599
Exchange adjustments	10	6	121	237
Additions through business combinations	–	5	–	5
Other additions	29	147	1,052	1,228
Capitalised borrowing costs	–	–	15	15
Disposals and write-offs	(336)	(875)	(29)	(1,240)
Reclassiﬁcations	189	840	(1,058)	(29)
Transfer to assets held for sale	(132)	(194)	(6)	(332)
Cost at 31 December 2020	7,488	12,105	1,890	21,483
Exchange adjustments	(214)	(315)	(47)	(576)
Other additions	16	98	1,091	1,205
Capitalised borrowing costs	–	–	16	16
Disposals and write-offs	(217)	(940)	(17)	(1,174)
Reclassiﬁcations	202	906	(1,182)	(74)
Transfer to assets held for sale	(63)	(38)	(1)	(102)
Cost at 31 December 2021	7,212	11,816	1,750	20,778

Depreciation at 1 January 2020	(3,216)	(7,191)	–	(10,407)
Exchange adjustments	(49)	(77)	–	(126)
Charge for the year	(271)	(718)	–	(989)
Disposals and write-offs	154	716	–	870
Transfer to assets held for sale	72	130	–	202
Depreciation at 31 December 2020	(3,310)	(7,140)	–	(10,450)
Exchange adjustments	100	191	–	291
Charge for the year	(267)	(715)	–	(982)
Disposals and write-offs	169	893	–	1,062
Transfer to assets held for sale	27	27	–	54
Depreciation at 31 December 2021	(3,281)	(6,744)	–	(10,025)

Impairment at 1 January 2020	(379)	(445)	(20)	(844)
Exchange adjustments	(6)	–	1	(5)
Disposals and write-offs	190	124	16	330
Impairment losses	(147)	(303)	(27)	(477)
Reversal of impairments	13	18	3	34
Transfer to assets held for sale	49	55	1	105
Impairment at 31 December 2020	(280)	(551)	(26)	(857)
Exchange adjustments	7	10	3	20
Disposals and write-offs	30	76	13	119
Impairment losses	(21)	(54)	(37)	(112)
Reversal of impairments	–	5	4	9
Impairment at 31 December 2021	(264)	(514)	(43)	(821)

Total depreciation and impairment at 31 December 2020	(3,590)	(7,691)	(26)	(11,307)
Total depreciation and impairment at 31 December 2021	(3,545)	(7,258)	(43)	(10,846)

Net book value at 1 January 2020	4,037	4,425	1,886	10,348
Net book value at 31 December 2020	3,898	4,414	1,864	10,176
Net book value at 31 December 2021	3,667	4,558	1,707	9,932

195 GS K Ann ual R epor t 2021 Notes to the ﬁnancial statements continued

Strategic report Governance and remuneration Financial statements Investor information

The weighted ave rage in teres t rate for c apita lise d borr owing c osts in t he year wa s 3% (2020 – 3% ). Disp osa ls and wr ite- off s in th e ye ar incl uded a nu mber of a sse ts with n il net bo ok value th at are no l onger i n use in th e busin ess . Th e impai rment l oss es pri ncipa lly aro se fro m decis ions to r ationa lise fa ciliti es and we re ca lculate d base d on fai r value le ss co sts of dis pos al. Th e fair va lue les s cos ts of dis posa l valuat ion meth odol ogy use s sign iﬁc ant inp uts whi ch are n ot base d on obs er vable mar ket data , and t heref ore this va luati on techni que is c las siﬁe d as leve l 3 of the fai r value hi erar chy . Th e se ca lcula tions de termin e the ne t pres ent valu e of the pr ojecte d risk-adj usted, p ost-ta x ca sh ﬂows of t he relev ant as set or c ash ge nerat ing unit , appl ying a dis count r ate of the G roup po st- ta x weig hted aver age cos t of cap ital ( W ACC) of 6. 5%, ad justed w here a pprop riate for s peci ﬁc seg ment , countr y an d curr ency ri sk. As sets th at conti nue to be us ed by the G roup ar e gener ally a sse sse d as par t of th eir as soc iated ca sh gen erati ng unit on a va lue in us e bas is. Fo r value in u se ca lculat ions , the pos t -ta x ca sh ﬂows do n ot incl ude the im pact o f future u ncomm itte d rest ructu ring pla ns or imp roveme nts. W here an i mpai rment i s indic ated and a p re-ta x c ash ﬂow c alcu lation i s expe cted to give a m ateria lly dif fer ent re sult, t he test wou ld be rep er form ed usin g pre-ta x c ash ﬂ ows and a pr e-ta x dis count r ate. The G roup WACC is equ ivale nt to a pre-t ax di scou nt rate of ap proxim ately 8% . Th e net impa irme nt los ses have b een cha rged to c ost of s ales: £ 46 mil lion (2020 – £3 98 milli on ), R&D: £ 3 milli on (2020 – £3 mi llion) and SG &A : £54 m illion (2020 – £ 4 2 milli on ), and in clude d £20 milli on (2020 – £34 3 milli on ) ari sing fr om the Major restructuring programmes. Rever sal s of impa irme nt aros e from su bseq uent rev iews of the i mpai red as sets w here th e cond itions w hich g ave rise to the o rigi nal imp airm ents wer e deeme d no long er to appl y . All of t he rever sals h ave been c redite d to cost of s ale s. Dur ing 2021 , £7 4 m illion (2020 – £29 mi llion) of co mputer s oft ware wa s rec las siﬁe d from a sse ts in con struc tion to in tangi ble as sets o n beco ming re ady for u se. We have ass ess ed the qu alit ative and q uanti tative i mpact o f climate r elated r isks on a sse t recove rabl e amoun ts and co nclud ed that their impact does n ot cause mat erial impairments.

18.# Notes to the financial statements continued

Strategic report

Governance and remuneration

Financial statements

Investor information

Right of use assets

	Land and buildings £m	Plant and equipment £m	Vehicles £m	Total £m
Net book value at 1 January 2020	821	22	123	966
Exchange adjustments	(11)	1	1	(9)
Additions	119	2	66	187
Depreciation	(152)	(5)	(68)	(225)
Disposals	(73)	(2)	(9)	(84)
Impairments	(3)	–	–	(3)
Reclassiﬁcations	(2)	–	–	(2)
Net book value at 31 December 2020	699	18	113	830
Exchange adjustments	(9)	(1)	(5)	(15)
Additions	152	1	62	215
Depreciation	(149)	(5)	(59)	(213)
Disposals	(53)	(4)	(13)	(70)
Impairments	(7)	–	–	(7)
Net book value at 31 December 2021	633	9	98	740

The total cash outflow for leases amounted to £215 million. The Group has entered into lease contracts that have not yet commenced. The nominal value of estimated future lease payments under these lease contracts approximates £60 million as of 31 December 2021. These contracts mainly concern the relocation of the US Corporate headquarters, with a lease period between 2022 and 2029. An analysis of lease liabilities is set out in Note 29, ‘Net debt’.

GSK Annual Report 2021 | 195
Notes to the financial statements continued

	2021 £m	2020 £m
Cost at 1 January	10,597	10,562
Exchange adjustments	(55)	(54)
Additions through business combinations (Note 40)	–	124
Other movements	10	–
Transfer to assets held for sale	–	(35)
Cost at 31 December	10,552	10,597
Net book value at 1 January	10,597	10,562
Net book value at 31 December	10,552	10,597

The £10 million increase in goodwill corresponds to an immaterial payment of pension liabilities to the Consumer Healthcare sub-group as required in the sale and purchase agreement and the increase in the non-controlling interest in the sub-group as a result of the transaction. Goodwill is allocated to the Group’s segments as follows:

	2021 £m	2020 £m
Pharmaceuticals	4,228	4,245
Vaccines	1,264	1,295
Consumer Healthcare	5,060	5,057
Net book value at 31 December	10,552	10,597

The recoverable amounts of the cash generating units are assessed using a fair value less costs of disposal model. Fair value less costs of disposal is calculated using a discounted cash flow approach, with a post-tax discount rate applied to the projected risk-adjusted post-tax cash flows and terminal value. The discount rate used is based on the Group WACC of 6.5% (2020 – 7%), as most cash generating units have integrated operations across large parts of the Group. The discount rate is adjusted where appropriate for specific segment, country and currency risks. The valuation methodology uses significant inputs which are not based on observable market data, therefore this valuation technique is classified as level 3 in the fair value hierarchy.

Details relating to the discounted cash flow models used in the impairment tests of the Pharmaceuticals, Vaccines and Consumer Healthcare cash generating units are as follows:

Valuation basis
Fair value less costs of disposal

Key assumptions
* Sales growth rates
* Profit margins
* Terminal growth rate
* Discount rate
* Taxation rate

Determination of assumptions
* Growth rates are internal forecasts based on both internal and external market information.
* Margins reflect past experience, adjusted for expected changes.
* Terminal growth rates based on management’s estimate of future long-term average growth rates.
* Discount rates based on Group WACC, adjusted where appropriate.
* Taxation rates based on appropriate rates for each jurisdiction.

	Period of specific projected cash flows	Terminal growth rate and discount rate
	Five years	Terminal growth rate
Pharmaceuticals		0% p.a. (2020 – 1% p.a)
Vaccines		0% p.a. (2020 – 1% p.a)
Consumer Healthcare		2.5% p.a. (2020 – 2% p.a)

The terminal growth rates do not exceed the long-term projected growth rates for the relevant markets, reflect the impact of future generic competition and take account of new product launches. Goodwill is monitored for impairment at segmental level. In each case the valuations indicated sufficient headroom such that a reasonably possible change to key assumptions is unlikely to result in an impairment of the related goodwill. The Consumer Healthcare cash generating unit also comprises a collection of smaller cash generating units including brands with indefinite lives with a carrying value of £18.4 billion (2020 – £18.4 billion). Details of indefinite life brands are given in Note 20, ‘Other intangible assets’. We have assessed the qualitative and quantitative impact of climate related risks on asset recoverable amounts and concluded that their impact does not cause material impairments.

Goodwill
GSK Annual Report 2021 | 196
Notes to the financial statements continued
Other intangible assets

	Computer software £m	Licences, patents, amortised brands etc. £m	Indeﬁnite life brands £m	Total £m
Cost at 1 January 2020	2,397	19,716	19,894	42,007
Exchange adjustments	(1)	(7)	(74)	(82)
Capitalised development costs	–	313	–	313
Additions through business combinations	2	–	–	2
Other additions	240	494	–	734
Disposals and asset write-offs	(260)	(20)	–	(280)
Transfer to assets held for sale	(4)	(246)	(635)	(885)
Reclassiﬁcations	29	572	(572)	29
Cost at 31 December 2020	2,403	20,822	18,613	41,838
Exchange adjustments	(15)	(207)	65	(157)
Capitalised development costs	–	346	–	346
Other additions	184	1,410	–	1,594
Disposals and asset write-offs	(221)	(935)	–	(1,156)
Transfer to assets held for sale	(1)	(6)	(43)	(50)
Reclassiﬁcations	74	9	(9)	74
Cost at 31 December 2021	2,424	21,439	18,626	42,489

Amortisation at 1 January 2020	(1,302)	(7,114)	–	(8,416)
Exchange adjustments	(3)	28	–	25
Charge for the year	(241)	(896)	–	(1,137)
Disposals and asset write-offs	221	8	–	229
Transfer to assets held for sale	3	42	–	45
Amortisation at 31 December 2020	(1,322)	(7,932)	–	(9,254)
Exchange adjustments	13	52	–	65
Charge for the year	(225)	(956)	–	(1,181)
Disposals and asset write-offs	165	572	–	737
Transfer to assets held for sale	–	2	–	2
Amortisation at 31 December 2021	(1,369)	(8,262)	–	(9,631)

Impairment at 1 January 2020	(37)	(2,325)	(274)	(2,636)
Exchange adjustments	–	39	1	40
Impairment losses	(29)	(255)	(11)	(295)
Reversal of impairments	–	38	–	38
Disposals and asset write-offs	38	–	–	38
Transfer to assets held for sale	–	55	–	55
Reclassiﬁcation	–	(39)	39	–
Impairment at 31 December 2020	(28)	(2,487)	(245)	(2,760)
Exchange adjustments	–	5	–	5
Impairment losses	(93)	(362)	–	(455)
Reversal of impairments	–	2	37	39
Disposals and asset write-offs	30	362	–	392
Impairment at 31 December 2021	(91)	(2,480)	(208)	(2,779)

Total amortisation and impairment at 31 December 2020	(1,350)	(10,419)	(245)	(12,014)
Total amortisation and impairment at 31 December 2021	(1,460)	(10,742)	(208)	(12,410)

Net book value at 1 January 2020	1,058	10,277	19,620	30,955
Net book value at 31 December 2020	1,053	10,403	18,368	29,824
Net book value at 31 December 2021	964	10,697	18,418	30,079

The weighted average interest rate for capitalised borrowing costs in the year was 3% (2020 – 3%). The net book value of computer software included £526 million (2020 – £612 million) of internally generated costs. The carrying value at 31 December 2021 of intangible assets, for which impairments have been charged in the year following those impairments, was £694 million (2020 – £67 million). The carrying value at 31 December 2021 of intangible assets, for which impairment reversals have been charged in the year following those impairment reversals, was £104 million (2020 – £205 million). The patent expiry dates of the Group’s most significant assets, where relevant, are set out on pages 272 and 273. Please refer to Note 2 to the Group’s accounting policy and estimate of the useful life for intangible assets over the exclusivity and non-exclusivity periods.

GSK Annual Report 2021 | 197
Notes to the financial statements continued

Amortisation and impairment losses, net of reversals, have been charged in the income statement as follows:

	Amortisation		Net impairment losses
	2021 £m	2020 £m	2021 £m	2020 £m
Cost of sales	807	779	(32)	21
Selling, general and administration	163	167	65	17
Research and development	212	191	382	219
	1,182	1,137	415	257

Licences, patents, amortised brands etc. includes a large number of acquired licences, patents, know-how agreements and marketing rights, which are either marketed or in use, or still in development. Note 40, ‘Acquisitions and disposals’ gives details of additions through business combinations in the year. The book values of the largest individual items are as follows:

	2021 £m	2020 £m
Tesaro Assets	2,677	2,669
Meningitis portfolio	1,889	2,114
Dolutegravir	1,093	1,177
Benlysta	644	745
Alector Assets	509	–
iTeos Assets	444	–
Lamisil	259	275
Merck Assets	–	264
Vir Assets	212	49
BMS Assets	219	239
Fluarix/FluLaval	180	219
Okairos	191	205
CureV ac Assets	164	108
Stiefel trade name	15	180
Others	2,065	2,159
	10,697	10,403

On 2 July 2021 GSK signed an agreement for a global co-development and co-commercialisation collaboration in immuno-neurology with Alector for two clinical stage first-in-class monoclonal antibodies for neurodegenerative diseases.# 20. Other intangible assets continued

From the total upfront payment recognised as an intangible asset of £509 million, a total of £363 million was paid in 2021 and a total of £146 million will be paid in 2022. On 14 June 2021 GSK signed a co-development and co-commercialisation collaboration with iTeos Therapeutics for EOS-448, an anti-TIGIT monoclonal antibody, recognising an intangible asset of £444 million. Tesaro assets comprise Zejula and Jemperli, as well as combination therapies. The meningitis portfolio includes Menveo, Bexsero, Men ABCWY and Menjugate. Lamisil has been moved into licenses, patents, amortised brands etc. following the decision to start amortisation during 2020. GSK divested the Breathe Right brand in 2020. Indefinite life brands comprise a portfolio of Consumer Healthcare products primarily acquired with the acquisitions of Sterling Winthrop, Inc. in 1994, Block Drug Company, Inc. in 2001, the Novartis consumer healthcare business in 2015 and the Pfizer consumer healthcare business in 2019. The book values of the major brands are as follows:

	2021 £m	2020 £m
Advil	3,362	3,349
Voltaren	2,725	2,725
Centrum	1,828	1,824
Caltrate	1,731	1,678
Otrivin	1,385	1,385
Preparation H	1,152	1,139
Robitussin	1,126	1,111
Nexium	670	668
Fenistil	598	598
Chapstick	521	512
Emergen-C	439	433
Theraflu	436	433
Panadol	395	396
Sensodyne	270	270
Others	1,780	1,847
	18,418	18,368

Each of these brands is considered to have an indefinite life, given the strength and durability of the brand and the level of marketing support. The brands are in relatively similar stable and profitable market sectors, with similar risk profiles, and their size, diversification and market shares mean that the risk of market-related factors causing a reduction in the lives of the brands is considered to be relatively low. The Group is not aware of any material legal, regulatory, contractual, competitive, economic or other factors which could limit their useful lives. Accordingly, they are not amortised.

Each brand is tested annually for impairment and other amortised intangible assets are tested when indicators of impairment arise. This testing applies a fair value less costs of disposal methodology, generally using 10-year post-tax cash flow forecasts with a terminal value calculation and a discount rate equal to the Group post-tax WACC of 6.5% (2020 – 7%), adjusted where appropriate for specific segment, country and currency risks. This valuation methodology uses significant inputs which are not based on observable market data, and therefore this valuation technique is classified as level 3 of the fair value hierarchy. The main assumptions include future sales price and volume growth, product contribution, the future expenditure required to maintain the product’s marketability and registration in the relevant jurisdictions and exchange rates. These assumptions are based on past experience and are reviewed as part of management’s budgeting and strategic planning cycle for changes in market conditions and sales erosion through competition. The terminal growth rates applied of between -3% and 3% are management’s estimates of future long-term average growth rates of the relevant markets.

During the year ended 31 December 2021, Robitussin and Preparation H were affected by lower cold and flu incidence resulting from the COVID-19 social distancing measures and by supply chain issues respectively which has resulted in a reduced level of headroom. The Group has performed a sensitivity analysis based on changes in key assumptions considered to be reasonably possible by management leaving all other assumptions unchanged. Sensitivity analysis for the year ended 31 December 2021 has identified these two brands as being sensitive to reasonably possible changes in key assumptions. In order for the recoverable amount to be equal to the carrying values of Robitussin and Preparation H, either the discount rate would have to be increased by 0.5% and 0.1%, or the operating margin decreased by 4.1% and 1.5%, or the long term growth rate decreased by 0.7% and 0.2% respectively. The group consider that changes in key assumptions of this magnitude are reasonably possible in the current environment. Other than as described above, the group do not consider that any reasonably possible changes in the key assumptions would cause the fair value less cost of sale of the brands disclosed in page 197 above to fall below their carrying values.

We have assessed the qualitative and quantitative impact of climate related risks on asset recoverable amounts and concluded that their impact does not cause material impairments.

21. Investment in associates and joint ventures

	Joint ventures £m	Associates £m	2021 Total £m	Joint ventures £m	Associates £m	2020 Total £m
At 1 January	15	349	364	15	299	314
Exchange adjustments	–	(15)	(15)	–	(9)	(9)
Additions	–	1	1	–	4	4
Disposals	–	(278)	(278)	–	–	–
Distributions received	–	(9)	(9)	–	(31)	(31)
Net fair value movements through Other comprehensive income	–	28	28	–	53	53
Impairment of interest in associates	–	(36)	(36)	–	–	–
Profit/(loss) after tax recognised in the consolidated income statement	(3)	36	33	–	33	33
At 31 December	12	76	88	15	349	364

The Group held one significant associate at 31 December 2020, Innoviva, Inc. At 31 December 2020, the Group owned 32 million shares or 31.6% of Innoviva, which is a biopharmaceutical company listed on NASDAQ. Innoviva partnered with GSK in the development of the long-acting beta agonist, vilanterol, and currently receives royalty income from sales of products that contain this component, namely Relvar/Breo Ellipta and Anoro Ellipta. It also has a 15% economic interest in royalties paid by GSK on sales of Trelegy Ellipta. The remaining 85% of the economic interest in these royalties is held by Theravance Biopharma Inc., in which the Group holds an investment (see Note 22).

On 20 May 2021, the Group agreed with Innoviva Inc to sell all of its shares in Innoviva back to Innoviva for £277 million. Following settlement of the transaction, GSK no longer held any Innoviva stock. A loss of £46 million (including £10 million of recycling of exchange differences in Innoviva) is presented in “Loss on disposal of interest in associates” in the Consolidated income statement. The transaction did not include any changes in Innoviva’s commercial interest in royalties paid by GSK. “Loss on disposal of interest in associates” also includes a £10 million gain from a disposal of another immaterial associate. Please refer to the Income statement information on associates and joint ventures in Note 13.

Disposals include the book values of Innoviva at £277 million, and £1 million of another investment for which GSK received non-cash consideration.

Summarised balance sheet information at 31 December 2020, in respect of Innoviva is set out below:

	At 31 December 2020 £m
Non-current assets	482
Current assets	251
Current liabilities	(4)
Non-current liabilities	(283)
Net assets	446

The carrying value of the Group’s investment in Innoviva in 2020 is analysed as follows:

	2020 £m
Interest in net assets of associate	141
Goodwill	85
Fair value and other adjustments	65
Carrying value at 31 December	291

The investment in Innoviva had a market value of £291 million at 31 December 2020.

22. Other investments

	Investments designated as measured at FVTOCI £m	Investments measured at FVTP L £m	2021 £m	Investments designated as measured at FVTOCI £m	Investments measured at FVTP L £m	2020 £m
At 1 January	2,939	121	3,060	1,781	56	1,837
Additions	125	52	177	7	409	3,205
Net fair value movements through Other comprehensive income	(897)	–	(897)	1,318	–	1,318
Net fair value movements through profit or loss	–	37	37	–	(438)	(438)
Disposals and settlements	(240)	(11)	(251)	(569)	(2,702)	(3,271)
At 31 December	1,927	199	2,126	2,939	121	3,060

Other investments comprise non-current equity investments which are recorded at fair value at each balance sheet date. For investments traded in an active market, the fair value is determined by reference to the relevant stock exchange quoted bid price. For other investments, the fair value is estimated by management with reference to relevant available information, including the current market value of similar instruments, recent financing rounds and discounted cash flows of the underlying net assets.

Net fair value movements include the impact of exchange (gains of £20 million through Other comprehensive income and £2 million through profit or loss) (2020 – losses of £91 million and £nil respectively).

Other investments include listed investments of £1,736 million (2020 – £2,281 million).# GS K Ann ual R epor t 2021

Notes to the ﬁnancial statements continued

23. Other non-current assets

	2021 £m	2020 £m
Amounts receivable under insurance contracts	849	756
Pension schemes in surplus	74	183
Other receivables	86	102
Total	1,009	1,041

Amounts receivable under insurance contracts are held at cash surrender value with movements through profit or loss. Within the other receivables of £86 million (2020 – £102 million), £44 million (2020 – £67 million) is classified as financial assets of which £23 million (2020 – £30 million) is classified as fair value through profit or loss. On the remaining balance of £21 million (2020 – £37 million), the expected credit loss allowance was immaterial at 31 December 2021 and 2020.

24. Inventories

	2021 £m	2020 £m
Raw materials and consumables	1,772	1,170
Work in progress	1,889	2,395
Finished goods	2,122	2,431
Total	5,783	5,996

25. Trade and other receivables

	2021 £m	2020 £m
Trade receivables, net of loss allowance	6,246	5,549
Accrued income	12	13
Prepayments	315	359
Interest receivable	3	3
Employee loans and advances	18	11
Other receivables	1,266	1,017
Total	7,860	6,952

Trade receivables included £nil (2020 – £nil) due from associates and joint ventures. Other receivables included £nil (2020 – £nil) due from associates and joint ventures.

Loss allowance - trade receivables

	2021 £m	2020 £m
At 1 January	151	130
Exchange adjustments	(3)	(4)
Charge for the year	52	41
Subsequent recoveries of amounts provided for	(39)	(8)
Utilised	(11)	(8)
At 31 December	150	151

Of the total trade receivables balance, £86 million (2020 – £50 million) was considered credit impaired, against which a £4 million (2020 – £20 million) expected credit loss allowance has been applied. No amount was purchased or originated credit impaired. Within the other receivables of £1,266 million (2020 – £1,017 million), £553 million (2020 – £402 million) was classified as financial assets of which £nil (2020 – £nil) was classified as fair value through profit and loss. On the remaining balance of £553 million (2020 – £402 million), an expected credit loss allowance of £5 million (2020 – £6 million) was recognised at 31 December 2021 with no charge reported in profit or loss during the year. For more discussion on credit risk practices, please refer to Note 43.

26. Cash and cash equivalents

	2021 £m	2020 £m
Cash at bank and in hand	1,427	1,762
Short-term deposits	2,847	4,530
Total	4,274	6,292

Cash and cash equivalents included £0.2 billion (2020 – £0.2 billion) not available for general use due to restrictions applying in the subsidiaries where it is held. Restrictions include exchange controls and taxes on repatriation.

27. Assets held for sale

	2021 £m	2020 £m
Property, plant and equipment	22	25
Other intangibles	–	62
Inventory	–	19
Total	22	106

Non-current assets and disposal groups are transferred to Assets held for sale when it is expected that their carrying amounts will be recovered principally through disposal and a sale is considered highly probable. They are held at the lower of carrying amount and fair value less costs to sell. There is no inventory written down to fair value less costs to sell included in Assets held for sale (2020 - £19 million). The valuation methodology used significant inputs which were not based on observable market data and therefore this valuation is classified as level 3 in the fair value hierarchy. Intangible assets of £48 million were transferred from Other intangibles during the year (2020 - £785 million). There were no intangible assets held for sale after impairments, exchange movements and assets divested during the year remaining at 31 December 2021 (2020 - £62 million).

28. Trade and other payables

	2021 £m	2020 £m
Trade payables	4,535	4,357
Wages and salaries	1,470	1,367
Social security	152	159
ViiV Healthcare put option	1,008	960
Other payables	518	409
Deferred income	307	361
Customer return and rebate accruals	6,322	5,775
Other accruals	3,242	2,452
Total	17,554	15,840

Trade and other payables included £nil (2020 – £65 million) due to associates and joint ventures. The Group provides limited supplier financing arrangements to certain customers. The amounts involved at 31 December 2021 were not material. Revenue recognised in the year that was included in deferred income at 1 January 2021 was £29 million (2020 – £33 million). Customer return and rebate accruals are provided for by the Group at the point of sale in respect of the estimated rebates, discounts or allowances payable to customers, and included £5,044 million (2020 – £4,686 million) in respect of US Pharmaceuticals and Vaccines, as more fully described in the Group financial review on page 80. Accruals are made at the time of sale but the actual amounts paid are based on claims made some time after the initial recognition of the sale. As the amounts are estimated, they may not fully reflect the final outcome and are subject to change dependent upon, amongst other things, the types of buying group and product sales mix. The level of accrual is reviewed and adjusted quarterly in light of historical experience of actual amounts paid and any changes in arrangements. Future events could cause the assumptions on which the accruals are based to change, which could affect the future results of the Group. Pfizer’s put option over its shareholding in ViiV Healthcare is currently exercisable. Pfizer may request an IPO of ViiV Healthcare at any time and if either GSK does not consent to such IPO or an offering is not completed within nine months, Pfizer could require GSK to acquire its shareholding. The amount of the liability for this put option, which is held on the gross redemption basis, is derived from an internal valuation of the ViiV Healthcare business, utilising both discounted forecast future cash flow and multiples-based methodologies. The table below shows on an indicative basis the income statement and balance sheet sensitivity of the Pfizer put option to reasonably possible changes in key assumptions.

	2021 £m	2020 £m
10% increase in sales forecasts*	89	117
10% decrease in sales forecasts*	(89)	(116)
1% (100 basis points) increase in discount rate	(30)	(41)
1% (100 basis points) decrease in discount rate	34	45
10 cent appreciation of US Dollar	55	52
10 cent depreciation of US Dollar	(47)	(45)
10 cent appreciation of Euro	26	42
10 cent depreciation of Euro	(22)	(34)

The sales forecast is for ViiV Healthcare sales only in respect of the ViiV Healthcare put option. An explanation of the accounting for ViiV Healthcare is set out on page 57.# GS K Annual Report 2021

Notes to the financial statements continued

Strategic report

Governance and remuneration

Financial statements

Investor information

29. Net debt

	2021 £m	2020 £m
Current assets:
Liquid investments	61	78
Cash and cash equivalents	4,274	6,370
	4,335	6,448
Short-term borrowings:
Commercial paper	(252)	(17)
Bank loans, overdrafts and other	(550)	(1,128)
LI BOR +0.35% US$ US Medium Term Note 2021 New York Stock Exchange	–	(549)
EUR I BOR +60% € Euro Medium Term Note 2021 London Stock Exchange	–	(1,351)
0.000% € Euro Medium Term Note 2021 London Stock Exchange	–	(450)
2.850% US$ US Medium Term Note 2022 New York Stock Exchange	(1,483)	–
2.875% US$ US Medium Term Note 2022 New York Stock Exchange	(1,113)	–
Lease liabilities	(203)	(230)
	(3,601)	(3,725)
Long-term borrowings:
2.850% US$ US Medium Term Note 2022 New York Stock Exchange	–	(1,463)
2.875% US$ US Medium Term Note 2022 New York Stock Exchange	–	(1,097)
2.800% US$ US Medium Term Note 2023 New York Stock Exchange	(926)	(913)
0.125% € Euro Medium Term Note 2023 London Stock Exchange	(629)	(673)
Exchangeable US$ US Medium Term Note 2023 New York Stock Exchange	(204)	(199)
3.375% US$ US Medium Term Note 2023 New York Stock Exchange	(925)	(912)
0.000% € Euro Medium Term Note 2023 London Stock Exchange	(420)	(450)
0.534% US$ US Medium Term Note 2023 New York Stock Exchange	(926)	(913)
3.000% US$ US Medium Term Note 2024 New York Stock Exchange	(739)	(728)
1.375% € Euro Medium Term Note 2024 London Stock Exchange	(836)	(894)
4.000% € Euro Medium Term Note 2025 London Stock Exchange	(627)	(670)
3.625% US$ US Medium Term Note 2025 New York Stock Exchange	(738)	(728)
1.000% € Euro Medium Term Note 2026 London Stock Exchange	(587)	(628)
1.250% € Euro Medium Term Note 2026 London Stock Exchange	(838)	(896)
3.375% £ Euro Medium Term Note 2027 London Stock Exchange	(595)	(595)
3.875% US$ US Medium Term Note 2028 New York Stock Exchange	(1,294)	(1,278)
1.250% £ Euro Medium Term Note 2028 London Stock Exchange	(743)	(742)
3.375% US$ US Medium Term Note 2029 New York Stock Exchange	(733)	(723)
1.375% € Euro Medium Term Note 2029 London Stock Exchange	(418)	(447)
1.750% € Euro Medium Term Note 2030 London Stock Exchange	(628)	(672)
5.250% £ Euro Medium Term Note 2033 London Stock Exchange	(984)	(983)
5.375% US$ US Medium Term Note 2034 London Stock Exchange	(368)	(363)
1.625% £ Euro Medium Term Note 2035 London Stock Exchange	(744)	(743)
6.375% US$ US Medium Term Note 2038 New York Stock Exchange	(2,022)	(1,996)
6.375% £ Euro Medium Term Note 2039 London Stock Exchange	(695)	(695)
5.250% £ Euro Medium Term Note 2042 London Stock Exchange	(987)	(987)
4.200% US$ US Medium Term Note 2043 New York Stock Exchange	(364)	(359)
4.250% £ Euro Medium Term Note 2045 London Stock Exchange	(789)	(789)
Other long-term borrowings	(1)	(2)
Lease liabilities	(812)	(887)
	(20,572)	(23,425)
Net debt	(19,838)	(20,780)

204 GS K Annual Report 2021

Notes to the financial statements continued

Current assets

Liquid investments are classified as financial assets at amortised cost. At 31 December 2021, they included US Treasury Notes and other government bonds. The effective interest rate on liquid investments at 31 December 2021 was approximately 0.1% (2020 – approximately 1.1%).

Liquid investment balances at 31 December 2021 earning interest at floating rates amount to £2 million (2020 – £78 million).

Liquid investment balances at 31 December 2021 earning interest at fixed rates amount to £59 million (2020 – £nil).

Balances reported within cash and cash equivalents have an original maturity of three months or less. The effective interest rate on cash and cash equivalents at 31 December 2021 was approximately 0.6% (2020 – approximately 0.3%).

Cash and cash equivalents at 31 December 2021 earning interest at floating and fixed rates amounted to £3,906 million and £39 million respectively (2020 – £6,100 million and £9 million) and non-interest bearing holdings amounted to £329 million (2020 – £183 million).

GSK’s policy regarding the credit quality of cash and cash equivalents is set out in Note 43, ‘Financial instruments and related disclosures’.

Short-term borrowings

GSK has a $10 billion (£7.4 billion) US commercial paper programme, of which $nil was in issue at 31 December 2021 (2020 – $25 million (£17 million)).

GSK has a £5 billion Euro commercial paper programme, of which €300 million (£252 million) was in issue at 31 December 2021 (2020 – £nil).

GSK has a £1.9 billion three-year committed facility and $2.5 billion (£1.9 billion) under a 364 day committed facility. The three-year committed facility was agreed in September 2019, extended by one year in September 2020 and was extended again by one year to 2024 in August 2021. The 364-day committed facility was agreed in August 2021. These facilities were undrawn at 31 December 2021.

In preparation for the separation of the Consumer Healthcare business, in February 2022 GSK cancelled and replaced the three-year and 364-day facilities. New revolving credit facilities of equivalent size were agreed with maturities in September 2025 and September 2023.

The weighted average interest rate on commercial paper borrowings at 31 December 2021 was -0.5% (2020 – 2.4%).

The weighted average interest rate on current bank loans and overdrafts at 31 December 2021 was 7.9% (2020 – 5.8%).

The average effective pre-swap interest rate of notes classified as short-term at 31 December 2021 was 3.0% (2020 – 0.0%). The 0.0% rate in 2020 reflected the maturities of a LIBOR +0.35% coupon note in May 2021, and both a zero coupon and a EURIBOR +0.60% note in September 2021.

Long-term borrowings

At the year-end, GSK had long-term borrowings of £20.6 billion (2020 – £23.4 billion), of which £11.7 billion (2020 – £13.3 billion) fell due in more than five years.

The average effective pre-swap interest rate of all notes in issue at 31 December 2021 was approximately 3.3% (2020 – approximately 3.6%).

Long-term borrowings repayable after five years carry interest at effective rates between 1.4% and 6.4%, with repayment dates ranging from 2027 to 2045.

Pledged assets

The Group held pledged investments in US Treasury Notes with a par value of $56 million (£42 million), (2020 – $50 million (£37 million)) as security against irrevocable letters of credit issued on the Group’s behalf in respect of the Group’s self-insurance activity. Provisions in respect of self-insurance are included within the provisions for legal and other disputes discussed in Note 31, ‘Other provisions’.

Lease liabilities

The maturity analysis of discounted lease liabilities recognised on the Group balance sheet is as follows:

	2021 £m	2020 £m
Rental payments due within one year	203	230
Rental payments due between one and two years	18	5
Rental payments due between two and three years	120	126
Rental payments due between three and four years	93	96
Rental payments due between four and five years	73	86
Rental payments due after five years	341	372
Total lease liabilities	1,015	1,117

29. Net debt continued

205 GS K Annual Report 2021

Notes to the financial statements continued

Strategic report

Governance and remuneration

Financial statements

Investor information

30. Pensions and other post-employment benefits

Pension and other post-employment costs

	2021 £m	2020 £m	2019 £m
UK pension schemes	198	255	181
US pension schemes	42	62	120
Other overseas pension schemes	16	4	18
Unfunded post-retirement healthcare schemes	67	13	74
	471	334	393

Analysed as:	2021 £m	2020 £m	2019 £m
Funded defined benefit/hybrid pension schemes	245	341	300
Unfunded defined benefit pension schemes	21	32	41
Unfunded post-retirement healthcare schemes	67	13	74
	333	386	415
Defined contribution pension schemes	138	133	145
	471	519	560

The costs of the defined benefit pension and post-retirement healthcare schemes are charged in the income statement as follows:

	2021 £m	2020 £m	2019 £m
Cost of sales	129	143	149
Selling, general and administration	153	185	195
Research and development	51	59	71
	333	387	415

GSK entities operate pension arrangements which cover the Group’s material obligations to provide pensions to retired employees. These arrangements have been developed in accordance with local practices in the countries concerned. Pension benefits can be provided by state schemes; by defined contribution schemes, whereby retirement benefits are determined by the value of funds arising from contributions paid in respect of each employee; or by defined benefit schemes, whereby retirement benefits are based on employee pensionable remuneration and length of service.

Pension costs of defined benefit schemes for accounting purposes have been calculated using the projected unit credit method. In certain countries pension benefits are provided on an unfunded basis, some administered by trustee companies. Formal, independent, actuarial valuations of the Group’s main plans are undertaken regularly, normally at least every three years. Remeasurement movements in the year are recognised through the statement of comprehensive income.# 30. Pensions and other post-employment benefits

Discount rates are derived from AA rated corporate bond yields except in countries where there is no deep market in corporate bonds where government bond yields are used. Discount rates are selected to reflect the term of the expected benefit payments. Projected inflation rates and pension increases are long-term predictions based on the yield gap between long-term index-linked and fixed interest Gilts.

In the UK, mortality rates are determined by adjusting the SAPSS3 standard mortality tables to reflect recent scheme experience. These rates are then projected to reflect improvements in life expectancy in line with the CMI 2020 projections with a long-term rate of improvement of 1.25% per year for both males and females.

In the US, mortality rates are calculated using the PRI-2012 white collar table adjusted to reflect recent experience. These rates are projected using MP-2020 to allow for future improvements in life expectancy.

The average life expectancy assumed now for an individual at the age of 60 and projected to apply in 2041 for an individual then at the age of 60 is as follows:

	UK Male Years	UK Female Years	US Male Years	US Female Years
Current	27.7	28.7	27.2	28.5
Projected for 2041	29.2	30.2	28.7	30.0

The assets of funded schemes are generally held in separately administered trusts, either as specific assets or as a proportion of a general fund, or are insurance contracts. Assets are invested in different classes in order to maintain a balance between risk and return. Investments are diversified to limit the financial effect of the failure of any individual investment.

The physical asset allocation strategy for three of the four UK plans is 42.5% in return-seeking assets and 57.5% in liability-matching assets. During 2019, a buy-in insurance contract was purchased to cover substantially all of the obligations of the other UK plan. At 31 December 2021, the value of the insurance contract was £570 million (2020 – £620 million).

The asset allocation of the US plans is currently set at 25% return-seeking assets and 75% liability-matching assets.

The pension plans are exposed to risk that arises because the estimated market value of the plans’ assets might decline, the investment returns might reduce, or the estimated value of the plans’ liabilities might increase. In line with the agreed mix of return-seeking assets to generate future returns and liability-matching assets to better match future pension obligations, the Group has defined an overall long-term investment strategy for the plans, with investments across a broad range of assets.

The main market risks within the asset and hedging portfolio are against credit risk, interest rates, long-term inflation, equities, property, currency and bank counterparty risk. The plan liabilities are a series of future cash flows with relatively long duration. On an IAS 19 basis, these cash flows are sensitive to changes in the expected long-term inflation rate and the discount rate (AA corporate bond yield curve) where an increase in long-term inflation corresponds with an increase in the liabilities, and an increase in the discount rate corresponds with a decrease in the liabilities.

The interest rate risk and credit rate risk in the US are partially hedged. The targets are based on an accounting measure of the plan liabilities. For the UK plans, there is an interest rate and inflation hedging strategy in place. The targets are based on an economic measure of the plan liabilities. Furthermore, the plans also currently hedge a portion of their equity exposure with a staggered maturity profile.

In the UK, the defined benefit pension schemes operated for the benefit of former Glaxo Wellcome employees and former SmithKline Beecham employees remain separate. These schemes were closed to new entrants in 2001 and subsequent UK employees are entitled to join a defined contribution scheme. In addition, the Group operates a number of post-retirement healthcare schemes, the principal one of which is in the US.

Following a period of consultation with impacted employees, it was announced on 17 December 2020 that the UK defined benefit plans would be closed to future accrual effective from 31 March 2022. As a result, post closure the accrued benefits of active participants will be revalued in line with inflation (RPI for the legacy Glaxo Wellcome plans and CPI for the legacy SmithKline Beecham plans subject to the relevant caps for each arrangement) rather than capped pay increases. In addition, all defined benefit plan participants who are still active at 1 April 2022 will receive a defined pension contribution of £10,000 each. The effect of closure and the defined contribution enhancement together resulted in a one-off cost of £74 million in 2020.

It was announced on 9 September 2020 that the US cash balance pension plans would be closed to future accrual from 1 January 2021. This change resulted in a credit of £56 million. On 1 June 2020 and 9 September 2020, two amendments were made to the retiree healthcare plans in the US resulting in a credit of £55 million.

The Group has applied the following financial assumptions in assessing the defined benefit liabilities:

	UK			US			Rest of World
	2021	2020	2019	2021	2020	2019	2021	2020	2019
	% pa	% pa	% pa	% pa	% pa	% pa	% pa	% pa	% pa
Rate of increase of future earnings	2.00	2.00	2.00	n/a	n/a	n/a	4.00	2.90	2.60
Discount rate	2.00	1.40	2.00	2.70	2.30	3.20	1.10	0.60	1.10
Expected pension increases	3.20	2.80	3.00	n/a	n/a	n/a	2.30	2.10	2.10
Cash balance credit/conversion rate	n/a	n/a	n/a	2.00	1.90	2.60	0.20	0.10	0.10
Inflation rate	3.20	2.80	3.00	2.25	2.00	2.25	1.90	1.30	1.40

Sensitivity analysis detailing the effect of changes in assumptions is provided on page 213. The analysis provided reflects the assumption changes which have the most material impact on the results of the Group.

The amounts recorded in the income statement and statement of comprehensive income for the three years ended 31 December 2021 in relation to the defined benefit pension and post-retirement healthcare schemes were as follows:

Pensions

	2021			Group	2020			Group	2019			Group
	UK £m	US £m	Rest of W orld £m	£m	UK £m	US £m	Rest of W orld £m	£m	UK £m	US £m	Rest of W orld £m	£m
Amounts charged to operating profit
Current service cost	56	9	151	216	61	83	147	291	62	74	130	266
Past service cost	28	2	(25)	5	98	(56)	1	43	49	(3)	(15)	31
Net interest cost	3	19	6	28	3	23	10	36	(19)	29	16	26
Gains from settlements	–	–	(10)	(10)	–	–	(18)	(18)	–	–	(9)	(9)
Expenses	15	12	–	27	9	12	–	21	7	20	–	27
	42	42	142	80	174	74	143	140	39	116	12	141
Remeasurement gains/(losses) recorded in the statement of comprehensive income	572	97	19	688	51	(96)	(60)	(105)	(894)	(1)	(78)	(973)

Post-retirement benefits

	2021			Group	2020			Group	2019			Group
	UK £m	US £m	Rest of W orld £m	£m	UK £m	US £m	Rest of W orld £m	£m	UK £m	US £m	Rest of W orld £m	£m
Amounts charged to operating profit
Current service cost	2	16	29	47	291	36	373	140	22	266	74	362
Past service cost/(credit)	5	12	–	17	(55)	–	13	(42)	31	–	(97)	(66)
Net interest (income)/cost	6	28	26	60	39	–	341	380	52	–	122	174
Gains from settlements	–	–	–	–	(18)	(7)	–	(25)	(9)	–	–	(9)
Expenses	10	2	42	54	–	17	1	18	–	99	12	111
	23	58	71	178	277	50	384	720	105	365	111	530
Remeasurement gains/(losses) recorded in the statement of comprehensive income	63	78	122	263	(105)	(82)	(77)	(264)	(78)	(973)	(77)	(1,128)

The amounts included within past service costs in the UK included £27 million (2020 – £24 million; 2019 – £58 million) of augmentation costs which arose from Major restructuring programmes, together with a charge of £nil (2020 – £74 million) in relation to the impact of the closure of the defined benefit schemes to future accrual. In 2020, the past service credit of £56 million in the US reflected the closure of the cash balance pension plans from 1 January 2021. Amendments to the retiree healthcare plan in the US in 2020 resulted in a credit of £55 million to past service costs in post-retirement benefits in 2020.

A summarised balance sheet presentation of the Group defined benefit pension schemes and other post-retirement benefits is set out in the table below:

	2021 £m	2020 £m	2019 £m
Recognised in Other non-current assets:
Pension schemes in surplus	74	183	127
Recognised in Assets held for sale:
Post-retirement benefits	–	–	(9)
Recognised in Pensions and other post-employment benefits:
Pension schemes in deficit	(1,870)	(2,287)	(2,048)
Post-retirement benefits	(1,243)	(1,363)	(1,409)
	(3,113)	(3,650)	(3,457)

In the event of a plan wind-up, GSK believes the UK pension scheme rules provide the company with the right to a refund of surplus assets following the full settlement of plan liabilities.As a result, the net surplus in the UK defined benefit pension schemes is recognised in full. The fair values of the assets and liabilities of the UK and US defined benefit pension schemes, together with aggregated data for other defined benefit pension schemes in the Group are as follows:

	At 31 December 2021
	UK £m	US £m	Rest of World £m	Group £m
Equities:
– listed	3,954	522	73	5,207
– unlisted	–	–	4	4
Multi-asset funds	1,415	–	–	1,415
Property:
– listed	–	–	68	68
– unlisted	502	15	4	57
Corporate bonds:
– listed	1,503	97	5	2,618
– unlisted	–	–	15	15
Government bonds:
– listed	5,054	72	4,984	6,762
Insurance contracts	1,334	–	9,251	2,251
Other (liabilities)/assets	(130)	149	72	91
Fair value of assets	13,632	2,524	2,932	19,088
Asset ceiling restrictions	–	–	(26)	(26)
Present value of scheme obligations	(13,299)	(3,248)	(3,644)	(20,191)
Net surplus/(obligation)	333	(724)	(738)	(1,129)
Included in Other non-current assets	606	–	135	741
Included in Pensions and other post-employment benefits	(273)	(724)	(873)	(1,870)
	333	(724)	(738)	(1,129)
Actual return on plan assets	541	97	48	686

The multi-asset funds comprise investments in pooled investment vehicles that are invested across a range of asset classes, increasing diversification within the growth portfolio. The value of funds in this asset class with a quoted market price is £350 million (2020 – £847 million). The ‘Other (liabilities)/assets’ category comprises cash and mark to market values of derivative positions. Index-linked gilts held as part of a UK repo programme are included in government bonds. The related loan of £513 million at 31 December 2021 (2020 – £650 million; 2019 – £243 million) is deducted within ‘Other assets’.

30. Pensions and other post-employment benefits continued

GSK Annual Report 2021 209
Notes to the financial statements continued
Strategic report Governance and remuneration Financial statements Investor information

	At 31 December 2020
	UK £m	US £m	Rest of World £m	Group £m
Equities:
– listed	2,686	53	9,686	3,911
– unlisted	–	–	5	5
Multi-asset funds	2,075	–	–	2,075
Property:
– listed	–	–	57	57
– unlisted	447	13	62	585
Corporate bonds:
– listed	1,113	1,066	154	2,333
– unlisted	–	–	20	20
Government bonds:
– listed	6,055	758	999	7,812
Insurance contracts	1,409	–	988	2,397
Other (liabilities)/assets	(203)	136	78	111
Fair value of assets	13,582	2,635	2,989	19,206
Present value of scheme obligations	(13,858)	(3,445)	(4,007)	(21,310)
Net surplus/(obligation)	(276)	(810)	(1,018)	(2,104)
Included in Other non-current assets	77	–	106	183
Included in Pensions and other post-employment benefits	(353)	(810)	(1,124)	(2,287)
	(276)	(810)	(1,018)	(2,104)
Actual return on plan assets	1,092	15	177	1,428

	At 31 December 2019
	UK £m	US £m	Rest of World £m	Group £m
Equities:
– listed	2,904	67	1,638	4,213
– unlisted	–	–	8	8
Multi-asset funds	2,700	–	–	2,700
Property:
– listed	–	–	55	55
– unlisted	460	145	2	607
Corporate bonds:
– listed	297	855	141	1,293
– unlisted	326	–	23	349
Government bonds:
– listed	4,923	803	889	6,615
Insurance contracts	1,406	–	832	2,238
Other (liabilities)/assets	(35)	315	74	354
Fair value of assets	12,981	2,789	2,662	18,432
Present value of scheme obligations	(13,293)	(3,506)	(3,554)	(20,353)
Net surplus/(obligation)	(312)	(717)	(892)	(1,921)
Included in Other non-current assets	70	–	57	127
Included in Pensions and other post-employment benefits	(382)	(717)	(949)	(2,048)
	(312)	(717)	(892)	(1,921)
Actual return on plan assets	787	35	345	1,488

Pensions and other post-employment benefits continued
210 GSK Annual Report 2021
Notes to the financial statements continued

Pensions Post-retirement benefits

Movements in fair values of assets

	2019 Assets at 1 January	Exchange adjustments	Additions through business combinations	Interest income	Expenses	Settlements and curtailments	Remeasurement	Employer contributions	Scheme participants’ contributions	Benefits paid	2019 Assets at 31 December
UK £m	12,581	–	–	360	(7)	–	427	187	3	(570)	12,981
US £m	2,808	(110)	–	111	(20)	–	245	40	–	(285)	2,789
Rest of World £m	2,390	(120)	14	37	–	1	312	116	17	(105)	2,662
Group £m	17,779	(230)	14	508	(27)	1	984	343	20	(960)	18,432
Group £m								110	17	(127)

	2020 Assets at 1 January	Exchange adjustments	Interest income	Expenses	Settlements and curtailments	Remeasurement	Employer contributions	Scheme participants’ contributions	Benefits paid	2020 Assets at 31 December
UK £m	12,981	–	256	(9)	–	836	156	3	(641)	13,582
US £m	2,789	(86)	87	(12)	–	72	33	–	(248)	2,635
Rest of World £m	2,662	138	29	–	(20)	14	124	18	(110)	2,989
Group £m	18,432	52	372	(21)	(20)	922	313	21	(999)	19,206
Group £m							105	18	(123)

	2021 Assets at 1 January	Exchange adjustments	Interest income	Expenses	Settlements and curtailments	Remeasurement	Employer contributions	Scheme participants’ contributions	Benefits paid	2021 Assets at 31 December
UK £m	13,582	–	187	(15)	–	354	139	3	(618)	13,632
US £m	2,635	31	57	(12)	–	40	40	–	(267)	2,524
Rest of World £m	2,989	(184)	18	–	(7)	30	133	24	(97)	2,906
Group £m	19,206	(153)	262	(27)	(7)	424	312	27	(982)	19,062
Group £m							105	15	(120)

During 2021, the Group made additional funding contributions to the UK pension schemes of £44 million (2020 – £76 million; 2019 – £78 million) but £nil (2020 – £nil; 2019 – £nil) to the US schemes. In 2018, GSK reached a revised agreement with the trustees of the UK pension schemes to make additional contributions to eliminate the pension deficits identified within the schemes at the 31 December 2017 actuarial funding valuation. Based on these funding agreements, the additional contributions to eliminate the pension deficit are expected to be £44 million in 2022 and these are included within Note 35, ‘Commitments’ on page 216. This funding commitment supersedes the previous agreement made in 2016. The contributions were based on a government bond yield curve approach to selecting the discount rate; the rate chosen included an allowance for expected investment returns which reflected the asset mix of the schemes. Employer contributions for 2022, including special funding contributions, are estimated to be approximately £380 million in respect of defined benefit pension schemes and £90 million in respect of post-retirement benefits.

GSK Annual Report 2021 211
Notes to the financial statements continued
Strategic report Governance and remuneration Financial statements Investor information

Pensions Post-retirement benefits

Movements in defined benefit obligations

	2019 Obligations at 1 January	Exchange adjustments	Additions through business combinations	Service cost	Past service cost	Interest cost	Settlements and curtailments	Remeasurement	Scheme participants’ contributions	Benefits paid	2019 Obligations at 31 December
UK £m	(12,087)	–	–	(62)	(49)	(341)	–	(1,321)	(3)	570	(13,293)
US £m	(3,474)	140	–	(74)	3	(140)	–	(246)	–	285	(3,506)
Rest of World £m	(3,213)	177	(56)	(130)	15	(53)	8	(390)	(17)	105	(3,554)
Group £m	(18,774)	317	(56)	(266)	(31)	(534)	8	(1,957)	(20)	960	(20,353)
Group £m											(1,379)

	2020 Obligations at 1 January	Exchange adjustments	Service cost	Past service cost	Interest cost	Settlements and curtailments	Remeasurement	Scheme participants’ contributions	Benefits paid	2020 Obligations at 31 December
UK £m	(13,293)	–	(61)	(98)	(259)	–	(785)	(3)	641	(13,858)
US £m	(3,506)	118	(83)	56	(110)	–	(168)	–	248	(3,445)
Rest of World £m	(3,554)	(188)	(147)	(1)	(39)	38	(208)	(18)	110	(4,007)
Group £m	(20,353)	(70)	(291)	(43)	(408)	38	(1,161)	(21)	999	(21,310)
Group £m		36		55		7		(18)	123	(1,363)

	2021 Obligations at 1 January	Exchange adjustments	Service cost	Past service cost	Interest cost	Settlements and curtailments	Remeasurement	Scheme participants’ contributions	Benefits paid	2021 Obligations at 31 December
UK £m	(13,858)	–	(56)	(28)	(190)	–	218	(3)	618	(13,299)
US £m	(3,445)	(40)	(9)	(2)	(76)	–	57	–	267	(3,248)
Rest of World £m	(4,007)	258	(151)	25	(23)	17	164	(24)	97	(3,644)
Group £m	(21,310)	218	(216)	(5)	(289)	17	439	(27)	982	(20,191)
Group £m		4		(12)				(15)	120	(1,243)

The defined benefit pension obligation is analysed as follows:

	2021 £m	2020 £m	2019 £m
Funded	(19,419)	(20,504)	(19,547)
Unfunded	(772)	(806)	(806)
	(20,191)	(21,310)	(20,353)

The liability for the US post-retirement healthcare scheme has been assessed using the same assumptions as for the US pension scheme, together with the assumption for future medical inflation of 6.25% (2020 – 6.0%) in 2021, grading down to 5% in 2027 and thereafter. At 31 December 2021, the US post-retirement healthcare scheme obligation was £1,059 million (2020 – £1,124 million; 2019 – £1,198 million). Post-retirement benefits are unfunded.

Pensions and other post-employment benefits continued
212 GSK Annual Report 2021
Notes to the financial statements continued

The movement in the net defined benefit liability is as follows:

	2021 £m	2020 £m	2019 £m
At 1 January	(2,104)	(1,921)	(995)
Exchange adjustments	65	(18)	87
Additions through business combinations	–	–	(42)
Service cost	(216)	(291)	(266)
Past service cost	(5)	(43)	(31)
Interest cost	(27)	(36)	(26)
Settlements and curtailments	10	18	9
Remeasurements:
Return on plan assets, excluding amounts included in interest	424	1,056	984
(Loss)/gain from change in demographic assumptions	(62)	69	78
Gain/(loss) from change in financial assumptions	7	16	(1,340)
Experience (loss)/gain	(215)	110	(13)
Employer contributions	312	343	110
Expenses	(27)	(21)	(27)
At 31 December	(1,129)	(2,104)	(1,921)

The remeasurements included within post-retirement benefits are detailed below:

	2021 £m	2020 £m	2019 £m
Gain from change in demographic assumptions	19	7	–
Gain/(loss) from change in financial assumptions	35	(93)	(80)
Experience gains	24	4	78

The defined benefit pension obligation analysed by membership category is as follows:

	2021 £m	2020 £m	2019 £m
Active	4,196	4,660	4,572
Retired	11,115	11,257	10,485
Deferred	4,880	5,393	5,296
Total	20,191	21,310	20,353

The post-retirement benefit obligation analysed by membership category is as follows:

	2021 £m	2020 £m	2019 £m
Active	494	551	549
Retired	748	808	869
Deferred	14	1,243	1,363
Total	1,363	1,418	1,418

The weighted average duration of the defined benefit obligation is as follows:

	2021 years	2020 years	2019 years
Pension benefits	15	16	15
Post-retirement benefits	12	12	12

The effect of changes in assumptions used on the benefit obligations and on the 2022 annual defined benefit pension and post-retirement costs are detailed below. This information has been determined by taking into account the duration of the liabilities and the overall profile of the plan memberships.

	0.25% increase £m	0.25% decrease £m
Discount rate
(Decrease)/increase in annual pension cost	(19)	17
Increase/(decrease) in annual post-retirement benefits cost	1	(1)
(Decrease)/increase in pension obligation	(729)	772
(Decrease)/increase in post-retirement benefits obligation	(34)	35
	0.5% increase £m	0.5% decrease £m
(Decrease)/increase in annual pension cost	(41)	33
Increase/(decrease) in annual post-retirement benefits cost	2	(2)
(Decrease)/increase in pension obligation	(1,413)	1,586
(Decrease)/increase in post-retirement benefits obligation	(67)	73
	0.25% increase £m	0.25% decrease £m
Inflation rate
Increase/(decrease) in annual pension cost	15	(14)
Increase/(decrease) in pension obligation	547	(529)
	1 year increase £m
Life expectancy
Increase in annual pension cost	16
Increase in annual post-retirement benefits cost	1
Increase in pension obligation	72
Increase in post-retirement benefits obligation	36
	1% increase £m
Rate of future healthcare inflation
Increase in annual post-retirement benefits cost	1
Increase in post-retirement benefits obligation	39

31. Other provisions

	Legal and other disputes £m	Major restructuring programmes £m	Employee related provisions £m	Other provisions £m	Total £m
At 1 January 2021	320	860	326	253	1,759
Exchange adjustments	2	(18)	(8)	(4)	(28)
Charge for the year	117	81	119	70	387
Reversed unused	(75)	(151)	(11)	(36)	(273)
Unwinding of discount	–	2	–	–	2
Utilised	(168)	(389)	(65)	(28)	(650)
Reclassifications and other movements	–	(8)	(1)	(3)	(12)
Transfer to Pension obligations	–	(27)	–	–	(27)
At 31 December 2021	196	652	322	301	1,471
To be settled within one year	160	545	66	70	841
To be settled after one year	36	107	256	231	630
At 31 December 2021	196	652	322	301	1,471

Legal and other disputes

The Group is involved in a substantial number of legal and other disputes, including notification of possible claims, as set out in Note 46, ‘Legal proceedings’. Provisions for legal and other disputes include amounts relating to product liability, anti-trust, government investigations, contract terminations and self insurance. The net charge for the year of £42 million (including reversals and estimated insurance recoveries) primarily related to provisions for product liability cases, commercial disputes and various other government investigations. The discount on the provision is £nil in 2021 (2020 – increased by £1 million). The discount was calculated using risk-adjusted projected cash flows and risk-free rates of return. In respect of product liability claims related to certain products, provision is made when there is sufficient history of claims made and settlements to enable management to make a reliable estimate of the provision required to cover unasserted claims. The ultimate liability for such matters may vary from the amounts provided and is dependent upon the outcome of litigation proceedings, investigations and possible settlement negotiations. It is in the nature of the Group’s business that a number of these matters may be the subject of negotiation and litigation over many years. Litigation proceedings, including the various appeal procedures, often take many years to reach resolution, and out-of-court settlement discussions can also often be protracted. Indemnified disputes will result in a provision charge and a corresponding receivable. The Group is in potential settlement discussions in a number of the disputes for which amounts have been provided and, based on its current assessment of the progress of these disputes, estimates that £160 million of the amount provided at 31 December 2021 will be settled within one year. At 31 December 2021, it was expected that £4 million (2020 – £13 million) of the provision made for legal and other disputes will be reimbursed by third parties. For a discussion of legal issues, see Note 46, ‘Legal proceedings’.

Major restructuring programmes

During 2021, the Group had four major restructuring programmes in progress: the Combined restructuring and integration programme and the 2018 Major restructuring programme, both of which are now substantially complete, the Consumer Healthcare Joint Venture integration programme and the Separation Preparation programme. The programmes are focused primarily on simplifying supply chain processes, rationalising the Group’s manufacturing network, restructuring the Pharmaceuticals commercial operations, integrating the Pfizer consumer healthcare business and preparing for the separation of GSK into two new companies. Restructuring provisions primarily include severance costs when management has made a formal decision to eliminate certain positions and this has been communicated to the groups of employees affected and appropriate consultation procedures completed, where appropriate. No provision is made for staff severance payments that are paid immediately. The discount on the provisions increased by £2 million in 2021 (2020 – increased by £2 million). Pension augmentation includes £27 million relating to the defined benefit plan arising from staff redundancies, as shown in Note 30, ‘Pensions and other post-employment benefits’.

Employee related provisions

Employee related provisions include obligations for certain medical benefits to disabled employees and their spouses in the US. At 31 December 2021, the provision for these benefits amounted to £69 million (2020 – £77 million). Other employee benefits reflect a variety of provisions for severance costs, jubilee awards and other long-service benefits. Given the nature of these provisions, the amounts are likely to be settled over many years.

Other provisions

Included in other provisions are provisions for onerous contracts, insurance provisions and a number of other provisions including vehicle insurance and regulatory matters.

32. Contingent consideration liabilities

The consideration for certain acquisitions includes amounts contingent on future events such as development milestones or sales performance. The Group has provided for the fair value of this contingent consideration as follows:

	Shionogi-ViiV Healthcare £m	Novartis Vaccines £m	Other £m	Total £m
At 1 January 2019	5,937	29	653	6,286
Remeasurement through income statement	31	67	(15)	83
Cash payments: operating cash flows	(767)	(13)	–	(780)
Cash payments: investing activities	(98)	(11)	(4)	(113)
Other movements	–	–	3	3
At 31 December 2019	5,103	33	937	5,479
Remeasurement through income statement	1,114	161	–	1,275
Cash payments: operating cash flows	(751)	(14)	–	(765)
Cash payments: investing activities	(107)	(9)	(4)	(120)
At 31 December 2020	5,359	477	33	5,869
Remeasurement through income statement	1,026	32	5	1,063
Cash payments: operating cash flows	(721)	(21)	–	(742)
Cash payments: investing activities	(105)	(9)	–	(114)
At 31 December 2021	5,559	479	38	6,076

Of the contingent consideration payable at 31 December 2021, £958 million (2020 – £765 million) is expected to be paid within one year. The consideration payable for the acquisition of the Shionogi-ViiV Healthcare joint venture and the Novartis Vaccines business is expected to be paid over a number of years. As a result, the total estimated liabilities are discounted to their present values, shown above. The Shionogi-ViiV Healthcare contingent consideration liability is discounted at 8% (2020 – 8.5%) and the Novartis Vaccines contingent consideration liability is discounted at 7.5% (2020– 8%) for commercialised products and at 8.5% (2020 – 9%) for pipeline assets. The Shionogi-ViiV Healthcare and Novartis Vaccines contingent consideration liabilities are calculated principally based on the forecast sales performance of specified products over the lives of those products.The table below shows on an indicative basis the income statement and balance sheet sensitivity to reasonably possible changes in key inputs to the valuations of the contingent consideration liabilities.

Increase/(decrease) in financial liability and loss/(gain) in Income statement	Shionogi-ViiV Healthcare £m	Novartis Vaccines £m	Shionogi-ViiV Healthcare £m	Novartis Vaccines £m
10% increase in sales forecasts*	506	61	515	80
10% decrease in sales forecasts*	(506)	(57)	(516)	(78)
1% increase in discount rate	(198)	(38)	(207)	(39)
1% decrease in discount rate	213	45	223	45
10 cent appreciation of US Dollar	3	43	13	0
10 cent depreciation of US Dollar	(299)	(4)	(262)	(2)
10 cent appreciation of Euro	10	2	28	125
10 cent depreciation of Euro	(85)	(27)	(105)	(24)

The sales forecast is for ViiV Healthcare sales only in respect of the Shionogi-ViiV Healthcare contingent consideration. An explanation of the accounting for ViiV Healthcare is set out on page 57.

216 GSK Annual Report 2021

Notes to the financial statements continued

33. Other non-current liabilities

	2021 £m	2020 £m
Accruals	13	41
Deferred income	85	21
Other payables	823	74
Total	921	136

Other payables includes a number of employee-related liabilities including employee savings plans.

34. Contingent liabilities

At 31 December 2021, contingent liabilities where GSK has a present obligation as a result of a past event, comprising guarantees and other items arising in the normal course of business, amounted to £126 million (2020 – £138 million). These contingent liabilities arise where the Group has a present obligation arising from a past event.

At 31 December 2021, £0.2 million (2020 – £0.4 million) of financial assets were pledged as collateral for contingent liabilities.

Provision is made for the outcome of tax, legal and other 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.

At 31 December 2021, other than for those disputes where provision has been made, if it is not possible to meaningfully assess whether the outcomes will result in a probable outflow, or to quantify or reliably estimate the liability, if any, no provision is recorded.

Descriptions of the significant legal and other disputes to which the Group is a party are set out in Note 46, ‘Legal proceedings’.

35. Commitments

Contractual obligations and commitments

	2021 £m	2020 £m
Contracted for but not provided in the financial statements:
Intangible assets	2,082	12,307
Property, plant and equipment	6	528
Investments	146	153
Purchase commitments	484	74
Pensions	44	88
Interest on loans	7,603	8,309
Future finance charges on leases	15	180
Total	10,380	21,639

The commitments related to intangible assets include milestone payments, which are dependent on successful clinical development or on meeting specified sales targets, and which represent the maximum that would be paid if all milestones, however unlikely, are achieved. The amounts are not risk-adjusted or discounted. The net decrease in intangible asset commitments in 2021 is mainly attributable to the termination of a number of agreements including the termination of the agreement for bintrafusp alfa with Merck KGaA, Darmstadt, Germany offset by an increase in a number of new R&D collaborations including with Arcturus Therapeutics, iTeos Therapeutics and Lifemine Therapeutics.

In 2018, GSK reached an agreement with the trustees of the UK pension schemes to make additional contributions to eliminate the pension deficit identified at the 31 December 2017 actuarial funding valuation. A payment of £44 million is due in 2022. The table above includes this commitment, but excludes the normal ongoing annual funding requirement in the UK of approximately £110 million.

The Group also has other commitments which principally relate to revenue payments to be made under licenses and other alliances. Commitments in respect of future interest payable on loans are disclosed before taking into account the effect of interest rate swaps.

217 GSK Annual Report 2021

Notes to the financial statements continued

Strategic report
Governance and remuneration
Financial statements
Investor information

36. Share capital and share premium account

	Share capital issued and fully paid	Share premium
	Ordinary Shares of 25p each
	Number	£m
At 1 January 2019	5,379,067,624	1,345
Issued under employee share schemes	4,034,607	1
Ordinary shares acquired by ESOP Trusts	–	–
At 31 December 2019	5,383,102,231	1,346
Issued under employee share schemes	2,087,386	–
Ordinary shares acquired by ESOP Trusts	–	–
At 31 December 2020	5,385,189,617	1,346
Issued under employee share schemes	1,825,442	1
Ordinary shares acquired by ESOP Trusts	–	–
At 31 December 2021	5,387,015,059	1,347

	31 December 2021 000	31 December 2020 000
Number of shares issuable under employee share schemes	75,210	48,205
Number of unissued shares not under option	4,537,775	4,566,605

At 31 December 2021, of the issued share capital, 23,205,289 shares were held in the ESOP Trusts, 355,205,950 shares were held as Treasury shares and 5,008,603,820 shares were in free issue. All issued shares are fully paid. The nominal, carrying and market values of the shares held in the ESOP Trusts are disclosed in Note 44, ‘Employee share schemes’.

37. Movements in equity

Retained earnings and other reserves amounted to £10,407 million at 31 December 2021 (2020 – £9,960 million; 2019 – £6,885 million) of which £476 million (2020 – £440 million; 2019 – £394 million) related to associates and joint ventures.

The cumulative translation exchange in equity is as follows:

	Retained earnings £m	Fair value reserve £m	Non-controlling interests £m	Total translation exchange £m
At 1 January 2019	381	1	(52)	330
Exchange movements on overseas net assets and net investment hedges	(830)	(2)	(75)	(907)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries	(75)	–	–	(75)
At 31 December 2019	(524)	(1)	(127)	(652)
Exchange movements on overseas net assets and net investment hedges	(51)	(8)	(34)	(93)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries	36	–	–	36
At 31 December 2020	(539)	(9)	(161)	(709)
Exchange movements on overseas net assets and net investment hedges	(239)	–	(20)	(259)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries and associates	(25)	–	–	(25)
At 31 December 2021	(803)	(9)	(181)	(993)

218 GSK Annual Report 2021

Notes to the financial statements continued

The analysis of other comprehensive income by equity category is as follows:

2021

	Retained earnings £m	Other reserves £m	Non- controlling interests £m	Total £m
Items that may be subsequently reclassified to income statement:
Exchange movements on overseas net assets and net investment hedges	(239)	–	–	(239)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries and associates	(25)	–	–	(25)
Fair value movements on cash flow hedges	–	5	–	5
Reclassification of cash flow hedges to income and expense	–	12	–	12
Tax on fair value movements on cash flow hedges	–	(8)	–	(8)
Items that will not be reclassified to income statement:
Exchange movements on overseas net assets of non-controlling interests	–	–	(20)	(20)
Fair value movements on equity investments	–	(911)	–	(911)
Tax on fair value movements on equity investments	–	131	–	131
Remeasurement losses on defined benefit plans	941	–	–	941
Tax on remeasurement losses in defined benefit plans	(223)	–	–	(223)
Other comprehensive (expense)/income for the year	454	(771)	(20)	(337)

2020

	Retained earnings £m	Other reserves £m	Non- controlling interests £m	Total £m
Items that may be subsequently reclassified to income statement:
Exchange movements on overseas net assets and net investment hedges	(51)	(8)	–	(59)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries	36	–	–	36
Fair value movements on cash flow hedges	–	(19)	–	(19)
Reclassification of cash flow hedges to income and expense	–	54	–	54
Tax on fair value movements on cash flow hedges	–	(18)	–	(18)
Items that will not be reclassified to income statement:
Exchange movements on overseas net assets of non-controlling interests	–	–	(34)	(34)
Fair value movements on equity investments	–	1,348	–	1,348
Tax on fair value movements on equity investments	–	(220)	–	(220)
Remeasurement losses on defined benefit plans	(187)	–	–	(187)
Tax on remeasurement losses in defined benefit plans	69	–	–	69
Other comprehensive (expense)/income for the year	(133)	1,137	(34)	970

2019

	Retained earnings £m	Other reserves £m	Non- controlling interests £m	Total £m
Items that may be subsequently reclassified to income statement:
Exchange movements on overseas net assets and net investment hedges	(830)	(2)	–	(832)
Reclassification of exchange movements on liquidation or disposal of overseas subsidiaries	(75)	–	–	(75)
Fair value movements on cash flow hedges	–	(20)	–	(20)
Reclassification of cash flow hedges to income and expense	–	3	–	3
Tax on fair value movements on cash flow hedges	–	16	–	16
Items that will not be reclassified to income statement:
Exchange movements on overseas net assets of non-controlling interests	–	–	(75)	(75)
Fair value movements on equity investments	–	372	–	372
Tax on fair value movements on equity investments	–

	£m	£m	£m	£m	£m
	ESOP trust shares	Fair value reserve	Cash flow hedge reserve	Other reserves	Total
At 1 January 2019	(161)	140	(47)	2,129	2,061
Exchange adjustments	10	–	–	–	10
Transferred to Retained earnings in the year on disposal of equity investments	–	5	–	–	5
Net fair value movement in the year	–	264	(1)	–	263
Ordinary shares acquired by ESOP Trusts	(328)	–	–	–	(328)
Write-down of shares held by ESOP Trusts	344	–	–	–	344
At 31 December 2019	(135)	409	(48)	2,129	2,355
Exchange adjustments	20	–	–	–	20
Transferred to Retained earnings in the year on disposal of equity investments	–	(207)	–	–	(207)
Net fair value movement in the year	–	1,100	17	–	1,117
Ordinary shares acquired by ESOP Trusts	(609)	–	–	–	(609)
Write-down of shares held by ESOP Trusts	529	–	–	–	529
At 31 December 2020	(195)	1,302	(31)	2,129	3,205
Exchange adjustments	(1)	–	–	–	(1)
Transferred to Retained earnings in the year on disposal of equity investments	–	(139)	–	–	(139)
Net fair value movement in the year	–	(780)	10	–	(770)
Transferred to income and expense in the year on impairments of equity investments	168	–	–	–	168
At 31 December 2021	(28)	383	(21)	2,129	2,463

Other reserves include various non-distributable merger and pre-merger reserves amounting to £1,849 million at 31 December 2021 (2020 – £1,849 million; 2019 – £1,849 million). Other reserves also include the capital redemption reserve created as a result of the share buy-back programme amounting to £280 million at 31 December 2021 (2020 – £280 million; 2019 – £280 million).

38. Non-controlling interests

Total non-controlling interests includes the following individually material non-controlling interests. Other non-controlling interests are individually not material.

ViiV Healthcare

GSK holds 78.3% of the ViiV Healthcare sub-group, giving rise to a material non-controlling interest. Summarised financial information in respect of the ViiV Healthcare sub-group is as follows:

	2021 £m	2020 £m	2019 £m
Turnover	4,637	4,848	4,816
Profit after taxation	1,087	762	2,574
Other comprehensive income/(expense)	(17)	33	(29)
Total comprehensive income	1,070	795	2,545

	2021 £m	2020 £m
Non-current assets	2,796	2,564
Current assets	2,711	2,405
Total assets	5,507	4,969
Current liabilities	(3,121)	(2,748)
Non-current liabilities	(8,472)	(8,343)
Total liabilities	(11,593)	(11,091)
Net liabilities	(6,086)	(6,122)

	2021 £m	2020 £m	2019 £m
Net cash inflow from operating activities	2,128	2,249	2,375
Net cash outflow from investing activities	(287)	(294)	(202)
Net cash outflow from financing activities	(1,608)	(2,483)	(1,947)
(Decrease)/increase in cash and bank overdrafts in the year	233	(528)	226

The above financial information relates to the ViiV Healthcare group on a stand-alone basis, before the impact of Group-related adjustments, primarily related to the recognition of preferential dividends. The profit after taxation of £1,087 million (2020 – £762 million; 2019 – £2,574 million) is stated after charging preferential dividends payable to GSK, Shionogi and Pfizer and after a charge of £1,218 million (2020 – £1,112 million; 2019 – £37 million) for remeasurement of contingent consideration payable. This consideration is expected to be paid over a number of years. The following amounts attributable to the ViiV Healthcare group are included in GSK’s Financial Statements:

	2021 £m	2020 £m	2019 £m
Share of profit for the year attributable to non-controlling interest	196	223	482
Dividends paid to non-controlling interest	224	419	310
Non-controlling interest in the Consolidated balance sheet	(570)	(539)	(344)

Consumer Healthcare Joint Venture

GSK holds 68% of the Consumer Health care sub-group, giving rise to a material non-controlling interest. Summarised financial information in respect of the Consumer Health care sub-group is as follows:

	2021 £m	2020 £m	2019 £m
Turnover	9,545	9,837	4,240
Profit after taxation	1,439	1,219	150
Other comprehensive expenses	(10)	(266)	(721)
Total comprehensive income/(expenses)	1,429	953	(571)

	2021 £m	2020 £m
Non-current assets	29,200	29,134
Current assets	5,251	4,918
Total assets	34,451	34,052
Current liabilities	(4,238)	(4,254)
Non-current liabilities	(3,733)	(3,890)
Total liabilities	(7,971)	(8,144)
Net assets	26,480	25,908

	2021 £m	2020 £m	2019 £m
Net cash inflow from operating activities	1,356	1,419	1,014
Net cash inflow/(outflow) from investing activities	(33)	1,018	(776)
Net cash outflow from financing activities	(1,236)	(2,437)	(78)
Increase in cash and bank overdraft in the year/period	87	–	160

The above financial information relates to the Consumer Health care Joint Venture on a stand-alone basis (2019 – for the period from its formation on 31 July 2019 to December 2019), before the impact of Group-related adjustments and the classification of cash pooling accounts with Group companies outside the Consumer Health care Joint Venture but after Major restructuring charges. The following amounts attributable to the Consumer Health care Joint Venture are included in GSK’s financial statements:

	2021 £m	2020 £m	2019 £m
Share of profit for the year/period attributable to non-controlling interest	460	374	69
Dividends paid to non-controlling interest	367	73	–
Non-controlling interest in the Consolidated balance sheet	6,609	6,538	6,911

39. Related party transactions

During the year, the Group disposed of its interest in Innoviva Inc. See Note 21 for details of disposal. The royalties due from GSK to Innoviva in the year until the date of disposal were £113 million (2020 – £261 million). A loan of £4.6 million (2020 – £3.0 million) to Medicxi Ventures II LPr emaned due to GSK at 31 December 2021. In 2021, GSK increased the investment in Kurma Biofund II, FCPR by £0.2 million and Medicxi Ventures II LP of £1.0 million. As part of the joint venture agreement with Qura Therapeutics LLC, the Group has an obligation to fund the joint venture up to April 2025, with both GSK and its joint venture partner committing financial support in the amount of $26 million. At December 2021, the outstanding liability due to Qura was $13 million. Cash distributions were received from our investments in Medicxi Ventures II LP of £5.5 million, in Longwood Founders Fund, LP of £3.0 million and in Apollo Therapeutics LLP of £0.1 million. The aggregate compensation of the Directors and GLT is given in Note 9, ‘Employee costs’.

40. Acquisitions and disposals

Details of the acquisition and disposal of significant subsidiaries and associates, joint ventures and other businesses are given below:

2021

Business acquisitions

GSK completed no material business acquisitions in 2021.

Business disposals

GSK made a number of business disposals for net cash consideration received in the year of £10 million. The profit on the disposal of the businesses in the year of £24 million was calculated as follows:

	Total £m
Consideration:
Cash consideration including currency forwards, purchase adjustments and deferred consideration	10
Total	10
Net assets sold:
Property, plant and equipment	3
Cash and cash equivalents	1
Other net assets	1
Total	5
Costs:
Deal costs	(16)
Reclassification of exchange from other comprehensive income	35
Gain on disposals in 2021	24

Associates and joint ventures

On 20 May 2021 GSK agreed with Innoviva, Inc (“Innoviva”) to sell all of its approximately 32 million shares of common stock of Innoviva back to Innoviva at a price of $12.25 per share, raising gross proceeds of approximately $392 million. Following settlement of the transaction, GSK will no longer hold any Innoviva stock. See details in Note 21 ‘Investment in associates and joint ventures’.

	Business disposals £m	Associates and joint ventures disposals £m
Cash consideration received	43	277
Net deferred consideration paid	(51)	–
Transaction costs	(8)	–
Cash and cash equivalents (divested)/acquired	(1)	–
Cash (outflow)/inflow	(17)	277

2020

Business acquisitions

GSK completed one smaller business acquisition when it acquired 55% of Pfizer Biotech Corporation Taiwan, a part of Pfizer’s consumer healthcare business, which was not previously recognised as part of the Consumer Healthcare Joint Venture, on 28 September 2020 for non-cash consideration of £129 million.# 40. Acquisitions and disposals continued

This represented goodwill of £124 million, cash of £21 million and other assets acquired of £18 million less non-controlling interest of £14 million and net liabilities of £20 million.

Net assets acquired:	Total £m
Intangible assets	2
Property, plant and equipment	5
Inventory	5
Trade and other receivables	6
Cash and cash equivalents	21
Trade and other payables	(20)
Non-controlling interest	(14)
Goodwill	124
Total	129

Non-cash consideration (settlement of a promissory note) £129 million.
Total consideration £129 million.

Business disposals

On 1 April 2020, GSK completed its divestment of Horlicks and other Consumer Healthcare nutrition products in India and a number of other countries (excluding Bangladesh) to Unilever and the merger of GSK’s Indian listed Consumer Healthcare entity with Hindustan Unilever, an Indian listed public company. GSK received a 5.7% equity stake in Hindustan Unilever and £395 million in cash. GSK disposed of its equity stake in Hindustan Unilever during May 2020. The divestment in Bangladesh closed on 30 June 2020. Total cash consideration received was £177 million. The cash divested as part of the disposal of the India and Bangladesh Consumer Healthcare entities was £478 million. The profit on the disposal of the businesses in the year of £2,795 million was calculated as follows:

	Horlicks divestment £m	Other £m	T otal £m
Consideration:
Cash consideration receivable including currency forwards and purchase adjustments	4	92	157
Equity investment in Hindustan Unilever Limited	3,124	–	3,124
Total	3,616	157	3,773
Net assets disposed:
Goodwill	142	1	143
Intangible assets	15	10	3
Property, plant and equipment	118	56	12
Inventory	68	–	6
Cash and cash equivalents	6	478	3
Other net (liabilities)/assets	481	(155)	1
Total	(154)	536	126
Costs:
Transaction costs	662	12	28
Derivative	40	240	–
Reclassification of exchange from other comprehensive income	240	36	–
Total	316	288	28
Gain on disposals	2,795	40	2,795

Acquisitions and disposals continued
GSK Annual Report 2021 223
Notes to the financial statements continued
Strategic report
Governance and remuneration
Financial statements
Investor information

The exposure to share price movements embedded in the agreement to merge GSK’s Indian listed Consumer Healthcare entity with Hindustan Unilever Limited as part of the divestment of Horlicks and other nutrition products in India and a number of other countries was recognised as a derivative between signing of the agreement in 2018 and completion of the transaction in 2020. £240 million is recorded as a cost in the table above for the derecognition of the derivative asset. This largely reflects fair value gains recognised in the Income Statement in prior periods.

Associates and joint ventures

During the year, GSK made investments into associates of £4 million and £4 million was paid in cash.

	Cash flows Business acquisitions £m	Business disposals £m	Associates and joint ventures investments £m
Cash consideration received/(paid)	–	78	(4)
Net deferred consideration	–	(19)	–
Transaction costs	(6)	(27)	–
Cash and cash equivalents acquired/(divested)	21	(481)	–
Cash inflow/(outflow)	15	25	9 (4)

2019

Business acquisitions

Pfizer consumer healthcare business

The acquisition of Pfizer’s consumer healthcare business completed on 31 July 2019. GSK and Pfizer have contributed their respective consumer healthcare businesses into a new Consumer Healthcare Joint Venture in a non-cash transaction, whereby GSK has acquired Pfizer’s consumer healthcare business in return for shares in the Joint Venture. GSK has an equity interest of 68% and majority control of the Joint Venture and Pfizer has an equity interest of 32%. As the Group has control over the Consumer Healthcare Joint Venture it is consolidated within the Group’s financial statements. In a number of territories, legal completion of the acquisition has not occurred because of regulatory constraints. However, the Consumer Healthcare Joint Venture obtained control of the majority of these businesses in these territories from 31 July 2019 and has consolidated the net assets of those businesses from that date, but in all cases is entitled to the benefits of the trading of businesses in the delayed territories. The non-controlling interest in the Consumer Healthcare Joint Venture, calculated applying the proportionate goodwill method, represents Pfizer’s share of the net assets of the Joint Venture, excluding goodwill. Goodwill of £3.9 billion, which is not expected to be deductible for tax purposes, has been recognised. The goodwill represents the potential for further synergies arising from combining the acquired businesses with GSK’s existing business together with the value of the workforce acquired. Total transaction costs recognised in 2018 and 2019 for the acquisition amounted to £77 million. Since acquisition on 31 July 2019, sales of £1.2 billion arising from the Pfizer consumer healthcare business have been included in Group turnover. If the business had been acquired at the beginning of the year, it is estimated that Group turnover in 2019 would have been approximately £1.5 billion higher. The business has been integrated into the Group’s existing activities and it is not practicable to identify the impact on the Group profit in the period.

Tesaro Inc.

On 22 January 2019, GSK acquired 100% of Tesaro Inc., an oncology focused biopharmaceutical company, for cash consideration of $5.0 billion (£3.9 billion), in order to strengthen the Group’s pharmaceutical pipeline. Transaction costs amounted to £31 million. Goodwill of £1.2 billion, none of which is expected to be tax-deductible, has been recognised. The goodwill represents the potential for further synergies arising from combining the acquired businesses with GSK’s existing business together with the value of the workforce acquired. From acquisition on 22 January 2019 to 31 December 2019, sales of £0.2 billion arising from the Tesaro business have been included in Group turnover. The business has been integrated into the Group’s existing activities and it is not practicable to identify the impact on the Group profit in the period.

Acquisitions and disposals continued
224 GSK Annual Report 2021
Notes to the financial statements continued

The fair value of the assets acquired in business combinations, including goodwill, are set out in the table below. Amounts related to the Pfizer consumer healthcare business acquisition are provisional and subject to change.

	Pfizer consumer healthcare business £m	Tesaro £m	Other £m
Net assets acquired:
Intangible assets	12,357	3,092	–
Property, plant and equipment	354	6	–
Right of use assets	39	40	–
Inventory	986	162	–
Trade and other receivables	546	115	35
Other assets including cash and cash equivalents	302	25	4
Trade and other payables	(779)	(282)	(39)
Net deferred tax liabilities	(2,591)	(252)	–
Other liabilities	(99)	(5)	–
Term loan	–	(445)	–
Non-controlling interest	(3,577)	–	–
Goodwill	3,854	1,169	–
Total	11,392	3,854	12
Consideration settled by shares in GSK Consumer Healthcare Joint Venture	11,392	–	–
Cash consideration paid	–	3,854	6
Fair value of investment in joint venture converted into subsidiary	–	–	6
Total consideration	11,392	3,854	12

The non-controlling interest of £3,577 million represents Pfizer’s share of the fair value of the Pfizer consumer healthcare business, excluding goodwill. The total non-controlling interest initially recognised in the Consolidated statement of changes in equity of £6,887 million also includes Pfizer’s share of the book value of GSK Consumer Healthcare.

Business disposals

GSK made a number of business disposals for net cash consideration received in the year of £104 million. The profit on the disposal of the businesses in the year of £201 million was calculated as follows:

	£m	Total £m
Cash consideration receivable net of subsidy payable	106
Net assets disposed:
Goodwill	(4)
Intangible assets	(1)
Property, plant and equipment	(44)
Inventory	(7)
Cash and cash equivalents	(12)
Other net assets	(4)
	(72)
Transaction costs	(27)
Reclassification of exchange from other comprehensive income	75
Non-controlling interest divested	16
Transaction signed but not yet completed – gain on embedded derivative	143
Transaction signed but not yet completed – transaction costs	(40)
Total profit on disposal	201	40

Acquisitions and disposals continued
GSK Annual Report 2021 225
Notes to the financial statements continued
Strategic report
Governance and remuneration
Financial statements
Investor information

Transaction signed but not yet completed at 31 December 2019

In December 2018, GSK agreed to divest Horlicks and other Consumer Healthcare nutrition brands to Unilever PLC and to form a merger of GlaxoSmithKline Consumer Healthcare Limited with Hindustan Unilever Limited for a total consideration valued at approximately £3.1 billion. GlaxoSmithKline Consumer Healthcare Limited was a public company listed on the National Stock Exchange (NSE) and Bombay Stock Exchange (BSE), in which GSK held a 72.5% stake.Follow ing the merger of GlaxoSmithKline Consumer Healthcare Limited with Hindustan Unilever Limited, a public company listed on the NSE and BSE, GSK would own 133.8 million Hindustan Unilever Limited shares. The Group entered into forward foreign exchange contracts in relation to the transaction. Contracts with a value of £1.7 billion were designated as a cash flow hedge of part of the foreign exposure arising on the transaction. Further contracts with a value of £0.6 billion were designated as net investment hedges against INR and EUR assets. In addition, the exposure to share price movements in the forward purchase of shares in Hindustan Unilever Limited were recognised as an embedded derivative. The embedded derivative was in an asset position and had a fair value of £240 million at 31 December 2019 (2018 – £100 million).

Associates and joint ventures

During the year, GSK made investments of £27 million into associates and joint ventures of which £11 million was paid in cash.

Cash flows	Business acquisitions £m	Business disposals £m	Associates and joint venture investments £m
Cash consideration (paid)/received	(3,860)	161	(11)
Net deferred consideration received	–	29	–
Transaction costs	(95)	(73)	–
Cash and cash equivalents acquired/divested	384	(13)	–
Cash (outflow)/inflow	(3,571)	104	(11)

41. Adjustments reconciling profit after tax to operating cash flows

	2021 £m	2020 £m	2019 £m
Profit after tax	5,096	6,388	5,268
Tax on profits	346	580	953
Share of after-tax profits of associates and joint ventures	(33)	(33)	(74)
Finance expense net of finance income	75	6,848	814
Depreciation	1,195	1,214	1,231
Amortisation of intangible assets	1,182	1,137	1,103
Impairment and assets written off	540	781	825
Profit on sale of businesses	(38)	(2,831)	(201)
Profit on sale of intangible assets	(568)	(426)	(342)
Loss on sale of investments in associates	36	–	–
Profit on sale of equity investments	(8)	(69)	(2)
Business acquisition costs	–	–	59
Changes in working capital:
Decrease in inventories	25	119	300
Increase in trade receivables	(782)	(224)	(32)
Increase in trade payables	284	225	263
(Increase) in other receivables	(314)	(159)	(160)
Contingent consideration paid (see Note 32)	(742)	(765)	(780)
Other non-cash increase in contingent consideration liabilities	1,063	1,275	83
Increase in other payables	1,324	818	89
Increase/(decrease) in pension and other provisions	(340)	400	(188)
Share-based incentive plans	367	381	365
Fair value adjustments	(17)	464	19
Other	(129)	(27)	(61)
	4,147	3,708	4,264
Cash generated from operations	9,243	10,096	9,532

40. Acquisitions and disposals continued

GSK Annual Report 2021
226

Notes to the financial statements continued

42. Reconciliation of net cash flow to movement in net debt

	2021 £m	2020 £m	2019 £m
Net debt, as previously reported	(20,780)	(25,215)	(21,621)
Implementation of IFRS 16	–	–	(1,303)
Net debt at beginning of year, as adjusted	(20,780)	(25,215)	(22,924)
Increase in cash and bank overdrafts	(1,414)	470	826
Increase/(decrease) in liquid investments	(18)	1	(1)
Increase in long-term loans	–	(3,298)	(4,794)
Repayment of short-term Notes	2,313	3,738	4,160
Repayment of/(increase in) other short-term loans	(318)	3,567	(3,095)
Repayment of lease liabilities	215	227	214
Debt of subsidiary undertakings acquired	–	–	(524)
Exchange adjustments	314	(135)	1,015
Other non-cash movements	(150)	(135)	(92)
Movement in net debt	942	4,435	(2,291)
Net debt at end of year	(19,838)	(20,780)	(25,215)

GSK Annual Report 2021
227

Notes to the financial statements continued

Strategic report

Governance and remuneration

Financial statements

Investor information

Analysis of changes in net debt

	At 1 January 2021 £m	Exchange £m	Other £m	Interest expense £m	Change in fair value £m	Reclassifications £m	Cash flow £m	At 31 December 2021 £m
Liquid investments	78	1	–	–	–	–	(18)	61
Cash and cash equivalents	6,292	(29)	(1)	–	–	–	(1,988)	4,274
Overdrafts	(1,030)	–	–	–	–	–	574	(456)
	5,262	(29)	(1)	–	–	–	(1,414)	3,818
Debt due within one year:
Commercial paper	(17)	8	–	–	–	–	(243)	(252)
European/ US MTN & Bank facilities	(2,350)	1	–	–	–	(2,494)	2,247	(2,596)
Lease liabilities	(230)	5	7	–	–	(200)	215	(203)
Other	(98)	15	(2)	–	–	–	(9)	(94)
	(2,695)	29	5	–	–	(2,694)	2,210	(3,145)
Debt due after one year:
European/ US MTN & Bank facilities	(22,538)	306	–	(22)	–	2,494	–	(19,760)
Lease liabilities	(887)	7	(132)	–	–	200	–	(812)
	(23,425)	313	(132)	(22)	–	2,694	–	(20,572)
Net debt	(20,780)	314	(128)	(22)	–	–	778	(19,838)
Interest payable	(247)	–	(30)	(753)	–	–	786	(244)
Derivative financial instruments	(74)	–	–	–	72	–	(20)	(22)
Total liabilities from financing activities*	(26,441)	342	(157)	(775)	72	–	2,976	(23,983)

* Excluding cash and cash equivalents, overdrafts and liquid investments.

GSK Annual Report 2021
228

Notes to the financial statements continued

Analysis of changes in net debt

	At 1 January 2020 £m	Exchange £m	Other £m	Interest expense £m	Change in fair value £m	Reclassifications £m	Cash flow £m	At 31 December 2020 £m
Liquid investments	79	–	–	–	–	–	(1)	78
Cash and cash equivalents	4,707	(44)	–	–	–	–	1,629	6,292
Cash and cash equivalents - AHFS	507	–	–	–	–	–	(507)	–
Overdrafts	(383)	5	–	–	–	–	(652)	(1,030)
	4,831	(39)	–	–	–	–	470	5,262
Debt due within one year:
Commercial paper	(3,586)	(50)	–	–	–	–	3,619	(17)
European/ US MTN and Bank facilities	(2,658)	38	–	–	–	(3,468)	3,738	(2,350)
Lease liabilities	(240)	(4)	16	–	–	(229)	227	(230)
Other	(51)	12	(7)	–	–	–	(52)	(98)
	(6,535)	(4)	9	–	–	(3,697)	7,532	(2,695)
Debt due after one year:
European/ US MTN & Bank facilities	(22,580)	(104)	(4)	(20)	–	3,468	(3,298)	(22,538)
Lease liabilities	(1,010)	19	(125)	–	–	229	–	(887)
	(23,590)	(85)	(129)	(20)	–	3,697	(3,298)	(23,425)
Net debt	(25,215)	(128)	(120)	(20)	–	–	4,703	(20,780)
Interest payable	(244)	1	–	(868)	–	–	864	(247)
Derivative financial instruments	335	–	–	–	(290)	–	(119)	(74)
Total liabilities from financing activities*	(30,034)	(88)	(120)	(888)	(290)	–	4,979	(26,441)

* Excluding cash and cash equivalents, overdrafts and liquid investments.

For further information on significant changes in net debt see Note 29, ‘Net debt’.

42. Adjustments of net cash flow to movement in net debt continued

GSK Annual Report 2021
228

The objective of GSK’s Treasury activity is to minimise the post-tax net cost of financial operations and reduce its volatility to benefit earnings and cash flows. GSK uses a variety of financial instruments to finance its operations and derivative financial instruments to manage market risks from these operations. Derivatives principally comprise of foreign exchange forward contracts and swaps which are used to swap borrowings and liquid assets into currencies required for Group purposes as well as interest rate swaps which are used to manage exposure to financial risks from changes in interest rates. These financial instruments reduce the uncertainty of foreign currency transactions and interest payments. Derivatives are used exclusively for hedging purposes in relation to underlying business activities and not as trading or speculative instruments.

Capital management

GSK’s financial strategy supports the Group’s strategic priorities and is regularly reviewed by the Board. GSK manages the capital structure of the Group through an appropriate mix of debt and equity. The capital structure of the Group consists of net debt of £19.8 billion (see Note 29, ‘Net debt’) and total equity, including items related to non-controlling interests, of £21.3 billion (see ‘Consolidated statement of changes in equity’ on page 170). Total capital, including that provided by non-controlling interests, is £41.1 billion. The Group continues to manage its financial policies to a credit profile that particularly targets short-term credit ratings of A-1 and P-1 while maintaining single A long-term ratings consistent with those targets. The Group’s long-term credit rating with Standard & Poor’s is A (stable outlook) and with Moody’s Investor Services (‘Moody’s’) it is A2 (stable outlook). The Group’s short-term credit ratings are A-1 and P-1 with Standard & Poor’s and Moody’s respectively.

Liquidity risk management

GSK’s policy is to borrow centrally in order to meet anticipated funding requirements. The strategy is to diversify liquidity sources using a range of facilities and to maintain broad access to financial markets. Each day, we sweep cash to or from a number of global subsidiaries and central Treasury accounts for liquidity management purposes. GSK utilises both physical and notional cash pool arrangements as appropriate by location and currency. For notional cash pools, liquidity is drawn against foreign currency balances to provide both local funding and central liquidity as required and with balances actively managed and maintained to appropriate levels. As balances in notional pooling arrangements are not settled across currencies, gross cash and overdraft balances are reported. At 31 December 2021, GSK had £3.6 billion of borrowings repayable within one year and held £4.3 billion of cash and cash equivalents and liquid investments of which £2.9 billion was held centrally. GSK has access to short-term finance under a $10 billion (£7.4 billion) US commercial paper programme; $nil (£nil) was in issue at 31 December 2021 (2020 – $25 million (£17 million)).GSK has access to short-term finance under a £5 billion Euro commercial paper programme; €300 million (£252 million) was in issue at 31 December 2021 (2020 – £nil). At 31 December 2021, GSK had a £1.9 billion three-year committed facility and a $2.5 billion (£1.9 billion) 364-day committed facility. The three-year committed facility was agreed in September 2019, extended by one year in September 2020 and was extended again by one year to 2024 in August 2021. The 364-day committed facility was agreed in August 2021. These committed facilities were undrawn at 31 December 2021. GSK considers this level of committed facilities to be adequate, given current liquidity requirements. In preparation for the separation of the Consumer Healthcare business, in February 2022 GSK cancelled and replaced the three year and 364 day facilities. New revolving credit facilities of equivalent size were agreed with maturities in September 2025 and September 2023. GSK has a £20.0 billion Euro Medium Term Note programme and at 31 December 2021, £10.5 billion of notes were in issue under this programme. The Group also had $15.7 billion (£11.6 billion) of notes in issue at 31 December 2021 under a US shelf registration. GSK’s borrowings mature at dates between 2022 and 2045. The put option owned by Pfizer in ViiV Healthcare is exercisable. In reviewing liquidity requirements GSK considers that sufficient financing options are available should the put option be exercised.

Market risk

Interest rate risk management

The objective of GSK’s Treasury activity is to minimise the effective net interest cost and to balance the mix of debt at fixed and floating rates over time. The Group’s main interest rate risk arises from borrowings and investments with floating rates and refinancing of maturing fixed rate debt where any changes in interest rates will affect future cash flows or the fair values of financial instruments. The policy on interest rate risk management limits the net amount of floating rate debt to a specific cap, reviewed and agreed no less than annually by the Board. The majority of debt is issued at fixed interest rates and changes in the floating rates of interest do not significantly affect the Group’s net interest charge. This includes some borrowings for which interest rate swaps are in place which removes the impact of the associated periodic repricing. Short-term borrowings including bank facilities are exposed to the risk of future changes in market interest rate as are the majority of cash and liquid investments.

Interest rate benchmark reform

‘Interest rate benchmark reform – Amendments to IFRS 9, IAS 39, IFRS 4, IFRS 7 and IFRS 16’ Phase I and Phase II were issued by the IASB in September 2019 and August 2020, and adopted by the UK Endorsement Board on 5 January 2021. Phase I of the amendment modifies specific hedge accounting requirements to allow hedge accounting to continue for affected hedges during the period of uncertainty before the hedged items or hedging instruments affected by the current interest rate benchmarks are amended as a result of the ongoing interest rate benchmark reforms. Phase II also provides that, for financial instruments measured using amortised cost measurement, changes to the basis for determining the contractual cash flows required by interest rate benchmark reform should be reflected by adjusting their effective interest rate and no immediate gain or loss should be recognised.

The Group has closely monitored the market and the output from the various industry working groups managing the transition to new benchmark interest rates. This includes announcements made by LIBOR regulators, including the Financial Conduct Authority (FCA) and the US Commodity Futures Trading Commission, regarding the transition away from LIBOR (including GBP LIBOR, USD LIBOR and EURIBOR) to the Sterling Overnight Index Average Rate (SONIA), the Secured Overnight Financing Rate (SOFR), and the Euro Short-Term Rate (€STR) respectively. At 31 December 2021, the Group was not directly exposed to interest rate benchmark reform as it held no interest rate derivatives or floating rate debt that referenced to LIBOR. The Group did not transition any material derivatives or floating rate debt into a new index as all of the instruments referencing LIBOR matured before December 2021.

Foreign exchange risk management

The Group’s objective is to minimise the exposure of overseas operating subsidiaries to transaction risk by matching local currency income with local currency costs where possible. Foreign currency transaction exposures arising on external and internal trade flows are selectively hedged. GSK’s internal trading transactions are matched centrally and inter-company payment terms are managed to reduce foreign currency risk. Where possible, GSK manages the cash surpluses or borrowing requirements of subsidiary companies centrally using forward contracts to hedge future repayments back into the originating currency. In order to reduce foreign currency translation exposure, the Group seeks to denominate borrowings in the currencies of our principal assets and cash flows. These are primarily denominated in US Dollars, Euros and Sterling. Borrowings can be swapped into other currencies as required. Borrowings denominated in, or swapped into, foreign currencies that match investments in overseas Group assets may be treated as a hedge against the relevant assets. Forward contracts in major currencies are also used to reduce exposure to the Group’s investment in overseas assets (see ‘Net investment hedges’ section of this note for further details).

Credit risk

Credit risk is the risk that a counterparty will default on its contractual obligations resulting in financial loss to the Group and arises on cash and cash equivalents and favourable derivative financial instruments held with banks and financial institutions as well as credit exposures to wholesale and retail customers, including outstanding receivables. The Group considers its maximum credit risk at 31 December 2021 to be £11,417 million (31 December 2020 – £12,572 million) which is the total of the Group’s financial assets with the exception of ’Other investments’ (comprising equity investments) which bear equity risk rather than credit risk. See page 232 for details on the Group’s total financial assets. At 31 December 2021, GSK’s greatest concentration of credit risk was £0.9 billion with a wholesaler in the US (2020 - £1.4 billion with Legal and General Investment Management Class 4 GBP liquidity fund (AAA/Aaa)). See page 230 for further information on the Group’s credit risk exposure in respect of the three largest US wholesaler customers. There has been no change in the estimation techniques or significant assumptions made during the current reporting period in assessing the loss allowance for financial assets at amortised cost or at FVTOCI since the adoption of IFRS 9 at the start of the 2018 reporting period.

Treasury-related credit risk

GSK sets global counterparty limits for each of GSK’s banking and investment counterparties based on long-term credit ratings from Moody’s and Standard and Poor’s. Usage of these limits is actively monitored. GSK actively manages its exposure to credit risk, reducing surplus cash balances wherever possible. This is part of GSK’s strategy to regionalise cash management and to concentrate cash centrally as much as possible. The table below sets out the credit exposure to counterparties by rating for liquid investments, cash and cash equivalents and derivatives. The gross asset position on each derivative contract is considered for the purpose of this table, although, under ISDA agreements, the amount at risk is the net position with each counterparty. Table (e) on page 240 sets out the Group’s financial assets and liabilities on an offset basis.

GSK’s centrally managed cash reserves amounted to £2.9 billion at 31 December 2021, all available within three months. This includes £1.7 billion of cash managed by the Group for ViiV Healthcare, a 78.3% owned subsidiary and £0.7 billion of cash managed by the Group for GSK Consumer Healthcare, a 68% owned subsidiary. The Group has invested centrally managed liquid assets in bank deposits, AAA/AAA rated US Treasury and Treasury repo only money market funds and Aaa/AAA rated liquidity funds.

Wholesale and retail credit risk

Outside the US, no customer accounts for more than 5% of the Group’s trade receivables balance.In the US, in line with other pharmaceutical companies, the Group sells its products through a small number of wholesalers in addition to hospitals, pharmacies, physicians and other groups. Sales to the three largest wholesalers amounted to approximately 75% (2020 – 79%) of the sales of the US Pharmaceuticals and Vaccines businesses in 2021. At 31 December 2021, the Group had trade receivables due from these three wholesalers totalling £2,430 million or 39% of total trade receivables (2020 – £2,362 million or 43%). The Group is exposed to a concentration of credit risk in respect of these wholesalers such that, if one or more of them encounters financial difficulty, it could materially and adversely affect the Group’s financial results. The Group’s credit risk monitoring activities relating to these wholesalers include a review of their quarterly financial information and Standard & Poor’s credit ratings, development of GSK internal risk ratings, and establishment and periodic review of credit limits. All new customers are subject to a credit vetting process and existing customers will be subject to a review at least annually. The vetting process and subsequent reviews involve obtaining information including the customer’s status as a government or private sector entity, audited financial statements, credit bureau reports, debt rating agency (e.g. Moody’s, Standard & Poor’s) reports, payment performance history (from trade references, industry credit groups) and bank references.

Financial instruments and related disclosures continued

At 31 December 2021, £54 million (2020 – £47 million) of cash is categorised as held with unrated or sub-investment grade rated counterparties (lower than BBB-/Baa3) of which £7 million (2020 – £1 million) is cash in transit. The remaining exposure is concentrated in overseas banks used for local cash management or investment purposes, including: £19 million in Nigeria held with United Bank for Africa, Zenith Bank, Access Bank and Stanbic IBTC Bank; £14 million with Halk Bank in the UK; £2 million with BT V in Austria; £2 million in Argentina held with Banco de la Nacion and Banco de la Provincia; £2 million with JT Trust Royal Bank in Cambodia; £1 million with Producbanco in Ecuador; £1 million with Banco Central de Honduras in Honduras; £1 million with BAC José in Panama and £1 million with Banco Popular in Puerto Rico. Of the £77 million of bank balances and deposits held with BBB/Baa rated counterparties, £25 million was held with BBB-/Baa3 rated counterparties, including balances or deposits of £24 million with HDFC Bank in India. These banks are used for local investment purposes.

GSK measures expected credit losses over cash and cash equivalents as a function of individual counterparty credit ratings and associated 12 month default rates. Expected credit losses over cash and cash equivalents and third-party financial derivatives are deemed to be immaterial and no such loss has been experienced during 2021. Credit ratings are assigned by Standard & Poor’s and Moody’s respectively. Where the opinions of the two rating agencies differ, GSK assigns the lower rating of the two to the counterparty. Where local rating agency or Fitch data is the only source available, the ratings are converted to global ratings equivalent to those of Standard & Poor’s or Moody’s using published conversion tables. These credit ratings form the basis of the assessment of the expected credit loss on Treasury-related balances held at amortised cost being bank balances and deposits and Government securities.

	AAA/Aaa £m	AA/Aa £m	A/A £m	BBB/Baa £m	BB+/Ba1 and below /unrated £m	Total £m
2021
Bank balances and deposits	–	7	2,687	77	54	2,825
US Treasury and Treasury repo only money market funds	54	–	–	–	–	54
Liquidity funds	1,395	–	–	–	–	1,395
Government securities	–	60	–	1	–	61
3rd party financial derivatives	–	–	200	–	–	200
Total	1,449	67	2,887	78	54	4,535

	AAA/Aaa £m	AA/Aa £m	A/A £m	BBB/Baa £m	BB+/Ba1 and below /unrated £m	Total £m
2020
Bank balances and deposits	–	10	2,575	368	47	3,000
US Treasury and Treasury repo only money market funds	317	–	–	–	–	317
Liquidity funds	2,975	–	–	–	–	2,975
Government securities	–	77	–	1	–	78
3rd party financial derivatives	–	–	134	12	–	146
Total	3,292	87	2,709	381	47	6,516

GSK Annual Report 2021 231

Notes to the financial statements continued

Strategic report
Governance and remuneration
Financial statements
Investor information

Trade receivables consist of amounts due from a large number of customers, spread across diverse industries and geographical areas. Ongoing credit evaluation is performed on the financial condition of accounts receivable and, where appropriate, credit insurance is purchased or factoring arrangements put in place. The amount of information obtained is proportional to the level of exposure being considered. The information is evaluated quantitatively (i.e. credit score) and qualitatively (i.e. judgement) in conjunction with the customer’s credit requirements to determine a credit limit. Trade receivables are grouped into customer segments that have similar loss patterns to assess credit risk while other receivables and other financial assets are assessed individually. Historical and forward-looking information is considered to determine the appropriate expected credit loss allowance. The Group believes there is no further credit risk provision required in excess of the allowance for expected credit losses (see Note 25, ‘Trade and other receivables’).

Credit enhancements
The Group uses credit enhancements including factoring and credit insurance to minimise the credit risk of the trade receivables in the Group. At 31 December 2021, £315 million (2020 – £386 million) of trade receivables were insured in order to protect the receivables from loss due to credit risks such as default, insolvency and bankruptcy. Each Group entity assesses the credit risk of its private customers to determine if credit insurance is required. Factoring arrangements are managed locally by entities and are used to mitigate risk arising from large credit risk concentrations. All factoring arrangements are non-recourse.

Fair value of financial assets and liabilities excluding lease liabilities

The table on page 232 presents the carrying amounts and the fair values of the Group’s financial assets and liabilities excluding lease liabilities at 31 December 2021 and 31 December 2020. The fair values of the financial assets and liabilities are included at the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.

The following methods and assumptions are used to measure the fair values of significant financial instruments carried at fair value on the balance sheet:
– Other investments – equity investments traded in an active market determined by reference to the relevant stock exchange quoted bid price; other equity investments determined by reference to the current market value of similar instruments, recent financing rounds or the discounted cash flows of the underlying net assets
– Trade receivables carried at fair value – based on invoiced amount
– Interest rate swaps, foreign exchange forward contracts, swaps and options – based on the present value of contractual cash flows or option valuation models using market sourced data (exchange rates or interest rates) at the balance sheet date
– Cash and cash equivalents carried at fair value – based on net asset value of the funds
– Contingent consideration for business acquisitions and divestments – based on present values of expected future cash flows.

The following methods and assumptions are used to estimate the fair values of significant financial instruments which are not measured at fair value on the balance sheet:
– Receivables and payables, including put options, carried at amortised cost – approximates to the carrying amount
– Liquid investments – approximates to the carrying amount
– Cash and cash equivalents carried at amortised cost – approximates to the carrying amount
– Long-term loans – based on quoted market prices (a level 1 fair value measurement) in the case of European and US Medium Term Notes; approximates to the carrying amount in the case of other fixed rate borrowings and floating rate bank loans
– Short-term loans, overdrafts and commercial paper – approximates to the carrying amount because of the short maturity of these instruments.

43.# Notes to the financial statements

43. Financial instruments and related disclosures continued

The following table presents the carrying value and fair value of financial assets and liabilities at 31 December 2021 and 2020.

	2021	2020
	Carrying value £m	Fair value £m
Financial assets measured at amortised cost:
Other non-current assets^b	21	21
Trade and other receivables^b	4,830	4,830
Liquid investments	61	61
Cash and cash equivalents	2,825	2,825
Financial assets measured at fair value through other comprehensive income (FVTOCI):
Other investments designated at FVTOCI^a	1,927	1,927
Trade and other receivables^a,b	1,943	1,943
Financial assets mandatorily measured at fair value through profit or loss (FVTPL):
Other investments^a	19	19
Other non-current assets^a,b	23	23
Trade and other receivables^a,b	59	59
Held for trading derivatives that are not in a designated and effective hedging relationship^a,d,e	83	83
Cash and cash equivalents^a	1,449	1,449
Derivatives designated and effective as hedging instruments (fair value movements through Other comprehensive income)^a,d,e	123	123
Total financial assets	13,543	13,543

Financial liabilities measured at amortised cost:
Borrowings excluding obligations under lease liabilities:
– bonds in a designated hedging relationship^d	(4,982)	(5,311)
– other bonds	(17,373)	(20,746)
– bank loans and overdrafts	(550)	(550)
– commercial paper	(252)	(252)
– other borrowings	(1)	(1)
Total borrowings excluding lease liabilities	(23,158)	(26,860)
Trade and other payables^c	(15,431)	(15,431)
Other provisions^c	(113)	(113)
Other non-current liabilities^c	(52)	(52)
Financial liabilities mandatorily measured at fair value through profit or loss (FVTPL):
Contingent consideration liabilities^a,c	(6,076)	(6,076)
Held for trading derivatives that are not in a designated and effective hedging relationship^a,d,e	(171)	(171)
Derivatives designated and effective as hedging instruments (fair value movements through Other comprehensive income)^a,d,e	(57)	(57)
Total financial liabilities excluding lease liabilities	(45,058)	(48,760)
Net financial assets and financial liabilities excluding lease liabilities	(31,515)	(35,217)

The valuation methodology used to measure fair value in the above table is described and categorised on page 231. Trade and other receivables, Other non-current assets, Trade and other payables, Other provisions, Contingent consideration liabilities and Other non-current liabilities are reconciled to the relevant Notes on pages 234 and 235.

43. Financial instruments and related disclosures continued

Fair value of investments in GSK shares

At 31 December 2021, the Employee Share Ownership Plan (ESOP) Trusts held GSK shares with a carrying value of £28 million (2020 – £195 million) and a market value of £373 million (2020 – £657 million) based on quoted market price. The shares are held by the ESOP Trusts to satisfy future exercises of options and awards under employee incentive schemes. In 2021, the carrying value, which is the lower of cost or expected proceeds, of these shares has been recognised as a deduction from other reserves.

At 31 December 2021, GSK held Treasury shares at a cost of £4,969 million (2020 – £4,969 million) which has been deducted from retained earnings.

(a) Financial instruments held at fair value

The following tables categorise the Group’s financial assets and liabilities held at fair value by the valuation methodology applied in determining their fair value. Where possible, quoted prices in active markets are used (Level 1). Where such prices are not available, the asset or liability is classified as Level 2, provided all significant inputs to the valuation model used are based on observable market data. If one or more of the significant inputs to the valuation model is not based on observable market data, the instrument is classified as Level 3. Other investments classified as Level 3 in the tables below comprise equity investments in unlisted entities with which the Group has entered into research collaborations and also investments in emerging life science companies.

At 31 December 2021

	Level 1 £m	Level 2 £m	Level 3 £m	Total £m
Financial assets at fair value
Financial assets measured at fair value through other comprehensive income (FVTOCI):
Other investments designated at FVTOCI	1,736	–	191	1,927
Trade and other receivables	–	1,943	–	1,943
Financial assets mandatorily measured at fair value through profit or loss (FVTPL):
Other investments	–	–	19	19
Other non-current assets	–	–	23	23
Trade and other receivables	–	59	–	59
Held for trading derivatives that are not in a designated and effective hedging relationship	–	77	6	83
Cash and cash equivalents	1,449	–	–	1,449
Derivatives designated and effective as hedging instruments (fair value movements through OCI)	–	123	–	123
Total	3,185	2,202	419	5,806

Financial liabilities at fair value
Financial liabilities mandatorily measured at fair value through profit or loss (FVTPL):
Contingent consideration liabilities	–	–	(6,076)	(6,076)
Held for trading derivatives that are not in a designated and effective hedging relationship	–	(171)	–	(171)
Derivatives designated and effective as hedging instruments (fair value movements through OCI)	–	(57)	–	(57)
Total	–	(228)	(6,076)	(6,304)

At 31 December 2020

	Level 1 £m	Level 2 £m	Level 3 £m	Total £m
Financial assets at fair value
Financial assets measured at fair value through other comprehensive income (FVTOCI):
Other investments designated at FVTOCI	2,281	–	658	2,939
Trade and other receivables	–	1,942	–	1,942
Financial assets mandatorily measured at fair value through profit or loss (FVTPL):
Other investments	–	–	121	121
Other non-current assets	–	–	30	30
Trade and other receivables	–	46	–	46
Held for trading derivatives that are not in a designated and effective hedging relationship	–	63	5	68
Cash and cash equivalents	3,292	–	–	3,292
Derivatives designated and effective as hedging instruments (fair value movements through OCI)	–	89	–	89
Total	5,573	2,140	814	8,527

Financial liabilities at fair value
Financial liabilities mandatorily measured at fair value through profit or loss (FVTPL):
Contingent consideration liabilities	–	–	(5,869)	(5,869)
Held for trading derivatives that are not in a designated and effective hedging relationship	–	(191)	(9)	(200)
Derivatives designated and effective as hedging instruments (fair value movements through OCI)	–	(31)	–	(31)
Total	–	(222)	(5,878)	(6,100)

Movements in the year for financial instruments measured using Level 3 valuation methods are presented below:

	2021 £m	2020 £m
At 1 January	(5,064)	(4,722)
Net losses recognised in the income statement	(1,024)	(1,269)
Net gains recognised in other comprehensive income	18	160
Settlement of contingent consideration liabilities	856	885
Additions	99	126
Disposals and settlements	(19)	(172)
Transfers from Level 3	(694)	(72)
At 31 December	(5,657)	(5,064)

Net losses of £1,024 million (2020 – £1,269 million) attributable to Level 3 financial instruments which were recognised in the income statement were all in respect of financial instruments which were held at the end of the year and were reported in Other operating income. Charges of £1,026 million (2020 – £1,114 million) arose from remeasurement of the contingent consideration payable for the acquisition of the former Shionogi-ViiV Healthcare joint venture and £32 million (2020 – £161 million) arose from remeasurement of the contingent consideration payable for the acquisition of the Novartis Vaccines business. Net gains of £195 million (2020 – net gains of £39 million) attributable to Level 3 financial instruments reported in Other comprehensive income as Fair value movements on equity investments arose prior to transfer from Level 3 on equity investments which transferred to a Level 1 valuation methodology as a result of listing on a recognised stock exchange during the year. Net gains and losses include the impact of exchange movements.

Financial liabilities measured using Level 3 valuation methods at 31 December included £5,559 million (2020 – £5,359 million) in respect of contingent consideration payable for the acquisition in 2012 of the former Shionogi-ViiV Healthcare joint venture. This consideration is expected to be paid over a number of years and will vary in line with the future performance of specified products and movements in certain foreign currencies. They also included £479 million (2020 – £477 million) in respect of contingent consideration for the acquisition in 2015 of the Novartis Vaccines business. This consideration is expected to be paid over a number of years and will vary in line with the future performance of specified products, the achievement of certain milestone targets and movements in certain foreign currencies.Sensitivi ty an alysi s on the se bal ance s is provi ded in N ote 32, ‘C onting ent consideration liabilit ies’ .

(b) T rade and other rece ivables and O the r non- curren t asset s in scope of I FRS 9

Th e followi ng tab le rec oncil es ﬁna ncia l instr uments w ithin T rad e and othe r rec eivabl es and O ther n on-c urren t ass ets whi ch fall wit hin the s cope of I FR S 9 to the relev ant bal ance s heet am ounts . The ﬁ nanci al as sets ar e pred omina ntly non -inter est ea rning . Non-ﬁnancial instruments include tax receivables, pension surplus balances and prepa yments, which are outside t he scope of IF RS 9.

| | 2021 | 2020 |
| :--- | :---: | :---: | :---: | :---: | :---: | :---: |
| | At FVTP L £m | At FVT OCI £m | Amortised cost £m | Financial instruments £m | Non- ﬁnancial instruments £m | T otal £m | At FVTP L £m | At FVT OCI £m | Amortised cost £m | Financial instruments £m | Non- ﬁnancial instruments £m | T otal £m |
| T rade and other receivables (Note 25) | 59 | 1,943 | 4,830 | 6,832 | 1,028 | 7,860 | 46 | 1,942 | 3,990 | 5,978 | 974 | 6,952 |
| Other non-current assets (Note 23) | 23 | – | 21 | 44 | 1,632 | 1,676 | 30 | – | 37 | 67 | 1,041 | 1,108 |
| T otal | 82 | 1,943 | 4,851 | 6,876 | 2,660 | 9,536 | 76 | 1,942 | 4,027 | 6,045 | 1,948 | 7,993 |

T rade an d other re cei vable s inclu de trad e rece ivabl es of £6,246 milli on ( 2020 – £5,549 mi llion). The G roup ha s por t folios i n each of the t hree bu sine ss mod els und er IF RS 9: £59 m illion (2020 – £46 milli on ), mea sure d at F VT PL , is he ld to sell th e contr actu al ca sh ﬂows a s the re ceiv able s will be s old und er a facto ring ar rang ement , £1,943 m illion (2020 – £1,942 mill ion ), mea sure d at F VTOCI , is he ld to eith er coll ect or s ell the c ontra ctual c ash ﬂ ows as th e rece ivabl es may be s old und er a facto ring ag reeme nt, and £4,244 mill ion (2020 – £3,561 millio n ), meas ured at a mor tise d cost , is hel d to colle ct th e c ontra ctual c ash ﬂ ows and th ere is no fa ctorin g agree ment in p lace.

Financial instruments and related disclosur es continued
GS K Ann ual R epor t 2021 235
Notes to the ﬁnancial statements continued
Strategic report
Governance and remuneration
Financial statements
Investor information

( c ) T rade and oth er payables , Ot her provisi ons, C ontin gent cons iderat ion liabi lities a nd Ot her non -curr ent liab ilities i n scope of I FRS 9

The follo wing table reconciles ﬁnancial instrument s within T rade and other pay ables, Other provisions, Contingent considerat ion lia biliti es and O ther n on-c urren t liabi litie s which f all wi thin the s cope o f IFR S 9 to the rel evant bal ance s heet a mounts . The ﬁ nanci al liabilities are predominantly non-int erest bearing. Non-ﬁnancial inst ruments incl ude pa yments on account, tax and social security payables and pro visions which do not arise from contractual obliga tions to deliver cash or another ﬁnancial asset, which are outside the s cope of I FR S 9.

| | 2021 | 2020 |
| :--- | :---: | :---: | :---: | :---: | :---: | :---: |
| | At FVTP L £m | Amortised cost £m | Financial instruments £m | Non- ﬁnancial instruments £m | T otal £m | At FVTP L £m | Amortised cost £m | Financial instruments £m | Non- ﬁnancial instruments £m | T otal £m |
| T rade and other payables (Note 28) | – | (15,431) | (15,431) | (2,123) | (17,554) | – | (13,748) | (13,748) | (2,092) | (15,840) |
| Other provisions (Note 31) | – | (113) | (113) | (1,358) | (1,471) | – | (232) | (232) | (1,527) | (1,759) |
| Contingent consideration liabilities (Note 32) | (6,076) | – | (6,076) | – | (6,076) | (5,869) | – | (5,869) | – | (5,869) |
| Other non-current liabilities (Note 33) | – | (52) | (52) | (869) | (921) | – | (72) | (72) | (731) | (803) |
| T otal | (6,076) | (15,596) | (21,672) | (4,350) | (26,022) | (5,869) | (14,052) | (19,921) | (4,350) | (24,271) |

( d) Deri v ati v e ﬁnan cial ins trumen ts and h edging pro gramme s

De rivati ves are o nly use d for ec onomi c hedgi ng purp oses a nd not a s specu lative inve stme nts and a re cla ssi ﬁed a s ‘held f or tradi ng’ , othe r than de sign ated and ef fec tive he dging i nstru ments , and ar e pres ented a s curre nt as sets or li abili ties i f they are ex pec ted to be set tled w ithin 12 month s afte r the end of t he repo rt ing per iod, ot her wis e they are c las siﬁe d as no n-cur rent . The Gr oup ha s the follo wing deriva tive ﬁnancial instrume nts :

	2021	2020
	Assets £m	Liabilities £m
Non-current
Cash ﬂow hedges – Interest rate swap contracts (principal amount – £1,996 million (2020 – £nil))	12	(1)
Current
Cash ﬂow hedges – Interest rate swap contracts (principal amount – £nil (2020 – £899 million))	–	–
Net investment hedges – Cross currency swaps (principal amount – £nil (2020 – £549 million))	–	–
Cash ﬂow hedges – Foreign exc hange contracts (principal amount – £160 million (2020 – £24 million))	–	(3)
Net investment hedges – Foreign exc hange contracts (principal amount – £5,469 million (2020 – £11,193 million))	111	(53)
Derivatives designated and effective as hedging instruments	12	-57
Non-current
Embedded and other derivatives	6	–
Current
Foreign exc hange contracts (principal amount – £9,728 million (2020 – £13,563 million))	77	(169)
Embedded and other derivatives	–	(2)
Derivatives classiﬁed as held for trading	83	-171
T otal derivative instruments	206	-228

Fair value hedges

At 31 December 2021 and 31 December 2020, the Gro up had no d esign ated fai r value he dges.

Financial instruments and related disclosur es continued
23 6 GS K Ann ual R epor t 2021
Notes to the ﬁnancial statements continued

Net in vestment hedges

At 31 December 2021, cer tain f oreign exchan ge cont racts we re des ignate d as net inve stment hedg es in re spec t of the for eign cur rency t rans lation r isk ar ising o n cons olidat ion of the G roup’s net inve stmen t in its Eur opea n (Euro) and Ja pane se (JP Y) fo reign ope ratio ns as sh own in the t able a bove. Th e carr yi ng value o f bonds o n page 232 inc lude d £4,982 mill ion (2020 – £7,681 milli on ) that we re des ignate d as hedg ing ins trume nts in net i nvestm ent hed ges.

C ash ﬂow hedg es

Dur ing 2018 - 2021, the Gro up entere d into for war d foreig n exchan ge cont ract s which h ave been de sign ated as c ash ﬂ ow hedge s. Th ese wer e entere d into to hedg e the fore ign exch ange ex posur e aris ing on c ash ﬂ ows from E uro deno minated c oupo n paymen ts rel ating to note s issu ed unde r the Gr oup’ s Euro pean M ediu m T er m Note pro gram me, on th e buyout o f Novar tis’ non -cont rollin g intere st in the C ons umer He althc are J oint V enture i n 2018, on the di vestm ent of Ho rlick s and oth er nutri tion br ands whi ch took pl ace in 2020 a nd on reﬁ nanc ing exi sting de bt matur ities . Th e Group m anage s its c ash ﬂow i nteres t rate ri sk by usin g ﬂoatin g-to-ﬁ xed inter est ra te swaps . In add ition , the Gro up car rie s a balance in reserves that arose from pre-hedgin g ﬂuctuat ions in long- ter m in terest rat es when pricing bonds issued in prior years in the c urren t year, and in the f uture . The ba lanc e is rec lass iﬁe d to ﬁnan ce cos ts over the l ife of th ese bon ds.

Foreign ex change risk

In th e curr ent year, the G roup ha s desi gnated c er tain fo reign e xchang e for ward c ontrac ts and sw aps as c ash ﬂ ow and net inves tment h edge s. Fo reign exc hang e deri vative ﬁnancia l ass ets and l iabil ities a re pre sented i n the line ‘ Derivati ve ﬁnanc ial ins trume nts’ ( eithe r as as sets o r liabi litie s ) on the C onsol idated b alanc e she et. Th e fol lowi ng ta ble s de tai l the f ore ign ex cha nge for war d contr acts a nd swaps o utst anding a t the end of t he repo rti ng per iod, a s well as i nform ation on t he rela t ed he dged i tems. He dge ef fect ivene ss is de termin ed at the in cepti on of the h edge re lation ship, an d throu gh peri odic pr ospe ctive e ffe ctiven ess as ses smen ts to ensur e that an e conom ic rel ations hip exis ts bet ween th e hedge d item an d hedgi ng instr umen t. The G roup en ters into he dge re lation ships w here th e criti cal te rms of th e hedgi ng instr ument m atch exac tly wit h the term s of the he dged ite m, and s o a qua litati ve as sess ment of e ffe ctive ness i s per for med. I f chan ges in c ircum stan ces af fec t the term s of the he dged ite m such th at the c ritic al ter ms no long er match ex actly w ith the c ritic al ter ms of the he dging i nstru ment , the Gro up use s the hypot hetic al der ivative m ethod to a sse ss ef fec tivene ss. Th e main so urce of h edge i nef fecti venes s in the se hed ging rel ations hips i s the ef fect o f the cou nterpa rt y and th e Group’s own cre dit ri sk on the f air valu e of the for eign exc hange fo rwa rd co ntrac ts and swa ps, w hich is n ot reﬂe cted in th e fair va lue of the hed ged ite m attri buta ble to cha nges i n foreig n exchan ge rates a nd inef fec tivenes s o n rollin g the ca sh ﬂow he dges o f the dive stme nts ment ioned a bove. No o ther so urce s of inef fec tivene ss em erged f rom the se hed ging re lation ships . Ine ffe ctive ness to be re cord ed fro m cas h ﬂow hed ges am ounted to £nil in 202 1 (2020 – gain of £7 mil lion). No ine ffe ctive ness wa s rec orde d from net inve stme nt hedg es (2020 – £nil). In clude d in the 2020 ta ble be low unde r ‘Bo rrowin gs’ are bo nds wi th notio nal valu e of US $750 milli on that h a ve bee n swapp ed to ﬁxe d intere st rate EU R debt w ith a cro ss cur rency i ntere st rate swap .

	Average exchange rate	Foreign currency	Notional value £m	Carrying value £m	Periodic change in value for calculating hedge ineffectiveness £m
2021
Cash ﬂow hedges
Foreign exc hange contracts
Buy foreign currency: Less than 3 months	1.32	USD	89	(2)	–
3 to 6 months	1.17	EUR	48	(1)	(1)
Over 6 months	1.17	EUR	23	–	–
			160	(3)	(1)

43.# Financial instruments and related disclosures continued

2021 Hedging instruments

Foreign currency	Notional value £m	Carrying value £m	Periodic change in value for calculating hedge ineffectiveness £m
Net investment hedges
Foreign exchange contracts Sell foreign currency:
Less than 3 months EUR	5,348	58	578
SGD	–	–	55
JPY	121	–	15
Borrowings
Less than 3 months EUR	252	(252)	11
Over 6 months EUR	4,998	(4,982)	459
Total	10,719	(5,176)	1,118

2021 Hedged items

	Periodic change in value for calculating hedge ineffectiveness £m	Cumulative balance in cash flow hedge reserve/foreign currency translation reserve for continuing hedges £m
Cash flow hedges
Variability in cash flows from foreign exchange exposure arising on Euro denominated coupon payments relating to debt issued	1	(1)
Net investment hedges
Net investment in foreign operations	(1,117)	(873)

2020 Hedging instruments

Average exchange rate	Foreign currency	Notional value £m	Carrying value £m	Periodic change in value for calculating hedge ineffectiveness £m
Cash flow hedges
Foreign exchange contracts Buy foreign currency:
3 to 6 months	1.12 EUR	24	0.1	–
	24	0.1	–
2020 Hedging instruments
Average exchange rate	Foreign currency	Notional value £m	Carrying value £m	Periodic change in value for calculating hedge ineffectiveness £m
Net investment hedges
Foreign exchange contracts Sell foreign currency:
Less than 3 months	1.10 EUR	9,663	60	(370)
Less than 3 months	1.79 SGD	1,387	13	32
Less than 3 months	13.9.41 JPY	143	4	(30)
Borrowings (including cross currency interest rate swaps):
3 to 6 months EUR		549	(550)	(34)
Over 6 months EUR		7,117	(7,131)	(501)
Total		18,859	(7,604)	(903)

2020 Hedged items

	Periodic change in value for calculating hedge ineffectiveness £m	Cumulative balance in cash flow hedge reserve/foreign currency translation reserve for continuing hedges £m
Cash flow hedges
Variability in cash flows from a highly probable forecast transaction	–	–
Variability in cash flows from foreign exchange exposure arising on Euro denominated coupon payments relating to debt issued	–	–
Net investment hedges
Net investment in foreign operations	903	(1,983)

£19 million (2020 – £19 million) of balances in the cash flow hedge reserve arise from hedging relationships for which hedge accounting is no longer applied. The following table details the effectiveness of the hedging relationships and the amounts reclassified from the hedging reserve to profit or loss:

2021

	Amount reclassified to profit or loss	Hedging gains/(losses) recognised in reserves £m	Amount of hedge ineffectiveness gains/(losses) recognised in profit or loss £m	Line item in profit or loss in which hedge ineffectiveness is included	Hedged future cash flows no longer expected to occur £m	As hedged item affects profit or loss £m	Line item in which reclassification adjustment is included
Cash flow hedges
Variability in cash flows from a highly probable forecast transaction	7	–	(7)	Other operating income/ (expense)	–	(7)	Other operating income/ (expense)
Variability in cash flows from foreign exchange exposure arising on Euro denominated coupon payments relating to debt issued	(1)	–	–	Finance income/ (expense)	–	–	Finance income/ (expense)
Net investment hedges
Net investment in foreign operations	1,117	–	(7)	Finance income/ (expense)	–	(7)	Finance income/ (expense)

The following table details the effectiveness of the hedging relationships and the amounts reclassified from the hedging reserve to profit or loss:

2020

	Amount reclassified to profit or loss	Hedging gains/(losses) recognised in reserves £m	Amount of hedge ineffectiveness gains/(losses) recognised in profit or loss £m	Line item in profit or loss in which hedge ineffectiveness is included	Hedged future cash flows no longer expected to occur £m	As hedged item affects profit or loss £m
Cash flow hedges
Variability in cash flows from a highly probable forecast transaction	(15)	7	Other operating income/ (expense)	–	51	Other operating income/ (expense)
Variability in cash flows from foreign exchange exposure arising on Euro denominated coupon payments relating to debt issued	–	–	Finance income/ (expense)	–	–	Finance income/ (expense)
Net investment hedges
Net investment in foreign operations	(903)	–	Finance income/ (expense)	–	–	Finance income/ (expense)

Interest rate risk

The Group manages its cash flow interest rate risk by using floating-to-fixed interest rate swaps, where at quarterly intervals the difference between fixed contract rates and floating rate interest amounts calculated by reference to the agreed notional principal amounts are exchanged. There are none of these swaps outstanding as 31 December 2021, however, the interest rate risk on an element of future debt issuance has been managed by entering into forwards starting interest rate swaps, effectively to lock in the interest rates on the debt in advance. These will be closed out at the time of issuing the debt, and the resulting gain or loss held in OCI and recycled to income statement as the interest payments on the debt impact the income statement.

Forward starting interest rate swaps

The forward starting interest rate contracts, exchanging floating interest for fixed interest, have been designated as cash flow hedges to hedge the interest variability of the interest cash flows associated with the future fixed rate debt.

Interest rate swaps

The interest rate swap contracts, exchanging floating rate interest for fixed interest, have been designated as cash flow hedges to hedge the variability of the interest cash flows associated with floating rate debt relating to notes issued under the Group’s European Medium Term Note programme. The interest rate swaps and the interest payments on the loan occur simultaneously and the amount accumulated in equity is reclassified to profit or loss over the period that the floating rate interest payments affect profit or loss. The critical terms of the interest rate swap and forward starting interest rate swap contracts and their corresponding hedged items are materially the same. A qualitative assessment of effectiveness is performed and it is expected that the value of the interest rate swap contracts and the value of the corresponding hedged items will systematically change in opposite directions in response to movements in the underlying interest rates. The main sources of ineffectiveness in these hedge relationships are the effects of the Group’s own credit risk on the fair value of the interest rate swap contracts, which are not reflected in the fair value of the hedged item attributable to the change in interest rates. No other material sources of ineffectiveness emerged from these hedging relationships. The following tables provide information regarding interest rate swap and forward starting interest rate swap contracts outstanding and the related hedged items at 31 December 2021 and 31 December 2020. Interest rate swap contract assets and liabilities are presented in the line ‘Derivative financial instruments’ (either as assets or liabilities) on the Consolidated balance sheet.

2021 Hedging instruments

	Average contracted fixed rate %	Notional principal value £m	Change in fair value for recognising hedge ineffectiveness £m	Fair value assets/ (liabilities) £m
5-10 years	1.1038	668	4	4
10-30 years	1.3385	935	3	3
More than 30 years	1.4515	3	93	4

2021 Hedged items

	Change in value used for calculating hedge ineffectiveness £m	Balance in cash flow hedge reserve for continuing hedges after tax £m
Pre-hedging of long-term interest rate	(11)	(8)

£11 million (2020 – £11 million) of balances in the cash flow hedge reserve arise from hedge relationships for which hedge accounting is no longer applied.

2020 Hedging instruments

	Average contracted fixed rate %	Notional principal value £m	Change in fair value for recognising hedge ineffectiveness £m	Fair value assets/ (liabilities) £m
Less than 1 year	0.17	1,449	3	(19)
1 to 2 years	–	–	–	–

2020 Hedged items

	Change in value used for calculating hedge ineffectiveness £m	Balance in cash flow hedge reserve for continuing hedges after tax £m
Variable rate borrowings	(3)	1

The following table details the effectiveness of the hedging relationships and the amounts reclassified from the hedging reserve to profit or loss:

	2021 Amount reclassified to profit or loss			2021 Hedging gains/(losses) recognised in reserves £m	Amount of hedge ineffectiveness recognised in profit or loss £m	Line item in profit or loss in which hedge ineffectiveness is included
Cash flow hedges
Variability in cash flows	(11)	–	Finance income/(expense)	–	17	Finance income/(expense)
Pre-hedging of long-term interest rates: Matured in the past	–	–	Finance income/(expense)	–	2	Finance income/(expense)
5-10 years	4	–	–	–	–
10-30 years	3	–	–	–	–
>30 years	4	–	–	–	–

	2020 Amount reclassified to profit or loss			2020 Hedging gains/(losses) recognised in reserves £m	Amount of hedge ineffectiveness recognised in profit or loss £m	Line item in profit or loss in which hedge ineffectiveness is included
Cash flow hedges
Variability in cash flows	3	–	Finance income/(expense)	–	–	Finance income/(expense)
Pre-hedging of long-term interest rates	(7)	–	Finance income/(expense)	–	3	Finance income/(expense)

(e) Offsetting of financial assets and liabilities

Financial assets and liabilities are offset and the net amount reported in the balance sheet where there is a legally enforceable right to offset the recognised amounts, and there is an intention to settle on a net basis or realise the asset and settle the liability simultaneously. There are also arrangements that do not meet the criteria for offsetting but still allow for the related amounts to be offset in certain circumstances, such as bankruptcy or the termination of a contract. The following tables set out the financial assets and liabilities that are offset, or subject to enforceable master netting arrangements and other similar agreements but not offset, as at 31 December 2021 and 31 December 2020. The column ‘Net amount’ shows the impact on the Group’s balance sheet if all offset rights were exercised.

At 31 December 2021

	Gross financial assets/(liabilities) £m	Financial (liabilities)/assets offset £m	Net financial assets/(liabilities) £m	Related amounts not offset £m	Net amount £m
Financial assets
Trade and other receivables	6,851	(19)	6,832	(3)	6,829
Derivative financial instruments	206	–	206	(192)	14
Financial liabilities
Trade and other payables	(15,450)	19	(15,431)	3	(15,428)
Derivative financial instruments	(228)	–	(228)	192	(36)

43. Financial instruments and related disclosures continued

At 31 December 2020

	Gross ﬁnancial assets/ (liabilities) £m	Financial (liabilities)/ assets offset £m	Net ﬁnancial assets/ (liabilities) £m	Related amounts not offset £m	Net balance £m
Financial assets
Trade and other receivables	5,997	(19)	5,978	(28)	5,950
Derivative ﬁnancial instruments	157	–	157	(142)	15
Financial liabilities
Trade and other payables	(13,767)	19	(13,748)	28	(13,720)
Derivative ﬁnancial instruments	(231)	–	(231)	142	(89)

Amounts which do not meet the criteria for offsetting on the balance sheet but could be settled net in certain circumstances principally relate to derivative transactions under ISDA (International Swaps and Derivatives Association) agreements where each party has the option to settle amounts on a net basis in the event of default of the other party. As there is presently not a legally enforceable right of offset, these amounts have not been offset in the balance sheet, but have been presented separately in the table above.

(f) Debt interest rate repricing table

The following table sets out the exposure of the Group to interest rates on debt, including commercial paper. The maturity analysis of fixed rate debt is stated by contractual maturity and of floating rate debt by interest rate repricing dates. For the purpose of this table, debt is defined as all classes of borrowings other than lease liabilities.

	2021 Total debt £m	2020 Total £m
Floating and fixed rate debt less than one year	(3,398)	(3,495)
Between one and two years	(4,030)	(2,561)
Between two and three years	(1,576)	(4,061)
Between three and four years	(1,365)	(1,622)
Between four and five years	(1,425)	(1,398)
Between five and ten years	(4,411)	(5,981)
Greater than ten years	(6,953)	(6,915)
Total	(23,158)	(26,033)
Original issuance profile:
Fixed rate interest	(22,355)	(23,002)
Floating rate interest	(803)	(3,031)
Total	(23,158)	(26,033)

In addition to the above, forwards starting interest rate swaps have been entered into, which affect the pricing of debt to be raised in the future. See Section (d) Interest Rate Risk for further details.

43. Financial instruments and related disclosures continued

(g) Sensitivity analysis

The tables below illustrate the estimated impact on the income statement and equity as a result of hypothetical market movements in foreign exchange and interest rates in relation to the Group’s financial instruments. The range of variables chosen for the sensitivity analysis reflects management’s view of changes which are reasonably possible over a one-year period.

Foreign exchange sensitivity

The Group operates internationally and is primarily exposed to foreign exchange risk in relation to Sterling against movements in US Dollar, Euro and Japanese Yen. Foreign exchange risk arises from the translation of financial assets and liabilities which are not in the functional currency of the entity that holds them. Based on the Group’s net financial assets and liabilities as at 31 December, a weakening and strengthening of Sterling against these currencies, with all other variables held constant, is illustrated in the tables below. The tables exclude financial instruments that expose the Group to foreign exchange risk where this risk is fully hedged with another financial instrument.

	2021 Income statement impact of non-functional currency foreign exchange exposures Increase/(decrease) in income £m	2020 Income statement impact of non-functional currency foreign exchange exposures Increase/(decrease) in income £m
10 cent appreciation of the US Dollar	5	20
10 cent appreciation of the Euro	(26)	(25)
10 yen appreciation of the Yen	–	(1)

	2021 Income statement impact of non-functional currency foreign exchange exposures Increase/(decrease) in income £m	2020 Income statement impact of non-functional currency foreign exchange exposures Increase/(decrease) in income £m
10 cent depreciation of the US Dollar	(4)	(17)
10 cent depreciation of the Euro	22	21
10 yen depreciation of the Yen	–	1

The equity impact, shown below, for foreign exchange sensitivity relates to derivative and non-derivative financial instruments hedging the Group’s net investments in its European (Euro) foreign operations and cash flow hedges of its foreign exchange exposure arising on Euro denominated coupon payments relating to notes issued under the Group’s European Medium Term Note programme.

	2021 Equity impact of non-functional currency foreign exchange exposures Increase/(decrease) in equity £m	2020 Equity impact of non-functional currency foreign exchange exposures Increase/(decrease) in equity £m
10 cent appreciation of the Euro	(964)	(1,711)

	2021 Equity impact of non-functional currency foreign exchange exposures Increase/(decrease) in equity £m	2020 Equity impact of non-functional currency foreign exchange exposures Increase/(decrease) in equity £m
10 cent depreciation of the Euro	814	1,429

The tables below present the Group’s sensitivity to a weakening and strengthening of Sterling against the relevant currency based on the composition of net debt as shown in Note 29 adjusted for the effects of foreign exchange derivatives that are not part of net debt but affect future foreign currency cash flows.

	2021 Impact of foreign exchange movements on net debt (Increase)/decrease in net debt £m	2020 Impact of foreign exchange movements on net debt (Increase)/decrease in net debt £m
10 cent appreciation of the US Dollar	(767)	(782)
10 cent appreciation of the Euro	444	286
10 yen appreciation of the Yen	17	23

	2021 Impact of foreign exchange movements on net debt (Increase)/decrease in net debt £m	2020 Impact of foreign exchange movements on net debt (Increase)/decrease in net debt £m
10 cent depreciation of the US Dollar	661	675
10 cent depreciation of the Euro	(375)	(239)
10 yen depreciation of the Yen	(15)	(20)

Interest rate sensitivity

The Group is exposed to interest rate risk on its outstanding borrowings and investments where any changes in interest rates will affect future cash flows or the fair values of financial instruments. The majority of debt is issued at fixed interest rates and changes in the floating rates of interest do not significantly affect the Group’s net interest charge, although the majority of cash and liquid investments earn floating rates of interest.# 43. Financial instruments and related disclosures

The table below hypothetically shows the Group’s sensitivity to changes in interest rates in relation to Sterling, US Dollar and Euro floating rate financial assets and liabilities. If the interest rates applicable to floating rate financial assets and liabilities were to have increased by 1% (100 basis points), and assuming other variables had remained constant, it is estimated that the Group’s finance income for 2021 would have decreased by approximately £11 million (2020 – £14 million increase). A 1% (100 basis points) movement in US Dollar interest rates would cause an increase of £197 million to equity (2020 - £nil). A 1% (100 basis points) movement in interest rates Euro or Sterling is not deemed to have a material effect on equity.

Income statement impact of interest rate movements	2021 Increase/(decrease) in income £m	2020 Increase/(decrease) in income £m
1% (100 basis points) increase in Sterling interest rates	(25)	8
1% (100 basis points) increase in US Dollar interest rates	11	28
1% (100 basis points) increase in Euro interest rates	3	(22)

43. Financial instruments and related disclosures continued

Notes to the financial statements continued

(h) Contractual cash flows for non-derivative financial liabilities and derivative instruments

The following tables provide an analysis of the anticipated contractual cash flows including interest payable for the Group’s non-derivative financial liabilities on an undiscounted basis. For the purpose of this table, debt is defined as all classes of borrowings except for lease liabilities. Interest is calculated based on debt held at 31 December without taking account of future issuance. Floating rate interest is estimated using the prevailing interest rate at the balance sheet date. Cash flows in foreign currencies are translated using spot rates at 31 December.

At 31 December 2021

	Debt £m	Interest on debt £m	Lease liabilities £m	Finance charge on lease liabilities £m	Trade payables and other liabilities not in net debt £m	Total £m
Due in less than one year	(3,399)	(686)	(203)	(25)	(16,432)	(20,745)
Between one and two years	(4,042)	(620)	(185)	(22)	(935)	(5,804)
Between two and three years	(1,582)	(574)	(120)	(19)	(893)	(3,188)
Between three and four years	(1,372)	(538)	(93)	(16)	(919)	(2,938)
Between four and five years	(1,428)	(500)	(73)	(14)	(924)	(2,939)
Between five and ten years	(4,440)	(2,046)	(205)	(44)	(2,703)	(9,438)
Greater than ten years	(7,033)	(2,639)	(136)	(13)	(1,571)	(11,392)
Gross contractual cash flows	(23,296)	(7,603)	(1,015)	(153)	(24,377)	(56,444)

At 31 December 2020

	Debt £m	Interest on debt £m	Lease liabilities £m	Finance charge on lease liabilities £m	Trade payables and other liabilities not in net debt £m	Total £m
Due in less than one year	(3,493)	(725)	(230)	(34)	(14,554)	(19,036)
Between one and two years	(2,566)	(686)	(207)	(28)	(995)	(4,482)
Between two and three years	(4,078)	(621)	(126)	(22)	(897)	(5,744)
Between three and four years	(1,632)	(576)	(96)	(18)	(867)	(3,189)
Between four and five years	(1,407)	(539)	(86)	(15)	(883)	(2,930)
Between five and ten years	(6,018)	(2,177)	(239)	(47)	(3,169)	(11,650)
Greater than ten years	(6,997)	(2,985)	(133)	(16)	(1,529)	(11,660)
Gross contractual cash flows	(26,191)	(8,309)	(1,117)	(180)	(22,894)	(58,691)

The table below provides an analysis of the anticipated contractual cash flows for the Group’s derivative instruments excluding equity options which do not give rise to cash flows, and other embedded derivatives, which are not material, using undiscounted cash flows. Cash flows in foreign currencies are translated using spot rates at 31 December. The gross cash flows of foreign exchange contracts are presented for the purpose of this table although, in practice, the Group uses standard settlement arrangements to reduce its liquidity requirements on these instruments.

	2021	2020
	Gross cash inﬂows	Gross cash outﬂows
	Forward starting interest rate swaps £m	Foreign exchange forward contracts and swaps £m
	Cross currency interest rate swaps £m	Foreign exchange forward contracts and swaps £m
Less than one year	–	41,252
Between one and two years	12	–
Between two and three years	24	–
Between three and four years	28	–
Between four and ﬁve years	28	–
Greater than ﬁve years	259	–
Gross contractual cash ﬂows	351	41,252

	2021	2020
	Gross cash inﬂows	Gross cash outﬂows
	Forward starting interest rate swaps £m	Foreign exchange forward contracts and swaps £m
	Cross currency interest rate swaps £m	Foreign exchange forward contracts and swaps £m
Less than one year	(13)	(41,290)
Between one and two years	(26)	–
Between two and three years	(26)	–
Between three and four years	(26)	–
Between four and ﬁve years	(26)	–
Greater than ﬁve years	(220)	–
Gross contractual cash ﬂows	(337)	(41,290)

	2021	2020
	Gross cash inﬂows	Gross cash outﬂows
	Forward starting interest rate swaps £m	Foreign exchange forward contracts and swaps £m
	Cross currency interest rate swaps £m	Foreign exchange forward contracts and swaps £m
Less than one year	551	32,451
Between one and two years	–	–
Between two and three years	–	–
Between three and four years	–	–
Between four and ﬁve years	–	–
Greater than ﬁve years	–	–
Gross contractual cash ﬂows	551	32,451

	2021	2020
	Gross cash inﬂows	Gross cash outﬂows
	Forward starting interest rate swaps £m	Foreign exchange forward contracts and swaps £m
	Cross currency interest rate swaps £m	Foreign exchange forward contracts and swaps £m
Less than one year	(569)	(32,508)
Between one and two years	–	–
Between two and three years	–	–
Between three and four years	–	–
Between four and ﬁve years	–	–
Greater than ﬁve years	–	–
Gross contractual cash ﬂows	(569)	(32,508)

44. Employee share schemes

GSK operates several employee share schemes, including the Share Value Plan, whereby awards are granted to employees to acquire shares or ADS in GlaxoSmithKline plc at no cost after a three-year vesting period and the Performance Share Plan, whereby awards are granted to employees to acquire shares or ADS in GlaxoSmithKline plc at no cost, subject to the achievement by the Group of speciﬁed performance targets. The granting of these restricted share awards has replaced the granting of options to employees as the cost of the schemes more readily equates to the potential gain to be made by the employee. The Group also operates savings related share option schemes, whereby options are granted to employees to acquire shares in GlaxoSmithKline plc at a discounted price. Grants of restricted share awards are normally exercisable at the end of the three-year vesting or performance period. Awards are normally granted to employees to acquire shares or ADS in GlaxoSmithKline plc but in some circumstances may be settled in cash. Grants under savings-related share option schemes are normally exercisable after three years’ saving. In accordance with UK practice, the majority of options under the savings-related share option schemes are granted at a price 20% below the market price ruling at the date of grant. Options under historical share option schemes were granted at the market price ruling at the date of grant.

The total charge for share-based incentive plans in 2021 was £404 million (2020 – £393 million; 2019 – £432 million). Of this amount, £303 million (2020 – £313 million; 2019 – £302 million) arose from the Share Value Plan. See Note 9, ‘Employee Costs’ for further details.

GlaxoSmithKline share award schemes

Share Value Plan

Under the Share Value Plan, share awards are granted to certain employees at no cost. The awards vest after two and a half to three years and there are no performance criteria attached. The fair value of these awards is determined based on the closing share price on the day of grant, after deducting the expected future dividend yield of 3.8% (2020 – 5.0%; 2019 – 4.2%) over the duration of the award.

	Shares Number (000)	Weighted fair value	ADS Number (000)	Weighted fair value
At 1 January 2019	34,068	–	17,387	–
Awards granted	12,814	£15.85	7,008	$37.90
Awards exercised	(11,709)	–	(6,079)	–
Awards cancelled	(1,704)	–	(976)	–
At 31 December 2019	33,469	17,340	–	–
Awards granted	13,223	£13.60	7,411	$34.42
Awards exercised	(11,402)	–	(5,746)	–
Awards cancelled	(1,418)	–	(1,015)	–
At 31 December 2020	33,872	17,990	–	–
Awards granted	13,681	£13.30	7,280	$36.68
Awards exercised	(11,440)	–	(5,726)	–
Awards cancelled	(1,776)	–	(1,705)	–
At 31 December 2021	34,337	17,839	–	–

Performance Share Plan

Under the Performance Share Plan, share awards are granted to Directors and senior executives at no cost. The percentage of each award that vests is based upon the performance of the Group over a deﬁned measurement period with dividends reinvested during the same period. For awards granted from 2016 to 2019, the performance conditions are based on three equally weighted measures over a three-year performance period. These were adjusted free cash ﬂow, TSR and R&D new product performance. For awards granted from 2020, the performance conditions are based on four measures over a three-year performance period. These are adjusted free cash ﬂow (30%), TSR (30%), R&D new product performance (20%) and pipeline progress (20%). The fair value of the awards is determined based on the closing share price on the day of grant. For TSR performance elements, this is adjusted by the likelihood of that condition being met, as assessed at the time of grant. During 2021, awards were made of 4.9 million shares at a weighted fair value of £10.69 and 1.6 million ADS at a weighted fair value of $29.40. At 31 December 2021, there were outstanding awards over 13.7 million shares and 3.8 million ADS.

Share options and savings-related options

For the purposes of valuing savings-related options to arrive at the share-based payment charge, a Black-Scholes option pricing model has been used.The assumptions used in the model are as follows:

	2021 Grant	2020 Grant	2019 Grant
Risk-free interest rate	0.74%	(0.07)%	0.44%
Dividend yield	3.8%	6.2%	4.5%
Volatility	27%	27%	22%
Expected life	3 years	3 years	3 years
Savings-related options grant price (including 20% discount)	£12.07	£10.34	£14.15

Options outstanding Savings-related share option schemes

	Number (000)	Weighted exercise price
At 31 December 2021	7,165	£11.58
Range of exercise prices on options outstanding at year end		£10.34 – £14.15
Weighted average market price on exercise during year		£13.30
Weighted average remaining contractual life		2.1 years

Options over 1.9 million shares were granted during the year under the savings-related share option scheme at a weighted average fair value of £3.22. At 31 December 2021, 5.3 million of the savings-related share options were not exercisable. There has been no change in the effective exercise price of any outstanding options during the year.

Employee Share Ownership Plan Trusts

The Group sponsors Employee Share Ownership Plan (ESOP) Trusts to acquire and hold shares in Glaxo Smith Kline plc to satisfy awards made under employee incentive plans and options granted under employee share option schemes. The trustees of the ESOP Trusts purchase shares with finance provided by the Group by way of loans or contributions. The costs of running the ESOP Trusts are charged to the income statement. Shares held by the ESOP Trusts are deducted from other reserves and amortised down to the value of proceeds, if any, receivable from employees on exercise by a transfer to retained earnings. The trustees have waived their rights to dividends on the shares held by the ESOP Trusts.

On 10 February 2022, 50.3 million treasury shares were transferred to the ESOP Trusts after which the Trusts held 72.9 million shares against the exercise of share options and share rewards.

Shares held for share award schemes

	2021	2020
Number of shares (000)	23,065	48,835
£m Nominal value	6	12
£m Carrying value	27	194
£m Market value	371	655

Shares held for share option schemes

	2021	2020
Number of shares (000)	13	9
£m Nominal value	–	–
£m Carrying value	1	1
£m Market value	2	2

Employee share schemes continued

GSK Annual Report 2021 247

Notes to the financial statements continued

Strategic report Governance and remuneration Financial statements Investor information

Principal Group companies

The following represent the principal subsidiaries and their countries of incorporation of the Group at 31 December 2021. The equity share capital of these entities is shown in the percentage columns. All companies are incorporated in their principal country of operation except where stated.

England	%	US	%	Europe	%	Others	%
Glaxo Group Limited	100.00	Alacer Corp	68.00	GlaxoSmithKline Biologicals SA (Belgium)	100.00	GlaxoSmithKline Australia Pty Ltd (Australia)	100.00
Glaxo Operations UK Limited	100.00	Block Drug Company, Inc.	68.00	GlaxoSmithKline Santé Grand Public (France)	68.00	GlaxoSmithKline Consumer Healthcare Australia Pty Ltd (Australia)	68.00
GlaxoSmithKline Capital plc	100.00	Corixa Corporation	100.00	Laboratoire GlaxoSmithKline (France)	100.00	GlaxoSmithKline Brasil Limitada (Brazil)	100.00
GlaxoSmithKline Consumer Healthcare Holdings Limited*	100.00	GlaxoSmithKline Capital Inc.	78.30	V iiV Healthcare SAS (France)	78.30	GlaxoSmithKline Consumer Healthcare U L C/GlaxoSmithKline Soins De Sante Aux Consommateurs S RI (Canada)	68.00
GlaxoSmithKline Consumer Healthcare (UK) Trading Limited	68.00	GlaxoSmithKline Consumer Healthcare Holdings (US) LL C	68.00	GlaxoSmithKline Consumer Healthcare GmbH & Co. KG (Germany)	68.00	GlaxoSmithKline Inc. (Canada)	100.00
GlaxoSmithKline Consumer Trading Services Limited	68.00	GlaxoSmithKline Consumer Healthcare, L.P .	100.00	GlaxoSmithKline GmbH & Co. KG (Germany)	100.00	I D Biomedical Corporation of Quebec (Canada)	100.00
GlaxoSmithKline Export Limited	100.00	GlaxoSmithKline Holdings (Americas) Inc.	100.00	GS K V accines GmbH (Germany)	68.00	PF Consumer Healthcare Canada U L C/PF Soins De Sante SRI (Canada)	68.00
GlaxoSmithKline Finance plc	100.00	GlaxoSmithKline LL C	100.00	GlaxoSmithKline Consumer Healthcare S.r.l (Italy)	100.00	GlaxoSmithKline Limited (China (Hong Kong))	100.00
Gla xoSmithKline Holdings Limited*	100.00	Human Genome Sciences, Inc.	100.00	GlaxoSmithKline S.p.A. (Italy)	78.30	Sino-American Tianjin Smith Kline & French Laboratories Ltd (China)	37.40
GlaxoSmithKline Research & Development Limited	100.00	GS K Consumer Health, Inc.	68.00	GS K V accines S.r.l. (Italy)	68.00	W yeth Pharmaceutical Co. Ltd (China)	68.00
GlaxoSmithKline Services Unlimited*	100.00	GS K Equity Investments, Limited	100.00	V iiV Healthcare S.r.l. (Italy)	100.00	GlaxoSmithKline Asia Private Limited (India)	100.00
GlaxoSmithKline UK Limited	100.00	Stiefel Laboratories, Inc.	100.00	Pﬁzer Consumer Manufacturing Italy S.r.l. (Italy)	78.30	GlaxoSmithKline Pharmaceuticals Limited (India)	75.00
GlaxoSmithKline US Trading Limited	100.00	T esaro, Inc.	100.00	GS K Services Sp z o.o. (Poland)	68.00	GlaxoSmithKline Consumer Healthcare Japan K.K. (Japan)	68.00
Glaxo W ellcome UK Limited	100.00	V iiV Healthcare Company	100.00	GlaxoSmithKline T rading Services Limited (Republic of Ireland)**	100.00	GlaxoSmithKline K.K. (Japan)	100.00
Setﬁrst Limited	78.30			GlaxoSmithKline Healthcare AO (Russia)	68.00	GlaxoSmithKline Pakistan Limited (Pakistan)	82.60
SmithKline Beecham Limited	78.30			JS C GlaxoSmithKline T rading (Russia)	100.00	Glaxo W ellcome Manufacturing Pte Ltd. (Singapore)	100.00
V iiV Healthcare Finance Limited	78.30			GlaxoSmithKline S.A. (Spain)	100.00	GlaxoSmithKline Korea Limited (Republic of Korea)	100.00
V iiV Healthcare Limited	78.30			Laboratorios V iiV Healthcare, S.L. (Spain)	68.00
V iiV Healthcare U K Limited	78.30			GS K Consumer Healthcare SARL (Switzerland)	100.00

* Directly held wholly-owned subsidiary of Glaxo Smith Kline plc.
** Head office in England.

The subsidiaries and associates listed above principally affect the figures in the Group’s financial statements. Each of Glaxo Smith Kline Capital Inc., GlaxoSmithKline Capital plc and GlaxoSmithKline LLC, is a wholly-owned finance subsidiary of the company, and the company has fully and unconditionally guaranteed the securities issued by each of GlaxoSmithKline Capital Inc., GlaxoSmithKline Capital plc and GlaxoSmithKline LLC. See pages 299 to 310 for a complete list of subsidiary undertakings, associates and joint ventures, which form part of these financial statements.

248 GSK Annual Report 2021

Notes to the financial statements continued

The Group is involved in significant legal and administrative proceedings, principally product liability, intellectual property, tax, anti-trust, consumer fraud and governmental investigations. The most significant of these matters, other than tax matters, are described below. The Group makes provision for these proceedings on a regular basis as summarised in Note 2, ‘Accounting principles and policies’ and Note 31, ‘Other provisions’. Note 2 also describes when disclosure is made of proceedings for which there is no provision. Legal expenses incurred and provisions related to legal claims are charged to selling, general and administration costs.

The Group does not believe that information about the amount sought by plaintiffs, if that is known, would be meaningful with respect to those legal proceedings. This is due to a number of factors, including, but not limited to, the stage of proceedings, the entitlement of parties to appeal a decision and clarity as to theories of liability, damages and governing law.

At 31 December 2021, the Group’s aggregate provision for legal and other disputes (not including tax matters described in Note 14, ‘Taxation’) was £196 million. 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 statements. If this were to happen, it could have a material adverse impact on the results of operations of the Group in the reporting period in which the judgements are incurred or the settlements entered into.

Intellectual property

Intellectual property claims include challenges to the validity and enforceability of the Group’s patents on various products or processes as well as assertions of non-infringement of those patents. A loss in any of these cases could result in loss of patent protection for the product at issue. The consequences of any such loss could be a significant decrease in sales of that product and could materially affect future results of operations for the Group.

Coreg

In 2014, GSK initiated suit against Teva for inducing infringement of its patent relating to the use of carvedilol (Coreg) in decreasing mortality caused by congestive heart failure. In June 2017, the case proceeded to a jury trial in the US District Court for the District of Delaware. The jury returned a verdict in GSK’s favour, awarding GSK lost profits and reasonable royalties for a total award of $235.51 million.On 29 March 2018, the trial judge ruled on post-trial motions filed by Teva and found that substantial evidence at trial did not support the jury's finding of induced infringement, overturning the jury award. GSK appealed, and on 2 October 2020, a divided panel of the Court of Appeals for the Federal Circuit reversed the district court’s ruling and reinstated the jury award in GSK’s favour. On 2 December 2020, Teva filed a petition for rehearing en banc. The court granted Teva’s petition, but only for a rehearing by the three-member panel that issued the original decision. On 5 August 2021, the original panel issued its rehearing opinion where the majority again reinstated the jury’s damages award of $235.51 million in GSK’s favour. Teva again filed a petition for rehearing en banc which was rejected by the Court of Appeals for the Federal Circuit on 11 February 2022.

Dolutegravir Proceedings – Tivicay/Triumeq

In 2017, ViiV Healthcare received patent challenge letters under the Hatch-Waxman Act from Cipla, Dr. Reddy’s Labs and Apotex for Triumeq and Tivicay; letters from Lupin and Mylan for Triumeq; and a letter from Sandoz for Tivicay. ViiV Healthcare lists two patents in the FDA Orange Book for Tivicay and Triumeq. One patent covers the molecule dolutegravir and expires on 5 October 2027. The second patent claims a crystal form of dolutegravir and expires on 8 December 2029. All the letters challenged only the later-expiring crystal form patent. Several of the generic companies allege only that the crystal form patent is invalid, while others claim the crystal form patent is both invalid and not infringed by their proposed products. In 2017, ViiV Healthcare filed patent infringement suits against all six generic companies. Settlements have been reached in all litigations.

In September 2021, ViiV Healthcare received a Paragraph IV letter from Lupin relating to the Tivicay 5mg dosage for oral suspension, challenging only the crystal form patent. On 2 November 2021, ViiV Healthcare filed suit against Lupin in the US District Court for the District of Delaware. No trial date has yet been set.

Dovato

In September 2019, ViiV Healthcare received a Paragraph IV letter from Cipla relating to Dovato and challenging only the crystal form patent. On 4 November 2019, ViiV Healthcare filed suit against Cipla in the US District Court for the District of Delaware. No trial date has yet been set.

Juluca

In January 2020, ViiV Healthcare received a Paragraph IV letter from Lupin relating to Juluca and challenging the crystal form patent as well as a patent relating to the combination of dolutegravir and rilpivirine that expires on 24 January 2031. On 28 February 2020, ViiV Healthcare filed suit against Lupin on both patents. Additionally, on 12 June 2020, Cipla sent ViiV Healthcare a Paragraph IV letter related to Juluca, and on 22 July 2020, ViiV Healthcare filed suit against Cipla in federal court in Delaware. The court has yet to set a trial date in either matter.

Litigation Against Gilead Sciences, Inc.

On 7 February 2018, ViiV Healthcare filed patent infringement litigation regarding bictegravir against Gilead Sciences, Inc. (Gilead) in the US District Court for the District of Delaware and Canadian federal court. ViiV Healthcare alleged that Gilead’s triple combination HIV drug containing the HIV integrase inhibitor bictegravir infringes ViiV Healthcare’s patent covering dolutegravir and other compounds that include dolutegravir’s unique chemical scaffold. ViiV Healthcare also commenced actions in the UK, France, Germany, Japan, Ireland, South Korea and Australia against Gilead, alleging that Gilead’s Biktarvy infringes certain of ViiV Healthcare’s HIV integrase inhibitor patents. ViiV Healthcare has agreed to settle the global patent infringement litigation between GSK, Shionogi (a shareholder of ViiV Healthcare) and Gilead concerning ViiV Healthcare’s patents relating to dolutegravir. Details regarding the global settlement and licensing agreement can be found in Note 47, ‘Post balance sheet events’.

Legal proceedings

GSK Annual Report 2021

249

Notes to the financial statements continued

Strategic report

Governance and remuneration

Financial statements

Investor information

Product liability

The Group is currently a defendant in a number of product liability lawsuits.

Avandia

There are two pending US class actions brought by third-party payers which assert claims under the Racketeer Influenced and Corrupt Organizations Act (RICO) and state consumer protection laws. In December 2019, the Third Circuit Court of Appeals reversed the summary judgments granted in favour of the Group and remanded the third-party payer cases back to district court. Discovery is under way in the district court but no trial dates have yet been set. It is possible that a class certification hearing will be held in early 2023.

PPI litigation

Certain members of the Group are defendants in the ongoing proton pump inhibitor (PPI) litigation, in which plaintiffs allege that their use of PPIs caused serious bodily injuries, including acute kidney injury, chronic kidney disease and end-stage renal failure. As of January 2022, there are approximately 1,500 Prevacid 24HR personal injury lawsuits and approximately 2,300 Nexium 24HR cases pending against the Group, nearly all of which are pending in a Multidistrict Litigation (MDL) proceeding in the District of New Jersey. Manufacturers of other PPIs, including both prescription and OTC products, also are named as co-defendants in the MDL. The Group has filed motions to dismiss several hundred cases, but the MDL court has not yet ruled on those motions. The first PPI bellwether trial was delayed due to the ongoing COVID-19 pandemic and is now set for October 2022 but will not involve the Group. In addition to the MDL cases, a small number of cases are pending in state courts.

Zantac

In 2019, the Group was contacted by several regulatory authorities regarding the detection of N-Nitroso-dimethylamine (NDMA) in Zantac (ranitidine) products. Based on information available at the time and correspondence with regulators, the Group made the decision to suspend the release, distribution and supply of all dose forms of Zantac to all markets pending the outcome of the ongoing tests and investigations. Also, as a precautionary action, the Group made the decision to initiate a voluntary pharmacy/retail level recall of Zantac products globally.

On 30 April 2020, the European Medicines Agency (EMA) recommended the suspension of ranitidine medicines. Following the publication of the EMA’s recommendation, the Company communicated a decision not to re-enter the market. In the US, FDA requested that all manufacturers withdraw ranitidine products from the market. The Group has been named as a defendant in approximately 2,150 US personal injury claims and numerous unfiled claims registered in a census required by the Court presiding over the Zantac Multidistrict Litigation (MDL) proceeding. Class actions alleging economic injury and a third-party payer class action also have been filed in federal court. Outside the US, there are three class actions pending against the Group in Canada, along with a class action in Israel. Among the state court cases naming the Group, the first bellwether trial in California is currently scheduled to begin 10 October 2022 and a trial has been scheduled in Madison County, Illinois to proceed on 22 August 2022.

On 6 February 2020, the US product liability litigation was assigned MDL status in the Southern District of Florida. The Group has filed several rounds of Motions to Dismiss in the MDL resulting in the following position:
1) the Court ruled in favour of the Group’s motion on innovator liability; that issue is on appeal;
2) the Court ruled in favour of Defendants with respect to the Third Party Payor Class Action; Plaintiffs opted not to replead their action and these issues are now on appeal;
3) the Court dismissed RICO claims from the Economic Loss Class Action but allowed the class to move forward on plaintiffs misbranding theory; and
4) the Medical Monitoring and Economic Loss class actions are allowed to move forward.

Generics, retailers and packagers have been dismissed from the cases.

In the MDL, plaintiffs were required to identify the types of cancer that they wished to pursue and identified 10 different types. In November 2021, plaintiffs withdrew from consideration breast cancer and kidney cancer, reducing the number of types of cancer from 10 to 8. In January 2022, plaintiffs withdrew from consideration colorectal, prostate and lung and will proceed only as to the following five types of cancer: bladder, esophageal, gastric, liver and pancreatic.# In a dditio n to the cla ss ac tion li tigati on, on 20 M arch 2020 , the D epar tme nt of Jus tice (D OJ) sent th e Group n otice o f a civil inves tigati on it ha d opene d into all egatio ns of Fal se Cla ims Act violations by t he Group related to Za ntac . On 18 June 2020, the D OJ ser ved a Ci vil Inve stiga tive Dem and on th e Grou p, for maliz ing its re ques t for doc ument s. On th e same d ay , the New M exic o Attor ney Gen eral ﬁ led a laws uit aga inst mu ltipl e defe ndant s, inc ludin g the Gro up, alle ging vi olatio ns of sta te consumer prot ection and false adv ertising statutes, among other claims.

46. Legal proceedings continued

Zofran

The Group wa s a defe ndant i n over 400 p roduc t liabi lit y cas es invol ving Zof ran pe nding i n a Multi distr ict Li tigati on (M DL) pro ceed ing in th e Distr ict of M as sach uset ts. T he ca ses al leged that c hildr en suf fere d bir th defe cts du e t o the ir mothe rs’ ingestion of Zofran and/ or generic ondansetron f or pregnancy - rel ated naus ea and vo mitin g. Pla intif fs a sse rted t hat the G roup sol d Zofra n know ing it wa s unsaf e for pre gnant wom en, fa iled to war n of the ris ks and i llega lly mar keted Zof ran “of f-lab el” for use b y p regn ant wome n.

On 1 J une 202 1 , the MD L Co urt g rante d the Gro up’ s motio n for summary judgment on f ederal pre-emption g rounds. The Court foun d that the F D A was f ully inf orme d of all re levant s afety information regarding Z ofran and ha d repeat edly reject ed any at tempt to add a b irt h defec t warni ng to the lab el. Th e Cou rt gra nted jud gment fo r the Gr oup in all c ase s pend ing in the M DL and c lose d the MD L pro ceed ing.

O n 1 July 2021 , P laint if fs ﬁle d an appeal of the preempt ion decision t o t he Unit ed Stat es Co ur t of App eals fo r the Fir st Ci rcuit . The ap peal i s pendi ng.

Th e Group i s also a d efenda nt in t wo state co ur t cas es and four p ropo sed cla ss ac tions i n Cana da.

Sales and marketing and regulation

The Group’s mar keting an d promo tion of it s Phar mace utic al and Vacc ine pro ducts a re the su bjec t of cer tai n govern menta l inv estigations and privat e la wsuits bro ught by litigants under var ious the orie s of law.

GSK Korea – Proceedings under Fair Trade Laws

In Au gust 2020, G SK Kor ea was in dicted u nder Kor ea’ s Monopoly Regulat ion and Fair T rade laws in rela tion t o gover nment te nder s of HP V ( Cervarix ) and PC V ( S ynﬂorix ) vac cines i n 20 1 8 a nd 20 1 9. T he pro secu tor has a llege d that GS K Korea , thro ugh the a ction s of at lea st one of i ts emp loyees , inter fer ed with t he tende r proc ess un der the National Immunisat ion Programme b y using “straw bidders.” One e mploye e also h as bee n char ged in hi s indiv idua l capa cit y by the p rose cutor in re latio n t o the s ame mat ter . Fur the r , a numb er of wh oles aler s are c o-de fenda nts in the p roce eding s.

Th e K ore a Fair T rad e Comm iss ion als o has c ommen ced an inves tigati on of GS K Korea r egar ding the s ame m atter. GSK Kore a is coo perat ing wit h the auth oriti es on th ese mat ters . Proce edings are ongoing.

Anti-trust/competition

Ce rt ain gove rnme ntal ac tions a nd pri vate lawsuit s have been bro ught aga inst th e Grou p alleg ing vio lation o f comp etitio n or anti-trust laws.

UK Competition and Markets Authority investigation

On 1 2 Febr uar y 20 1 6, the U K Com petiti on and M arket s Auth orit y ( CM A) is sued a de cisi on ﬁnin g the Gr oup £ 3 7 .6 million for infrin gement of the Competition Act, in connection wit h agree ments to s ettl e patent dis putes t he Grou p entere d into in 20 0 1 and 20 02 with p otentia l suppli ers of g ener ic paroxet ine fo rmulations.

Th e Group a ppea led to the C omp etitio n Appe al T ribun al ( CA T), whi ch deli vered i ts init ial jud gemen t on 8 Ma rch 201 8 bu t refe rred c er tai n quest ions of l aw t o the Eu rope an Unio n Cou rt of Ju stic e (ECJ).

On 30 J anuar y 2020, th e ECJ iss ued its judgement endo rsing, in general, t he approach undertaken by the C MA in i ts ori ginal d ecisi on.

O n 1 0 M ay 202 1 , th e CA T del ivere d its ﬁna l judge ment an d held th at GSK h ad infr inged app lica ble co mpeti tion law b ut redu ced the ﬁ ne imp osed o n the Group from £37 .6 million to £22.2 m illion. This litigat ion is now closed.

Lamictal

Pu rpor ted cl ass es of dir ect pu rcha ser s ﬁled su it in the U S Di stric t Cou rt fo r the Dis tric t of New Je rsey a llegin g that the Group and T ev a Pharmaceuticals unla wfully conspired to delay generic competition for Lam ictal , resulting in ov ercharges t o the pu rcha ser s, by ente ring into a n alleg edly a nti-c ompet itive rever se pay ment set tle ment to re solve p atent infr ingem ent liti gatio n. A sep arate co unt acc uses th e Grou p of mono polis ing the m arket .

On 1 3 Dec embe r 20 1 8 , the tr ial jud ge gra nted pla intif fs’ cl ass cer tiﬁcation motion, certif yin g a class of direct purchasers. The Gr oup ﬁle d a Rule 23 ( f) moti on in the C our t of A ppea ls fo r the Third Circuit, chal lenging t he class certiﬁ cat ion decision.

On 22 Apr il 2020, the C our t of Ap peal s vacated t he lower c our t’s gra nt of cla ss c ert iﬁc ation a nd rema nded th e issu e back to th e lower court for further analysis.

On 9 O ctober 2020 , the dis trict c our t hea rd arg ument on plaintiffs’ renew ed mot ion for class cer tiﬁcation after remand.

On 9 A pril 2021 , the dist rict c our t deni ed Pla intif fs’ mo tion for cla ss c ert iﬁc ation of t he puta tive dire ct pur chas er cla ss , leavin g a poten tial cl ass o f bran d-onl y purch ase rs. P laint if fs moved to supplement t heir expert report and seek additional discov ery to support the addition of certain generic purchasers.

On 2 1 Jan uar y 2022, the di stric t cour t de nied P lainti ff s’ motion to supplement t heir expert report and seek additional discov ery and h eld that t he iss ue of gen eric pu rcha ser s had alr eady b een dec ided a nd deni ed in the c our t’s ruli ng on dec er tiﬁ catio n. The par ti es will n ow move to brie ﬁng on c las s cer tiﬁ cati on as to the remaining brand-only purchasers.

4 7 . Post balance sheet e v ents

On 1 F ebru ar y 202 2, V iiV He althc are r eache d agre ement w ith Gil ead to set tle th e globa l patent in fring ement l itigat ion rel ating to the commercialisation of Gilead’ s Bik tarv y concerning ViiV Healthcare’ s pa tent s relat ing t o dolut egravir , an anti-ret roviral medicat ion use d, toge ther wi th other m edici nes , t o tre at human i mmuno deﬁc iency v irus (H IV ).

Und er the ter ms of th e gl obal s ettl ement a nd lic ensin g agree ment , Gile ad made a n upfro nt payme nt of $1 . 25 billio n to ViiV H eal thca re on 1 5 Febr uar y 2022. In a dditio n, Gil ead wil l also pay a 3 % royalt y on all f uture U S sale s of Bik ta rv y and i n resp ect of t he bicte gravir c ompo nent of a ny other fu ture bic tegravi r -c ontai ning pro duct s sold in th e US. T hes e royalti es will b e payabl e by Gile ad to Vii V Hea lthca re fro m 1 Febr uar y 2022 unti l the expi ry of V iiV H ealt hcar e’ s US Patent N o. 8, 1 29, 385 o n 5 Octobe r 202 7 . Gi lead’s obl igatio n to pay royalt ies do es not extend int o any period of regulat ory paediatric ex clusivity , if awarded.

Th e sett lemen t resul ted in a re -mea sure ment of th e exist ing liab iliti es for c onting ent con sider ation a nd the P ﬁze r put opti on at the 202 1 yea r end. T he upfro nt payme nt is a co ntinge nt ass et at the ba lanc e shee t date as it s rece ipt was n ot cons idere d vir tual ly ce rt ain at that d ate and the refor e it will b e reco gnise d in Q 1 2022 as O ther op erati ng inco me. As a r esul t of the set tlem ent, p atent inf ringe ment c ase s in the US , UK , Fra nce, I rela nd, G erma ny , Japan , Sout h K ore a, Au stra lia , and Ca nada wi ll be dis conti nued.


Fixed assets – investments	E	54,995	54,992
Current assets:
Trade and other receivables	F	2,720	1,689
Cash at bank		17	14
Total current assets		2,737	1,703
Trade and other payables	G	(598)	(531)
Total current liabilities		(598)	(531)
Net current assets		2,139	1,172
Total assets less current liabilities		57,134	56,164
Provisions for liabilities	H	(12)	(7)
Other non-current liabilities	I	(458)	(457)
Net assets		56,664	55,700
Capital and reserves
Share capital	J	1,347	1,346
Share premium account	J	3,301	3,281
Other reserves	K	1,420	1,420
Retained earnings:
At 1 January		49,653	49,206
Profit/(loss) for the year		4,942	3,893
Other changes in retained earnings		(3,999)	(3,446)
	K	50,596	49,653
Equity shareholders’ funds		56,664	55,700

The financial statements on pages 252 to 256 were approved by the Board on 28 February 2022 and signed on its behalf by Sir Jonathan Symonds Chairman

GlaxoSmithKline plc
Registered number: 3888792

Company statement of changes in equity for the year ended 31 December 2021

	Share capital £m	Share premium account £m	Other reserves £m	Retained earnings £m	Total equity £m
At 1 January 2020	1,346	3,174	1,420	49,206	55,146
Profit and Total comprehensive income attributable to shareholders	–	–	–	3,893	3,893
Dividends to shareholders	–	–	–	(3,977)	(3,977)
Shares issued under employee share schemes	–	29	–	–	29
Treasury shares transferred to the E SOP Trusts	–	78	–	531	609
At 31 December 2020	1,346	3,281	1,420	49,653	55,700
Profit and Total comprehensive income attributable to shareholders	–	–	–	4,942	4,942
Dividends to shareholders	–	–	–	(3,999)	(3,999)
Shares issued under

Company balance sheet – UK GAAP (including FRS 101 ‘Reduced Disclosure Framework’) as at 31 December 2021

GSK Annual Report 2021 253

Strategic report

Governance and remuneration

Financial statements

Investor information

A) Presentation of the financial statements

Description of business

Glaxo Smith Kline plc is the parent company of GSK, a major global healthcare group which is engaged in the creation and discovery, development, manufacture and marketing of pharmaceutical products, including vaccines, over-the-counter (OTC) medicines and health-related consumer products.

Preparation of financial statements

The financial statements, which are prepared using the historical cost convention (as modified to include the revaluation of certain financial instruments) and on a going concern basis, are prepared in accordance with Financial Reporting Standard 101 ‘Reduced Disclosure Framework’ and with UK accounting presentation and the Companies Act 2006 as at 31 December 2021, with comparative figures as at 31 December 2020.

As permitted by section 408 of the Companies Act 2006, the income statement of the company is not presented in this Annual Report. The company is included in the Group financial statements of GlaxoSmithKline plc, which are publicly available.

The following exemptions from the requirements of IFRS have been applied in the preparation of these financial statements, in accordance with FRS 101:
* Paragraphs 45(b) and 46 to 52 of IFRS 2, ‘Share-based payment’
* IFRS 7, ‘Financial Instruments – Disclosures’
* Paragraphs 91-99 of IFRS 13, ‘Fair value measurement’
* Paragraph 38 of IAS 1, ‘Presentation of financial statements’ comparative information requirements in respect of paragraph 79(a)(iv) of IAS 1
* Paragraphs 10(d), 10(f), 16, 38(A), 38(B to D), 40(A to D), 111 and 134 to 136 of IAS 1, ‘Presentation of financial statements’
* IAS 7, ‘Statement of cash flows’
* Paragraph 30 and 31 of IAS 8, ‘Accounting policies, changes in accounting estimates and errors’
* Paragraph 17 of IAS 24, ‘Related party disclosures’ and the further requirement in IAS 24 to disclose related party transactions entered into between two or more members of a Group.

Accounting convention and standards

The balance sheet has been prepared using the historical cost convention and complies with applicable UK accounting standards.

Accounting principles and policies

The preparation of the balance sheet in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the balance sheet. Actual amounts could differ from those estimates. The balance sheet has been prepared in accordance with the company’s accounting policies approved by the Board and described in Note B. These policies have been consistently applied, unless otherwise stated.

Key accounting judgements and estimates

No key accounting judgements or estimates were required in the current year.

B) Accounting policies

Foreign currency transactions

Foreign currency transactions are recorded at the exchange rate ruling on the date of transaction. Foreign currency assets and liabilities are translated at rates of exchange ruling at the balance sheet date.

Dividends paid and received

Dividends paid and received are included in the financial statements in the period in which the related dividends are actually paid or received.

Expenditure

Investments in subsidiary companies

Investments in subsidiary companies are held at cost less any provision for impairment and also includes a capital contribution in relation to movements in contingent consideration.

Impairment of investments

The carrying value of investments are reviewed for impairment when there is an indication that the investment might be impaired. One of the assessment methods used is to compare the carrying value of each investment against its share of the net asset value of the investment or against its share of the valuation of the subsidiary based on expected discounted cash flows. The total amount of investments is also evaluated against the Group’s valuation on the basis of overall market capitalisation. Any impairment charge is recognised in the income statement in the year concerned.

Share-based payments

The issuance by the company to its subsidiaries of a grant over the company’s shares, represents additional capital contributions by the company in its subsidiaries. An additional investment in subsidiaries results in a corresponding increase in shareholders’ equity. The additional capital contribution is based on the fair value of the grant issued, allocated over the underlying grant’s vesting period.

Notes to the company balance sheet – UK GAAP (including FRS 101 ‘Reduced Disclosure Framework’) 254

GSK Annual Report 2021

E) Fixed assets – investments

	2021 £m	2020 £m
Shares in GlaxoSmithKline Services Unlimited	637	637
Shares in GlaxoSmithKline Holdings (One) Limited	18	18
Shares in GlaxoSmithKline Holdings Limited	17,888	17,888
Shares in GlaxoSmithKline Consumer Healthcare Holdings Limited	34,800	34,800
Shares in GlaxoSmithKline Mercury Limited	33	33
	53,376	53,376
Capital contribution relating to share-based payments	1,139	1,139
Contribution relating to contingent consideration	480	477
	54,995	54,992

F) Trade and other receivables

	2021 £m	2020 £m
Amounts due within one year:
U.K. Corporation tax recoverable	9	10
Amounts owed by Group undertakings	2,319	1,231
	2,328	1,241
Amounts due after more than one year:
Amounts owed by Group undertakings	392	448
	2,720	1,689

The movement in the Amounts owed by Group undertakings in the period, as reflected within Notes 7 and 8, primarily reflects the receipt of dividend income from subsidiaries and utilisation of the company’s current account to fund the payment of the third and fourth interim 2020 dividends as well as the first and second interim dividends for 2021.

Taxation

Current tax is provided at the amounts expected to be paid applying tax rates that have been enacted or substantively enacted by the balance sheet date. Deferred tax is provided in full, using the liability method, on temporary differences arising between the tax bases of assets and liabilities and their carrying amounts in the financial statements. Deferred tax assets are only recognised to the extent that they are considered recoverable against future taxable profits. Deferred tax is measured at the average tax rates that are expected to apply in the periods in which the temporary differences are expected to be realised or settled. Deferred tax liabilities and assets are not discounted.

Financial guarantees

Liabilities relating to guarantees issued by the company on behalf of its subsidiaries are initially recognised at fair value and amortised over the life of the guarantee.

C) Operating profit

A fee of £12,600 (2020 – £12,600) relating to the audit of the company has been charged in operating profit.

D) Dividends

The directors declared four interim dividends resulting in a dividend for the year of 80 pence, in line with the dividend for 2020. For further details, see Note 16 to the Group financial statements, ‘Dividends’.

Notes to the company balance sheet – UK GAAP (including FRS 101 ‘Reduced Disclosure Framework’) continued

GSK Annual Report 2021 255

Strategic report

Governance and remuneration

Financial statements

Investor information

G) Trade and other payables

	2021 £m	2020 £m
Amounts due within one year:
Other creditors	457	511
Contingent consideration payable	22	20
Amounts owed to Group undertakings	119	-
	598	531

The company has guaranteed debt issued by its subsidiary companies from one of which it receives fees. In aggregate, the company has outstanding guarantees over £22.4 billion of debt instruments (2020 – £24.9 billion). The amounts due from the subsidiary company in relation to these guarantee fees will be recovered over the life of the bonds and are disclosed within ‘Trade and other receivables’ (see Note F).

H) Provisions for liabilities

	2021 £m	2020 £m
At 1 January	7	4
Charge for the year	24	15
Utilised	(19)	(12)
At 31 December	12	7

The provisions relate to a number of legal and other disputes in which the company is currently involved.

I) Other non-current liabilities

	2021 £m	2020 £m
Contingent consideration payable	458	457

The contingent consideration relates to the amount payable for the acquisition in 2015 of the Novartis Vaccines portfolio. The current year liability is included within ‘Trade and other payables’. For further details, see Note 32 to the Group financial statements, ‘Contingent consideration liabilities’.# Notes to the company balance sheet – UK GAAP (including FRS 101 ‘Reduced Disclosure Framework’) continued

J) Share capital and share premium account

Ordinary Shares of 25p each	Share premium account
Number	£m
Share capital issued and fully paid
At 1 January 2020	5,383,102,231
Issued under employee share schemes	2,087,386
Ordinary shares acquired by ESOP trusts	–
At 31 December 2020	5,385,189,617
Issued under employee share schemes	1,825,442
At 31 December 2021	5,387,015,059

	31 December 2021	31 December 2020
	000	000
Number of shares issuable under employee share schemes	75,210	48,205
Number of unissued shares not under option	4,537,775	4,566,605

At 31 December 2021, of the issued share capital, 23,205,289 (2020 – 48,975,304) shares were held in the ESOP Trusts, 355,205,950 (2020 – 355,205,950) shares were held as Treasury shares and 5,008,603,820 (2020 – 4,981,008,363) shares were in free issue. All issued shares are fully paid. The nominal, carrying and market values of the shares held in the ESOP Trusts are disclosed in Note 44, ‘Employee share schemes’. On 10 February 2022, 50.3 million treasury shares were transferred to the ESOP Trusts after which the Trusts held 72.9 million shares against the exercise of share options and share rewards.

K) Retained earnings and other reserves

The profit of GlaxoSmithKline plc for the year was £4,942 million (2020 – £3,893 million profit). After dividends paid of £3,999 million (2020 – £3,977 million), and the effect of £nil Treasury shares transferred to a subsidiary company (2020 – £531 million) retained earnings at 31 December 2021 stood at £50,596 million (2020 – £49,653 million), of which £38,896 million was unrealised (2020 – £38,896 million). Dividends to shareholders are paid out of the realised profits of the company, which at 31 December 2021 amounted to £11,700 million (2020 – £10,757 million). Other reserves include a capital redemption reserve and a reserve reflecting historical contributions of shares in the company which were issued to satisfy share option awards granted to employees of subsidiary companies.

L) Group companies

See pages 299 to 310 for a complete list of subsidiaries, associates, joint ventures and other significant shareholdings, which forms part of these financial statements.

Notes to the company balance sheet – UK GAAP (including FRS 101 ‘Reduced Disclosure Framework’) continued

Strategic report Governance and remuneration Financial statements Investor information

Investor information


GSK Annual Report 2021	257
In this section
Quarterly trend	258
Pharmaceuticals turnover	260
Vaccines turnover	262
Five year record	263
Product development pipeline	269
Products, competition and intellectual property	272
Principal risks and uncertainties	275
Share capital and control	288
Dividends	290
Financial calendar 2022	291
Annual General Meeting 2022	291
Tax information for shareholders	292
Shareholder services and contacts	294
US law and regulation	296
Group companies	299
Glossary of terms	311

Strategic report | Governance and remuneration | Financial statements | Investor information

Quarterly trend

An unaudited analysis of the Group results is provided by quarter in Sterling for the financial year 2021.

Income statement – Total 12 months 2021

	£m Reported	£%	CER%	£m Reported	£%	CER%	£m Reported	£%	CER%	£m Reported	£%	CER%	£m Reported	£%	CER%
Turnover
Pharmaceuticals	17,729	4	10	5,221	20	25	4,397	5	10	4,229	3	12	3,882	(12)	(8)
Vaccines	6,778	(3)	2	1,809	(10)	(7)	2,174	7	13	1,571	39	49	1,224	(32)	(30)
Consumer Healthcare	9,607	(4)	–	2,497	6	10	2,506	3	8	2,292	(4)	3	2,312	(19)	(16)
Total turnover	34,114	–	5	9,527	9	13	9,077	5	10	8,092	6	15	7,418	(18)	(15)
Cost of sales	(11,603)	(1)	2	(3,680)	16	19	(2,889)	-	3	(2,554)	4	9	(2,480)	(22)	(21)
Selling, general and administration	(10,975)	(4)	–	(3,260)	3	6	(2,646)	(1)	4	(2,642)	(2)	3	(2,427)	(17)	(15)
Research and development	(5,278)	4	7	(1,448)	(2)	1	(1,490)	31	34	(1,222)	(6)	–	(1,118)	(6)	(3)
Royalty income	419	32	32	135	48	46	116	36	40	77	3	–	91	36	39
Other operating income/(expense)	(476)			(379)			(230)			(76)			20		9
Operating profit	6,201	(20)	(9)	895	(16)	1	1,938	4	15	1,675	(41)	(30)	1,693	(16)	(8)
Net finance costs	(756)			(187)			(193)			(185)			(191)
Loss on disposal of interest in associates	(36)			–			(36)
Share of after-tax profits/(losses) of associates and joint ventures	33	(2)	3	16			16
Profit before taxation	5,442	(22)	(10)	70	6	(14)	8	1,748	5	16	1,470	(44)	(32)	1,518	(17)
Taxation	(346)			224			(380)			68			(258)
Tax rate %		6.4%		(31.7)%			21.7%			(4.6)%			17.0%
Profit after taxation for the period	5,096	(20)	(9)	930	11	30	1,368	(4)	6	1,538	(37)	(26)	1,260	(25)	(17)
Profit attributable to non-controlling interests	711			181			200			143			187
Profit attributable to shareholders	4,385			749			1,168			1,395			1,073
Basic earnings per share (pence)	87.6p	(24)	(13)	15.0p	10	31	23.3p	(7)	3	27.9p	(39)	(28)	21.5p	(32)	(25)
Diluted earnings per share (pence)	86.6p			14.7p			23.1p			27.6p			21.3p

Income statement – Adjusted

	Total turnover	£m	–	5	£m	9	13	£m	5	10	£m	6	15	£m	(18)	(15)
	Pharmaceuticals	17,729	4	10	5,221	20	25	4,397	5	10	4,229	3	12	3,882	(12)	(8)
	Vaccines	6,778	(3)	2	1,809	(10)	(7)	2,174	7	13	1,571	39	49	1,224	(32)	(30)
	Consumer Healthcare	9,607	(4)	–	2,497	6	10	2,506	3	8	2,292	(4)	3	2,312	(19)	(16)
	Total turnover	34,114	–	5	9,527	9	13	9,077	5	10	8,092	6	15	7,418	(18)	(15)
Cost of sales	(10,726)	5	8	(3,496)	25	28	(2,646)	4	7	(2,348)	4	9	(2,236)	(14)	(13)
Selling, general and administration	(10,225)	(5)	(1)	(2,908)	(1)	2	(2,504)	1	7	(2,498)	(1)	5	(2,315)	(17)	(15)
Research and development	(4,776)	4	8	(1,365)	5	7	(1,169)	11	15	(1,165)	(1)	6	(1,077)	(1)	3
Royalty income	419	32	32	135	48	46	116	36	40	77	3	–	91	36	39
Operating profit	8,806	(1)	9	1,893	4	15	2,874	8	16	2,158	23	43	1,881	(30)	(23)
Net finance costs	(753)			(192)			(185)			(190)
Share of after-tax profits/(losses) of associates and joint ventures	33	(2)	3	16			16
Profit before taxation	8,086	–	11	1,705	8	20	2,685	8	16	1,989	29	50	1,707	(32)	(25)
Taxation	(1,415)			(177)			(554)			(366)			(318)
Tax rate %		17.5%		10.4%			20.6%			18.4%			18.6%
Profit after taxation for the period	6,671	(2)	9	1,528	13	25	2,131	3	11	1,623	32	54	1,389	(36)	(29)
Profit attributable to non-controlling interests	1,006			248			296			216			246
Profit attributable to shareholders	5,665			1,280			1,835			1,407			1,143
Adjusted earnings per share (pence)	113.2p	(2)	9	25.6p	9	22	36.6p	3	10	28.1p	46	71	22.9p	(39)	(33)

The calculation of Adjusted results is described on page 56.

Financial record

Quarterly trend

An unaudited analysis of the Group results is provided by quarter in Sterling for the financial year 2021.

Income statement – Total 12 months 2021

	£m Reported	£%	CER%	£m Reported	£%	CER%	£m Reported	£%	CER%	£m Reported	£%	CER%	£m Reported	£%	CER%
Turnover
Pharmaceuticals	17,729	4	10	5,221	20	25	4,397	5	10	4,229	3	12	3,882	(12)	(8)
Vaccines	6,778	(3)	2	1,809	(10)	(7)	2,174	7	13	1,571	39	49	1,224	(32)	(30)
Consumer Healthcare	9,607	(4)	–	2,497	6	10	2,506	3	8	2,292	(4)	3	2,312	(19)	(16)
Total turnover	34,114	–	5	9,527	9	13	9,077	5	10	8,092	6	15	7,418	(18)	(15)
Cost of sales	(11,603)	(1)	2	(3,680)	16	19	(2,889)	-	3	(2,554)	4	9	(2,480)	(22)	(21)
Selling, general and administration	(10,975)	(4)	–	(3,260)	3	6	(2,646)	(1)	4	(2,642)	(2)	3	(2,427)	(17)	(15)
Research and development	(5,278)	4	7	(1,448)	(2)	1	(1,490)	31	34	(1,222)	(6)	–	(1,118)	(6)	(3)
Royalty income	419	32	32	135	48	46	116	36	40	77	3	–	91	36	39
Other operating income/(expense)	(476)			(379)			(230)			(76)			20		9
Operating profit	6,201	(20)	(9)	895	(16)	1	1,938	4	15	1,675	(41)	(30)	1,693	(16)	(8)
Net finance costs	(756)			(187)			(193)			(185)			(191)
Loss on disposal of interest in associates	(36)			–			(36)
Share of after-tax profits/(losses) of associates and joint ventures	33	(2)	3	16			16
Profit before taxation	5,442	(22)	(10)	70	6	(14)	8	1,748	5	16	1,470	(44)	(32)	1,518	(17)
Taxation	(346)			224			(380)			68			(258)
Tax rate %		6.4%		(31.7)%			21.7%			(4.6)%			17.0%
Profit after taxation for the period	5,096	(20)	(9)	930	11	30	1,368	(4)	6	1,538	(37)	(26)	1,260	(25)	(17)
Profit attributable to non-controlling interests	711			181			200			143			187
Profit attributable to shareholders	4,385			749			1,168			1,395			1,073
Basic earnings per share (pence)	87.6p	(24)	(13)	15.0p	10	31	23.3p	(7)	3	27.9p	(39)	(28)	21.5p	(32)	(25)
Diluted earnings per share (pence)	86.6p			14.7p			23.1p			27.6p			21.3p

Income statement – Adjusted

	Total turnover	£m	–	5	£m	9	13	£m	5	10	£m	6	15	£m	(18)	(15)
	Pharmaceuticals	17,729	4	10	5,221	20	25	4,397	5	10	4,229	3	12	3,882	(12)	(8)
	Vaccines	6,778	(3)	2	1,809	(10)	(7)	2,174	7	13	1,571	39	49	1,224	(32)	(30)
	Consumer Healthcare	9,607	(4)	–	2,497	6	10	2,506	3	8	2,292	(4)	3	2,312	(19)	(16)
	Total turnover	34,114	–	5	9,527	9	13	9,077	5	10	8,092	6	15	7,418	(18)	(15)
Cost of sales	(10,726)	5	8	(3,496)	25	28	(2,646)	4	7	(2,348)	4	9	(2,236)	(14)	(13)
Selling, general and administration	(10,225)	(5)	(1)	(2,908)	(1)	2	(2,504)	1	7	(2,498)	(1)	5	(2,315)	(17)	(15)
Research and development	(4,776)	4	8	(1,365)	5	7	(1,169)	11	15	(1,165)	(1)	6	(1,077)	(1)	3
Royalty income	419	32	32	135	48	46	116	36	40	77	3	–	91	36	39
Operating profit	8,806	(1)	9	1,893	4	15	2,874	8	16	2,158	23	43	1,881	(30)	(23)
Net finance costs	(753)			(192)			(185)			(190)
Share of after-tax profits/(losses) of associates and joint ventures	33	(2)	3	16			16
Profit before taxation	8,086	–	11	1,705	8	20	2,685	8	16	1,989	29	50	1,707	(32)	(25)
Taxation	(1,415)			(177)			(554)			(366)			(318)
Tax rate %		17.5%		10.4%			20.6%			18.4%			18.6%
Profit after taxation for the period	6,671	(2)	9	1,528	13	25	2,131	3	11	1,623	32	54	1,389	(36)	(29)
Profit attributable to non-controlling interests	1,006			248			296			216			246
Profit attributable to shareholders	5,665			1,280			1,835			1,407			1,143
Adjusted earnings per share (pence)	113.2p	(2)	9	25.6p	9	22	36.6p	3	10	28.1p	46	71	22.9p	(39)	(33)	# Financial Record Continued

1,143 Adjusted earnings per share (pence) 1 1 3.2p (2) 9 25.6p 9 22 3 6.6p 3 10 28.1p 46 71 22.9p (39) (33)

The calculation of Adjusted results is described on page 56. Quarterly trend continued Financial record continued

260 GSK Annual Report 2021

Therapeutic area/major products

Therapeutic area/major products	Total 2021 £m	US 2021 £m	Growth %	CER%	Europe 2021 £m	Growth %	CER%	International 2021 £m	Growth %	CER%
Respiratory	2,863	2,360	21	28	1,822	23	30	606	11	13
Anoro Ellipta	504	5	47	(8)	(3)	2	78	(15)	(9)	14
Trelegy Ellipta	1,217	819	49	57	854	52	62	200	19	21
Nucala	1,142	994	15	22	690	15	23	257	8	11
HIV	4,777	4,876	(2)	3	2,898	(4)	3	1,194	(2)	1
Dolutegravir products	4,567	4,702	(3)	2	2,774	(6)	–	1,151	(1)	1
Tivicay	1,381	1,527	(10)	(4)	76	3	(12)	(7)	28	6
Triumeq	1,882	2,306	(18)	(14)	1,190	(18)	(13)	452	(20)	(18)
Juluca	517	495	4	10	393	2	8	111	14	18
Dovato	787	374	>100	>100	428	87	99	302	>100	>100
Rukobia	45	11	>100	>100	43	>100	>100	2	>100	>100
Cabenuva	38	–	>100	>100	32	–	–	5	–	–
Other	127	163	(22)	(18)	49	(8)	(4)	36	(28)	(26)
Immuno-inflammation	885	727	22	29	727	19	26	68	21	25
Benlysta	874	719	22	29	727	19	26	68	21	25
Oncology	489	372	31	37	2	74	19	26	19	5
Zejula	395	339	17	22	212	3	10	163	27	30
Blenrep	89	33	>100	>100	61	>100	>100	28	>100	>100
Jemperli	5	–	>100	>100	2	–	–	3	>100	>100
Pandemic	958	–	–	–	602	–	–	69	–	–
Xevudy	958	–	–	–	602	–	–	69	–	–
New and Specialty Pharmaceuticals	9,972	8,335	20	26	6,323	19	26	2,132	9	12
Established pharmaceuticals	7,757	8,721	(11)	(6)	2,119	–	6	1,802	(16)	(14)
Established Respiratory	4,327	4,640	(7)	(2)	1,788	7	13	95	(12)	(10)
Arnuity Ellipta	47	45	4	11	40	8	16	–	–	–
Avamys/Veramyst	298	297	–	7	–	–	–	65	(2)	2
Flixotide/Flovent	444	419	6	12	275	5	50	60	69	(14)
Incruse Ellipta	205	220	(7)	(3)	109	(7)	(2)	70	(5)	(3)
Relvar/Breo Ellipta	1,121	1,124	–	5	488	3	9	334	4	6
Seretide/Advair	1,357	1,535	(12)	(7)	486	12	19	322	(28)	(27)
Ventolin	718	785	(9)	(4)	390	(9)	(3)	108	(7)	(5)
Other Respiratory	137	215	(36)	(31)	–	–	–	27	–	–
Dermatology	399	425	(6)	(1)	(1)	>(100)	>(100)	131	(6)	(4)
Augmentin	426	490	(13)	(7)	–	–	–	124	(14)	(12)
Avodart	332	466	(29)	(25)	1	(80)	(80)	118	(25)	(23)
Imigran/Imitrex	105	118	(11)	(8)	29	(31)	(31)	51	–	2
Lamictal	478	537	(11)	(6)	232	(14)	(9)	112	(7)	(5)
Seroxat/Paxil	128	146	(12)	(6)	–	–	–	35	(5)	(5)
Valtrex	92	103	(11)	(5)	11	(27)	(20)	33	3	3
Other	1,470	1,796	(18)	(13)	59	(46)	(40)	203	(39)	(37)
Pharmaceuticals	17,729	17,056	4	10	8,442	13	21	3,934	(4)	(2)

Pharmaceutical turnover by therapeutic area 2021

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261 GSK Annual Report 2021

Strategic report Governance and remuneration Financial statements Investor information

Therapeutic area/major products

Therapeutic area/major products	Total 2020 £m	US 2020 £m	Growth %	CER%	Europe 2020 £m	Growth %	CER%	International 2020 £m	Growth %	CER%
Respiratory	2,360	1,800	31	32	1,486	28	30	548	28	27
Anoro Ellipta	547	514	6	8	327	1	2	142	18	17
Trelegy Ellipta	819	518	58	59	561	47	48	168	65	65
Nucala	994	768	29	30	598	32	33	238	16	15
HIV	4,876	4,854	–	1	3,005	–	1	1,213	5	4
Dolutegravir products	4,702	4,633	1	2	2,941	–	1	1,163	7	6
Tivicay	1,527	1,662	(8)	(7)	871	(11)	(10)	368	(7)	(8)
Triumeq	2,306	2,549	(10)	(9)	1,454	(10)	(9)	568	(9)	(10)
Juluca	495	366	35	36	387	28	29	97	73	71
Dovato	374	56	>100	>100	229	>100	>100	130	>100	>100
Rukobia	11	–	–	–	11	–	>100	–	–	–
Cabenuva	–	–	–	–	–	–	–	–	–	–
Other	163	221	(26)	(25)	53	(20)	(18)	50	(29)	(27)
Immuno-inflammation	727	613	19	20	612	14	16	56	22	20
Benlysta	719	613	17	19	612	14	16	56	22	20
Oncology	372	230	62	62	231	72	74	136	42	40
Zejula	339	229	48	48	206	54	55	128	35	33
Blenrep	33	–	–	–	25	–	–	8	–	–
New and Specialty Pharmaceuticals	8,335	7,497	11	12	5,334	10	12	1,953	13	12
Established pharmaceuticals	8,721	10,057	(13)	(12)	2,117	(18)	(17)	2,151	(10)	(11)
Established Respiratory	4,640	5,181	(10)	(9)	1,676	(16)	(15)	1,134	(2)	(3)
Arnuity Ellipta	45	48	(6)	(6)	37	(10)	(7)	–	–	–
Avamys/Veramyst	297	324	(8)	(6)	–	–	–	66	(4)	(4)
Flixotide/Flovent	419	629	(33)	(32)	183	(50)	(50)	80	(9)	(10)
Incruse Ellipta	220	262	(16)	(15)	117	(27)	(27)	74	1	1
Relvar/Breo Ellipta	1,124	971	16	17	474	24	25	322	14	13
Seretide/Advair	1,535	1,730	(11)	(10)	434	(14)	(13)	449	(11)	(11)
Ventolin	785	938	(16)	(14)	430	(21)	(20)	116	(3)	(4)
Other Respiratory	215	279	(23)	(23)	1	>100	>100	27	(4)	–
Dermatology	425	445	(4)	(1)	(1)	(67)	(67)	140	(12)	(13)
Augmentin	490	602	(19)	(15)	–	–	–	145	(16)	(16)
Avodart	466	574	(19)	(17)	5	25	25	158	(24)	(25)
Imigran/Imitrex	118	138	(14)	(14)	42	(29)	(29)	51	(2)	(4)
Lamictal	537	566	(5)	(4)	269	(5)	(5)	120	7	6
Seroxat/Paxil	146	160	(9)	(6)	–	–	–	37	–	(3)
Valtrex	103	107	(4)	(2)	15	7	7	32	3	–
Other	1,796	2,284	(21)	(20)	109	(48)	(47)	334	(28)	(28)
Pharmaceuticals	17,056	17,554	(3)	(1)	7,451	1	4	4,104	(1)	(1)

Pharmaceutical turnover by therapeutic area 2020

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262 GSK Annual Report 2021

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Vaccines turnover 2021

Major products	Total 2021 £m	US 2021 £m	Growth %	CER%	Europe 2021 £m	Growth %	CER%	International 2021 £m	Growth %	CER%
Meningitis	961	1,029	(7)	(2)	453	5	11	354	(1)	2
Bexsero	650	650	–	5	253	(3)	3	328	1	4
Menveo	272	265	3	9	200	16	23	21	(19)	(15)
Other	39	114	(66)	(65)	–	–	–	5	(17)	(17)
Influenza	679	733	(7)	(2)	456	(15)	(9)	101	3	6
Fluarix, FluLaval	679	733	(7)	(2)	456	(15)	(9)	101	3	6
Shingles	1,721	1,989	(13)	(9)	1,344	(20)	(15)	281	51	54
Shingrix	1,721	1,989	(13)	(9)	1,344	(20)	(15)	281	51	54
Established vaccines	2,970	3,231	(8)	(4)	977	(7)	(1)	700	(13)	(10)
Infanrix, Pediarix	543	629	(14)	(9)	303	(3)	4	116	(33)	(32)
Boostrix	521	476	9	14	270	5	12	140	–	2
Hepatitis	460	576	(20)	(16)	269	(19)	(14)	109	(22)	(21)
Rotarix	541	559	(3)	1	111	(10)	(4)	118	(1)	2
Synflorix	357	402	(11)	(8)	–	–	–	45	(15)	(13)
Priorix, Priorix Tetra, Varilrix	260	261	–	4	–	–	–	125	(1)	2
Cervarix	138	139	(1)	–	–	–	–	25	(17)	(17)
Other	150	189	(21)	(19)	24	(20)	(13)	22	16	26
Vaccines excluding pandemic	6,331	6,982	(9)	(5)	3,230	(13)	(7)	1,436	–	2
Pandemic vaccines	447	–	–	–	242	–	–	–	–	–
Pandemic adjuvant	444	–	–	–	242	–	–	–	–	–
Total vaccines	6,778	6,982	(3)	2	3,472	(6)	–	1,436	–	2

£% represents growth at actual exchange rates. CER % represents growth at constant exchange rates.

Vaccines turnover 2020

Major products	Total 2020 £m	US 2020 £m	Growth %	CER%	Europe 2020 £m	Growth %	CER%	International 2020 £m	Growth %	CER%
Meningitis	1,029	1,018	1	3	433	1	2	356	4	3
Bexsero	650	679	(4)	(2)	260	–	1	324	2	1
Menveo	265	267	(1)	1	173	2	3	26	44	39
Other	114	72	58	57	–	–	–	6	–	–
Influenza	733	541	35	37	535	5	30	31	98	75
Fluarix, FluLaval	733	541	35	37	535	5	30	31	98	75
Shingles	1,989	1,810	10	11	1,675	–	1	186	>100	>100
Shingrix	1,989	1,810	10	11	1,675	–	1	186	>100	>100
Established vaccines	3,231	3,788	(15)	(14)	1,054	(24)	(24)	801	(23)	(23)
Infanrix, Pediarix	629	733	(14)	(13)	311	(14)	(13)	174	(18)	(19)
Boostrix	476	584	(18)	(18)	257	(14)	(13)	140	(10)	(11)
Hepatitis	576	874	(34)	(33)	333	(37)	(36)	140	(39)	(39)
Rotarix	559	558	–	1	123	(12)	(11)	119	6	6
Synflorix	402	468	(14)	(14)	–	–	–	53	(2)	(2)
Priorix, Priorix Tetra, Varilrix	261	232	13	14	–	–	–	126	26	25
Cervarix	139	50	>100	>100	–	–	–	30	43	43
Other	189	289	(35)	(35)	30	(55)	(56)	19	(87)	(87)
Total vaccines	6,982	7,157	(2)	(1)	3,697	(5)	(4)	1,441	(3)	(4)

£% represents growth at actual exchange rates. CER % represents growth at constant exchange rates.

Financial record continued

263 GSK Annual Report 2021

Strategic report Governance and remuneration Financial statements Investor information

A record of financial performance is provided, analysed in accordance with current reporting practice. The information included in the Five year record is prepared in accordance with IFRS as adopted by the European Union and also with IFRS as issued by the International Accounting Standards Board.# Group turnover by geographic region

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
US 15,093	14,556	13,890	11,982	11,263
Europe 7,838	8,164	8,069	7,973	7,943
International 11,183	11,379	11,795	10,866	10,980
34,114	34,099	33,754	30,821	30,186

Group turnover by segment

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Pharmaceuticals 17,729	17,056	17,554	17,269	17,276
Vaccines 6,778	6,982	7,157	5,894	5,160
Consumer Healthcare 9,607	10,033	8,995	7,658	7,750
Segment turnover 34,114	34,071	33,706	30,821	30,186
Corporate and other unallocated turnover –	28	48	–	–
34,114	34,099	33,754	30,821	30,186

Pharmaceuticals turnover

2021 £m	2020 (revised) £m	2019 (revised) £m	2018 (revised) £m	2017 (revised) £m
Respiratory 2,863	2,360	1,800	1,195	688
HIV 4,777	4,876	4,854	4,722	4,350
Immuno-inflammation 885	727	613	472	377
Oncology 489	372	230	–	–
Pandemic 958	–	–	–	–
New and Specialty 9,972	8,335	7,497	6,389	5,415
Established Pharmaceuticals 7,757	8,721	10,057	10,880	11,861
17,729	17,056	17,554	17,269	17,276

Vaccines turnover

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Meningitis 961	1,029	1,018	881	890
Influenza 679	733	541	523	488
Shingles 1,721	1,989	1,810	784	22
Established Vaccines 2,970	3,231	3,788	3,706	3,760
6,331	6,982	7,157	5,894	5,160
Pandemic Vaccines 447	–	–	–	–
6,778	6,982	7,157	5,894	5,160

Consumer Healthcare turnover

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Oral health 2,732	2,753	2,673	2,496	2,466
Pain relief 2,276	2,219	1,781	1,440	1,465
Vitamins, minerals and supplements 1,512	1,506	611	103	105
Respiratory health 1,133	1,209	1,186	1,085	1,057
Digestive health and other 1,803	1,824	1,646	1,435	1,447
Sub-total 9,456	9,511	7,897	6,559	6,540
Brands divested/under review 151	522	1,098	1,099	1,210
9,607	10,033	8,995	7,658	7,750

Five year record continued Financial record continued

264 GSK Annual Report 2021

Financial results – Total

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Turnover 34,114	34,099	33,754	30,821	30,186
Operating profit 6,201	7,783	6,961	5,483	4,087
Profit before taxation 5,442	6,968	6,221	4,800	3,525
Profit after taxation 5,096	6,388	5,268	4,046	2,169
pence	pence	pence	pence	pence
Basic earnings per share 87.6	115.5	93.9	73.7	31.4
Diluted earnings per share 86.6	114.1	92.6	72.9	31.0

## 2021 millions	2020 millions	2019 millions	2018 millions	2017 millions
Weighted average number of shares in issue:
Basic 5,003	4,976	4,947	4,914	4,886
Diluted 5,065	5,038	5,016	4,971	4,941

Financial results – Adjusted

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Turnover 34,114	34,099	33,754	30,821	30,186
Operating profit 8,806	8,906	8,972	8,745	8,568
Profit before taxation 8,086	8,095	8,236	8,078	7,924
Profit after taxation 6,671	6,800	6,918	6,543	6,257
pence	pence	pence	pence	pence
Adjusted earnings per share 113.2	115.9	123.9	119.4	111.8
%	%	%	%	%
Return on capital employed 25.8	35.6	56.5	134.0	83.4

Return on capital employed is calculated as total profit before taxation as a percentage of average net assets over the year.

Five year record continued Financial record continued

GSK Annual Report 2021 265

Strategic report Governance and remuneration Financial statements Investor information

Balance sheet

2021 £m	2020 £m	2019 £m	2018 £m	2017 £m
Non-current assets 60,429	60,184	60,201	41,139	40,474
Current assets 18,674	20,247	19,491	16,927	15,907
Total assets 79,103	80,431	79,692	58,066	56,381
Current liabilities (23,670)	(22,148)	(24,050)	(22,491)	(26,569)
Non-current liabilities (34,091)	(37,475)	(37,285)	(31,903)	(26,323)
Total liabilities (57,761)	(59,623)	(61,335)	(54,394)	(52,892)
Net assets 21,342	20,808	18,357	3,672	3,489
Shareholders’ equity 15,055	14,587	11,405	3,781	(68)
Non-controlling interests 6,287	6,221	6,952	(109)	3,557
Total equity 21,342	20,808	18,357	3,672	3,489

Number of employees

2021	2020	2019	2018	2017
US 14,289	15,706	16,676	13,804	14,526
Europe 38,809	40,711	40,524	41,943	43,002
International 36,998	37,649	42,237	39,743	40,934
90,096	94,066	99,437	95,490	98,462
Manufacturing 32,141	33,848	36,925	36,527	38,245
Selling 34,846	36,391	39,184	36,351	37,374
Administration 11,014	11,730	11,249	10,768	11,307
Research and development 12,095	12,097	12,079	11,844	11,536
90,096	94,066	99,437	95,490	98,462

The geographic distribution of employees in the table above is based on the location of GSK’s subsidiary companies. The number of employees is the number of permanent employed staff at the end of the financial period. It excludes those employees who are employed and managed by GSK on a contract basis.

Exchange rates

As a guide to holders of ADS, the following tables set out, for the periods indicated, information on the exchange rate of USDollars for Sterling as reported by the Bank of England (4pm buying rate). The average rate for the year is calculated as the average of the 4pm buying rates for each day of the year.

2021	2020	2019	2018	2017
Average 1.38	1.29	1.28	1.34	1.29

2022 Feb	2022 Jan	2021 Dec	2021 Nov	2021 Oct	2021 Sep
High 1.36	1.37	1.35	1.37	1.38	1.39
Low 1.33	1.34	1.32	1.32	1.35	1.34

The 4pm buying rate on 25 February was £1 = US $1.34.

Five year record continued Financial record continued

266 GSK Annual Report 2021

Adjusted results reconciliation 31 December 2021

	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Divestments, significant legal and other items £m	Separation costs £m	Adjusted results £m
Turnover	34,114							34,114
Cost of sales	(11,603)	701	(33)	15	4	28	27	(10,726)
Gross profit	22,511	701	(33)	15	4	28	27	23,388
Selling, general and administration	(10,975)	426	25	17	282			(10,225)
Research and development	(5,278)	10	1	355	46			(4,776)
Royalty income	419							419
Other operating (expense)/income	(476)	1,106	(662)	32	–
Operating profit	6,201	802	322	626	1,159	(618)	314	8,806
Net finance costs	(756)		2					(753)
Loss on disposal of interest in associates	(36)				36			–
Share of after-tax profits of associates and joint ventures	33							33
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 non-controlling interests								711
Profit attributable to shareholders	4,385	643	241	514	668	(1,051)	265	5,665
Earnings per share	87.6p	12.9p	4.8p	10.3p	13.3p	(21.0)p	5.3p	113.2p
Weighted average number of shares (millions)	5,003							5,003

Adjusted results reconciliation 31 December 2020

	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Divestments, significant legal and other items £m	Separation costs £m	Adjusted results £m
Turnover	34,099							34,099
Cost of sales	(11,704)	699	31	6	67	116		(10,191)
Gross profit	22,395	699	31	6	67	116		23,908
Selling, general and administration	(11,456)	118	65	9	(23)	16	68	(10,717)
Research and development	(5,098)	75	214	206				(4,603)
Royalty income	318							318
Other operating (expense)/income	1,624		1,215		(2,839)			–
Operating profit	7,783	775	263	1,532	1,308	(2,823)	68	8,906
Net finance costs	(848)		2					(844)
Share of after-tax profits of associates and joint ventures	33							33
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 non-controlling interests								639
Profit attributable to shareholders	5,749	625	216	1,242	687	(2,804)	54	5,769
Earnings per share	115.5p	12.6p	4.4p	25.0p	13.8p	(56.5)p	1.1p	115.9p
Weighted average number of shares (millions)	4,976							4,976

Adjusted results reconciliation 31 December 2019

	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Divestments, significant legal and other items £m	Adjusted results £m
Turnover	33,754						33,754
Cost of sales	(11,863)	713	30	65	8	383	(10,079)
Gross profit	21,891	713	30	65	8	383	23,675
Selling, general and administration	(11,402)	433	2	104	247		(10,715)
Research and development	(4,568)	64	49	114	2		(4,339)
Royalty income	351						351
Other operating (expense)/income	689	1	(142)	(548)	–
Operating profit	6,961	777	83	1,105	345	(299)	8,972
Net finance costs	(814)	5	(1)				(810)
Share of after-tax profits of associates and joint ventures	74						74
Profit before taxation	6,221	777	83	1,110	345	(300)	8,236
Taxation	(953)	(156)	(17)	(208)	(124)	140	(1,318)
Tax rate	15.3%						16.0%
Profit after taxation	5,268	621	66	902	221	(160)	6,918
Profit attributable to non-controlling interests							623
Profit attributable to shareholders	4,645	621	66	902	57	(160)	6,131
Earnings per share	93.9p	12.6p	1.3p	18.2p	1.2p	(3.3)p	123.9p
Weighted average number of shares (millions)	4,947						4,947

Adjusted results reconciliation 31 December 2018

	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Adjusted results £m
Turnover	30,821					30,821
Cost of sales	(10,241)	536	69	443	15	(9,178)
Gross profit	20,580	536	69	443	15	21,643
Selling, general and administration	(9,915)	235	315	98	38	(9,462)
Research and development	(3,893)	44	45	49	20	(3,735)
Royalty income	299					299
Other operating (expense)/income	(1,588)	2	1,864	(278)	–

Financial record continued

Adjusted results reconciliation

31 December 2017	Total results £m	Intangible asset amortisation £m	Intangible asset impairment £m	Major restructuring £m	Transaction- related £m	Divestments, significant legal and other items £m	US tax reform £m	Adjusted results £m
Turnover	30,186							30,186
Cost of sales	(10,342)	546	400	545	80			(8,771)
Gross profit	19,844	546	400	545	80			21,415
Selling, general and administration	(9,672)	24		83				(9,341)
Research and development	(4,476)	45	28	8	263	18		(3,862)
Royalty income	356							356
Other operating (expense)/income	(1,965)				1,519	(220)	666	8,568
Operating profit	4,087	591	688	1,056	1,599	(119)	666	8,568
Net finance costs	(669)	4		8				(657)
Profit on disposal of associates	94					(94)		–
Share of after-tax profits of associates and joint ventures	13							13
Profit before taxation	3,525	591	688	1,060	1,599	(205)	666	7,924
Taxation	(1,356)	(134)	(176)	(209)	(619)	(251)	1,078	(1,667)
Tax rate	38.5%							21.0%
Profit after taxation	2,169	457	512	851	980	(456)	1,744	6,257
Profit attributable to non-controlling interests	637	42		114	79			3
Profit attributable to shareholders	1,532	457	512	851	938	(456)	1,630	5,464
Earnings per share	31.4p	9.4p	10.5p	17.4p	19.2p	(9.4)p	33.3p	111.8p
Weighted average number of shares (millions)	4,886							4,886

Five year record continued

Financial record continued

Strategic report Governance and remuneration Financial statements Investor information

Achieved regulatory review milestones

Compound	Mechanism of Action/Vaccine Type	Indication	Phase	NDA / BLA
Oncology
Jemperli (dostarlimab)†	Anti-Programmed Cell Death protein 1 receptor (PD-1) antibody	2L dMMR / MSI-H endometrial cancer	Approved	A: Jun21
		2L dMMR solid tumours	Approved	A: Apr21
		1L endometrial cancer	Approved	A: Aug21
		1L endometrial cancer combination with niraparib	III
		Non-small cell lung cancer	III
Zejula (niraparib)†	Poly (ADP-ribose) polymerase (PARP) 1/2 inhibitor	1L maintenance ovarian cancer	III
		combination with dostarlimab	III
		1L maintenance non small cell lung cancer (NSCLC)	III
		combination with pembrolizumab	II
		Pre-metastatic, select biomarker population	II
Blenrep (belantamab mafodotin)†	ADC targeting B-cell maturation antigen	3L multiple myeloma	III
		2L+ multiple myeloma	III
		combination with Pomalyst and dexamethasone	III
		2L+ multiple myeloma	III
		combination with Velcade and dexamethasone	III
		Multiple myeloma in combination with anti-cancer treatments (platform study)	II
		1L multiple myeloma	I
		combination with Velcade, Revlimid and dexamethasone	I
Letetresgene autoleucel (3377794)†	Engineered TCR T-cells targeting NY-ESO-1	2L+ synovial sarcoma and myxoid/round cell liposarcoma	II
		2L+ non-small cell lung cancer	I
Cobolimab (4069889)†	Anti-T-cell immunoglobulin and mucin domain-3 (TIM-3) antibody	Non-small cell lung cancer combination with Jemperli (dostarlimab) and docetaxel	II
4074386†	Anti-lymphocyte activation gene-3 (LAG-3) antibody	Cancer	I
375417	STING cytosolic DNA pathway agonist	Cancer	I
6097608	CD96 antagonist	Cancer	I
3901961†	Engineered T-cells, co-expressing the CD8a cell surface receptor, targeting NY-ESO-1	Cancer	I
3845097†	Engineered T-cells, co-expressing the dnTGF-βRII cell surface receptor, targeting NY-ESO-1	Cancer	I
4362676†	Methionine adenosyltransferase 2A (MAT2A) inhibitor	Cancer	I
4428859 (EOS-448)†	TIGIT antagonist	Cancer	I

Footnotes
1 non-registrational
2 transition activities underway to enable further progression by partner
3 GSK has exclusive option to co-develop post Ph2
4 Ph3 trial in patients with progranulin gene mutation
5 GSK is contributing pandemic adjuvant to COVID-19 vaccines collaborations
6 Submitted in Canada
7 Enrolment and vaccination stopped in February 2022. Further analysis to better understand safety data from these trials is ongoing

† In-license or other alliance relationship with third party
^ ViiV Healthcare, a global specialist HIV company with GSK, Pfizer, Inc. and Shionogi Limited as shareholders, is responsible for developing and delivering HIV medicines.
BLA Biological Licence Application
MAA Marketing Authorisation Application (Europe)
NDA New Drug Application (US)
A Approved
S Submitted
EUA Emergency Use Authorisation
Phase I Evaluation of clinical pharmacology, usually conducted in volunteers
Phase II Determination of dose and initial evaluation of efficacy, conducted in a small number of patients
Phase III Large comparative study (compound versus placebo and/or established treatment) in patients to establish clinical benefit and safety

Pipeline, products and competition Pharmaceuticals and Vaccines product development pipeline

Achieved regulatory review milestones

Compound	Mechanism of Action/Vaccine Type	Indication	Phase	MAA	NDA / BLA
HIV^
Apretude (cabotegravir)	HIV integrase strand transfer inhibitor (long-acting)	HIV pre-exposure prophylaxis	Approved		I A: Dec21
3640254	HIV maturation inhibitor	HIV infection	II
3810109†	HIV broadly neutralising antibody	HIV infection	II
3739937	HIV maturation inhibitor	HIV infection	I
4004280	HIV capsid protein inhibitor	HIV infection	I
Infectious Diseases
Xevudy (sotrovimab)†	Anti-spike protein antibody	COVID-19	Approved		A:Dec21 EUA: May21
gepotidacin†	Triazaacenaphthylene bacterial type II topoisomerase inhibitor	Uncomplicated urinary tract infection (uUTI) and gonorrhea (GC)	III
3036656†	Leucyl t-rNA synthetase inhibitor	Tuberculosis	II
bepirovirsen†	HBV antisense	Hepatitis B	II
3882347†	FimH antagonist	Uncomplicated urinary tract infection (uUTI)	I
3186899†	2CRK-12 inhibitor	Visceral leishmaniasis	I
3494245†	Proteasome inhibitor	Visceral leishmaniasis	I
2556286†	Mtb cholesterol dependent inhibitor	Tuberculosis	I
BVL-GSK098†	Ethionamide booster	Tuberculosis	I
4182137 (VIR-7832)†	Anti-spike protein Antibody	COVID-19	I
VIR-2482†	3 Neutralizing monoclonal antibody	Influenza	I
3923868	PI4K beta inhibitor	Viral COPD exacerbations	I
Priorix (MMR vaccine)	Live attenuated	Measles, mumps, rubella prophylaxis (US)	Registration	S: Jun21
Menveo vaccine	Conjugated-liquid formulation	Meningococcal A,C,W and Y disease prophylaxis in adolescents	Registration	S: Sep21
Rotarix vaccine	Live attenuated, PCV (Porcine circovirus) free	Rotavirus prophylaxis (US)	Registration	S Dec21
Bexsero vaccine	Recombinant protein	Meningococcal B disease prophylaxis in infants (US)	III
MenABCWY vaccine	Recombinant protein – conjugated	Meningococcal A,B,C,W and Y disease prophylaxis in adolescents	III
RSV vaccine	Recombinant protein – adjuvanted	Respiratory syncytial virus prophylaxis in pregnant woman population to prevent respiratory syncytial virus lower respiratory tract illness in infants during first Months of life by transfer of maternal antibodies	III
		Respiratory syncytial virus prophylaxis in older adult population	III
COVID-19 plant-derived virus-like particles vaccine (Medicago)†	Recombinant protein-adjuvanted vaccine	COVID-19	Registration	6
COVID-19 vaccine (Sanofi)†	Recombinant protein-adjuvanted vaccine	COVID-19	III
COVID-19 vaccine (SK Bioscience)†	Recombinant protein nanoparticle-adjuvanted vaccine	COVID-19	III
SAM vaccine (COVID-19 model)	Self-Amplifying mRNA vaccine	COVID-19	I

Pharmaceuticals and Vaccines product development pipeline continued

Pipeline, products and competition continued

Achieved regulatory review milestones

Compound	Mechanism of Action/Vaccine Type	Indication	Phase
Infectious Diseases continued
Malaria next generation vaccine† (fractional dose)	Recombinant protein – adjuvanted vaccine	Malaria prophylaxis (Plasmodium falciparum)	II
Shigella vaccine†	Bioconjugated (tetravalent) vaccine	Shigella diarrhea prophylaxis	II
Therapeutic HBV vaccine†	Prime-boost with viral vector vaccines co- or sequentially administrated with adjuvanted recombinant proteins	Treatment of chronic Hepatitis B infections – aims at functional cure by controlling and resolving the infection and reducing the need for further treatment	II
S. aureus vaccine†	Recombinant protein – bioconjugated – adjuvanted vaccine	Active immunization for the prevention of primary and recurrent Soft-Skin-Tissue Infections caused by S. aureus

Pharmaceuticals and Vaccines product development pipeline continued

Products	Compounds	Indication(s)	Stage
aureus II Men AB CWY vaccine (2nd Gen)	Recombinant protein – conjugated vaccine	Meningococcal A, B, C, W, Y disease prophylaxis in adolescents and infants	II
V aricella	New Strain Live attenuated vaccine	Active immunization for the prevention of varicella in individuals from 12 months of age and older	II
C. difﬁcile vaccine †	Recombinant protein – adjuvanted vaccine	Active immunization for the prevention of the primary C. Diff diseases and for prevention of recurrences	I
SAM vaccine (Rabies model)	Self-Amplifying mR NA	Rabies prophylaxis	I
Klebsiella pneumoniae	Recombinant protein – bioconjugated – adjuvanted vaccine	Klebsiella pneumoniae prophylaxis	I
CMV	Recombinant subunit – adjuvanted vaccine	Cytomegalovirus (CMV) infection prophylaxis in females 16-49 years of age	I

Immunology and Respiratory

Brand Names	Compounds	Indication(s)	Stage
Nucala (mepolizumab)	Interleukin 5 (I L5) antagonist	Hypereosinophilic syndrome	Approved
		Nasal polyposis	Approved
		E G PA	Approved
		COPD	Approved
otilimab †	Granulocyte macrophage colony- stimulating factor inhibitor	Rheumatoid arthritis	III
depemokimab †	Interleukin 5 (I L5) antagonist (long-acting)	Asthma	III
4527 223 (AL00 1) †	Anti-Sortilin monoclonal antibody	Frontotemporal dementia (FTD)	III
		Amyotrophic Lateral Sclerosis (ALS)	II
385 82 7 9 †	Anti-CC L1 7 antibody	Osteoarthritis pain	I
T ransglut aminase 2 (T G2) inhibitor		Celiac disease	I
4527 226 (AL1 01) †	Anti-sortilin monoclonal antibody	Neurodegenerative disease	I
1 07 0806	Anti-I L18 antibody	Atopic dermatitis	I
38881 30 †	Anti-I L7 antibody	Multiple sclerosis (MS)	I
453299 0 †	HS D1 7B13 silencer	Non-alcoholic steatohepatitis (NASH)	I

Opportunity Driven


daprodustat	H I F Prolyl hydro xylase inhibitor	Anaemia of chronic kidney disease	I II (RoW)
linerixibat	Ileal bile acid transporter (I BA T) inhibitor	Cholest atic pruritus in PB C (primary biliary c holangitis)	III
279 8745 †	TR PV4 channel bloc ker	Diabetic macular edema (D ME)	I
3884464 †	Novel mechanism	Heart failure	I

Brand names appearing in italics are trademarks owned by or licensed to GSK group of companies.

Footnotes
1 non-registrational
2 transition activities underway to enable further progression by partner
3 G SK has exclusive option to co-develop post Ph2
4 Ph3 trial in patients with progranulin gene mutation
5 G SK is contributing pandemic adjuvant to COVI D-19 vaccines collaborations
6 Submitted in Canada
7 Enrolment and vaccination stopped in February 2022. Further analysis to better understand s afety data from these trials is ongoing

GSK Annual Report 2021 | 272

Major Patent expiry dates

Respiratory

Products	Compounds	Indication(s)	Competitor brands	US	EU
Anoro Ellipta	umeclidinium bromide/ vilanterol trifenatate	COPD	Stiolto Respimat, Utibron/ Ultibro Breezhaler, Duaklir Genuair, Bevespi Aerosphere, Brimica Genuair	2027 (NCE) 2029 (NCE)	2027 -2030 (device) 2022-2026 (device)
Arnuity Ellipta	ﬂuticasone furoate	asthma	Beclazone, Pulmicort, Budesonide Gx, Asmanex, Alvesco	2021 (NCE) 2023 (NCE)	2027 -2030 (device) 2022-2026 (device)
Avamys/V eramyst	ﬂuticasone furoate	rhinitis	Dymist a, Xhance, Nasonex, Fluticasone Gx	expired	2023
Flixotide/ Flo vent	ﬂuticasone propionate	asthma/COPD	Beclazone, Pulmicort, Budesonide Gx, Asmanex, Alvesco	expired (Diskus device) expired (H F A-device)	2023-2026 (H F A-device) expired ( Diskus device) expired (H F A-device)
Incruse Ellipta	umeclidinium bromide	COPD	Spiriva Handihaler/ Respimat, Y upelri, Braltus, Seebri Breezhaler, Bretaris Genuair	2027 (NCE) 2029 (NCE)	2027 -2030 (device) 2022-2026 (device)
Nucala	mepolizumab	severe eosinophilic asthma, EG P A hypereosinophilic syndrome, chronic rhinosinusitis with nasal polyps	Xolair, Cinqair, Fasenra, Dupixent	expired 2	expired 2
Relvar/ Breo Ellipta	ﬂuticasone furoate/ vilanterol trifenatate	asthma/CO PD	Symbicort, Foster, Budesonide/ F ormetrol Gx, Sirdupla, Dulera	2025 (NCE) 2027 (NCE)	2027 -2030 (device) 2022-2026 (device)
Seretide/Advair	salmeterol xinafoate/ ﬂuticasone propionate	asthma/CO PD	Symbicort, Foster, Budesonide/ F ormetrol Gx, Sirdupla, Dulera	expired (Diskus device) expired (H F A-device)	2023-2026 (H F A-device) expired ( Diskus device) expired (H F A-device)
T relegy Ellipta	ﬂuticasone furoate/ vilanterol trifenatate umeclidinium bromide	COPD	T rimbow, Breztri Aerosphere, T rixeo Aerosphere, Enerzair Breezhaler	2027 (NCE) 2029 (NCE)	2027 -2030 (device) 2022-2026 (device)
V entolin H FA	albuterol sulphate	asthma/CO PD	generic companies	2023-2026 (H F A-device)	expired (H F A-device)
Xevudy	sotrovimab	Early treatment of COVI D-19	REGEN-CO V, bamlanivimab/etesevimab, Evusheld	2041 (NBE)	NA

Anti-virals

Products	Compounds	Indication(s)	Competitor brands	US	EU
V altrex	valaciclovir	genit al herpes, coldsores, shingles	Prevymis, V alacyclovir Gx, V alcyte	expired	expired

Central nervous system

Products	Compounds	Indication(s)	Competitor brands	US	EU
Lamictal	lamotrigine	epilepsy, bipolar disorder	V impat, T rokendi X R, Inovelon	expired	expired
Imigran/ Imitrex	sumatriptan	migraine	Zomig, Maxalt, Relpax	expired	expired
Seroxat/ Paxil	paroxetine	depression, various anxiety disorders	T rintellix, Aplenzin, Viibryd, Zoloft	expired	expired

Cardiovascular and ur ogenital

Products	Compounds	Indication(s)	Competitor brands	US	EU
Avodart	dutasteride	benign prostatic hyperplasia	Harnal, Vesomni, Urorec	expired	expired

Anti-bacterials

Products	Compounds	Indication(s)	Competitor brands	US	EU
Augmentin	amoxicillin/clavulanate potassium	common bacterial infections	generic products	NA	expired

1 Includes Supplementary Protection Certificates which were granted in multiple countries in EU (including the UK) and patent term extensions granted in the US.
2 Data exclusivity expires 2026 (EU) and 2027 (US).

GSK Annual Report 2021 | 273

Major Patent expiry dates

Oncology

Products	Compounds	Indication(s)	Competitor brands	US	EU
Zejula	niraparib	ovarian cancer	L ynparza, Rubraca	2 0 31 (NCE)	2028 (NCE)
Blenrep	belantamab mafodotin	relapsed/refractory multiple myeloma	Sarclis a, X povio	20 32	2032
Jemperli	dostarlimab	dM M R recurrent or advanced endometrial cancer, solid tumours	Keytruda	20 34 (NBE)	2034 (N BE)

Immuno-inﬂammation

Products	Compounds	Indication(s)	Competitor brands	US	EU
Benlysta, Benlysta (SC and IV)	belimumab	systemic lupus erythematosus, lupus nephritis	Lupkynis, Saphnelo	2025	2026

HIV

Products	Compounds	Indication(s)	Competitor brands	US	EU
Apretude	Cabotegravir	H IV prevention	Descovy, T ruvada	2026 (NCE)	2026 (NCE)
Cabenuva/V ocabria + Rekambys	Cabotegravir, rilpivirine	H IV/ AID S	Descovy, Genvoya, Odefsey, Biktarvy	2026 (NCE)	2026 (NCE)
Rukobia	Fostemsavir	H IV/ AID S	T rogarzo	2025 (NCE)	2025 (NCE)
Dovato	Dolutegravir, lamivudine	H IV/ AI DS	Descovy, Genvoya, Odefsey, Biktarvy	2027 (NCE)	2029 (NCE)
Juluca	Dolutegravir, rilpivirine	H IV/ AI DS	Descovy, Genvoya, Odefsey, Biktarvy	2027 (NCE)	2029 (NCE)
T riumeq	Dolutegravir, lamivudine and abacavir	H IV/ AI DS	Descovy, Genvoya, Odefsey, Biktarvy	2027 (NCE)	2029 (NCE)
Tivicay	Dolutegravir	H IV/ AID S	Isentress, Prezista, Symtuza, Reyataz, Biktarvy	2027 (NCE)	2029 (NCE)

Vaccine products, competition and intellectual property

Major Patent expiry dates

Products	Compounds	Indication(s)	Competitor brands	US	EU
Bexsero	meningococcal group-B vaccine	Meningitis group B prevention	T rumenba	2027	2028
Boostrix	diphtheria, tetanus, acellular pertussis	diphtheria, tetanus, acellular Pertussis booster vaccination	Adacel	expired	expired
Infanrix Hexa/ Pediarix	diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus inﬂuenzae type B (E U)	Prophylaxis against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus inﬂuenzae type B (E U)	Pentacel, Pediacel, Pentaxim, Pentavac, Hexaxim, Hexyon, V axelis	expired	expired
Cer varix	H PV 16 & 18 virus like particles (VLPs), AS04 adjuvant (M PL + aluminium hydroxide)	human papilloma virus type 16 and 18	Gardasil (Silgard)	2028	2022
Fluarix T etra	split inactivated inﬂuenza antigens (2 virus subtypes A and 2 subtype B)	seasonal inﬂuenza prophylaxis	Intenza, Flumist QIV, V axigrip QIV, Fluzone QIV, Fluzone High Dose	2022	2022
FluLaval	split inactivated inﬂuenza antigens (2 virus subtypes A and 2 subtype B)	seasonal inﬂuenza prophylaxis	V axigrip, Mutagrip, Fluzone, Inﬂuvac, Aggripal, Fluad, Intenza, Flumist	2022	2022
Menveo	meningococcal group A, C, W- 135 and Y conjugate vaccine	Meningitis group A, C, W-135 and Y prophylaxis	Nimenrix, Menactra	2025	2025
Priorix, Priorix T etra	a,b live attenuated measles, mumps, rubella and varicella vaccine	measles, mumps, rubella and chic kenpox prophylaxis	M MR I I (M-M-RV axPro), Proquad, V arivax	expired	expired
Rotarix	Human rot avirus RI X4414 strain	Rotavirus prophylaxis	Rotateq	2022	2026
Synﬂorix	conjugated pneumococcal polysaccharide	Prophylaxis against invasive disease, pneumonia, acute otitis media	Prevenar (Prevnar)	NA	2026
Shingrix	zoster vaccine recombinant, adjuvanted	herpes zoster (shingles)	Zostavax	2029	2031

1 See Note 4 6 to the financial statements, ‘Legal proceedings’.
2 Includes Supplementary Protection Certificates which were granted in multiple countries in EU (including the UK), and patent term extensions granted in the US.
a Related compounds/indications are measles, mumps and rubella vaccine/prophylaxisb.
b Related compound is varicella vaccine.

GSK Annual Report 2021 | 274

Pharmaceutical products, competition and intellectual property continued

Oral health

Brand Products	Application	Markets	Competition
Sensodyne, Pronamel	toothpastes, toothbrushes, mouth rinse	relief of dentinal hypersensitivity

Principal Risks and Uncertainties

We outlin e below th e princ ipal r isks a nd unce rt ainti es rel evant to GS K’s busi ness , ﬁna ncial c ondi tion an d oper ations th at may af fect o ur per for manc e and abi lity to a chieve ou r objec tives. Th ese ar e the ris ks that we b elieve co uld ca use our a ctual results t o differ mat erially from expected an d hist orical results.

Operating in the pharmaceutical sector carries various inherent ris ks and u ncer ta intie s that may af fect o ur busi nes s. We must c omply w ith a bro ad ran ge of laws an d regul ations which apply t o t he research and de velopmen t, manufacturin g, testin g, appro val, distrib ution, sales, and mark eti ng of pharmaceutical, vaccine and consumer healthcare products. Th ese af fec t the cos t of pro duct deve lopme nt, the t ime req uired to rea ch the ma rket and t he likeli hood of d oing so s ucce ss fully on an u ninter rupted b asis. As rules and regulations change, go vernment int erpretation evolves, an d our bus ines s activ itie s develop, t he nature o f a par ti cular r isk may al so alte r. C hang es to regu lator y regi mes may be s ubst antia l. Any al teratio n in, an d failur e to comp ly with , applicable laws and regula tions could mat erially and adversely af fect o ur ﬁnan cial r esul ts. Sim ilar ly , our glo bal bu sines s expo ses u s t o liti gatio n and governmen t in vestigation s, including product liabil ity litigation, paten t and anti trus t litig ation an d sale s and ma rketin g litiga tion. Litigation and gov ernment i nv estigations, and the rela ted provisions we ma y mak e f or unfa vo urable out comes and increases in relat ed costs such as insurance premiu ms, could al so mat erially and adversely affect our ﬁnancial results. Mo re deta il on the s tatus a nd vari ous unc er taint ies in ou r sig niﬁc ant un reso lved dis putes a nd potent ial liti gatio n is set out i n Note 46, ‘ Leg al proc eedi ngs’.

More details regarding o ur risk management framew ork and how we id entif y our p rinci pal ri sks c an be foun d on page s 46 to 48. UK regulations require a description o f the principal risks and unc er taint ies an d expla ination fo r how the se are b eing ma naged or mi tigated. Below i s a des cripti on of eac h of our pr incip al ris ks wit h a summa ry o f the acti viti es that we t ake to manag e each ris k acro ss our bu sine sse s. Th ey are not li sted in o rder of signiﬁcance and consistent with th e principal risks detailed on pa ges 4 7 to 48.

Risk deﬁnition

Potent ial fai lure to ap propr iately c ollec t, rev iew , follow u p, or rep or t human s afet y infor mation (H SI), in cludi ng adver se event s fro m all pote ntial s ource s, an d to act on any r elevant ﬁ nding s in a timely manner.

Risk impac t

GS K has zer o toler ance fo r an unfavou rabl e beneﬁ t- to-r isk rat io for pa tients w ho use o ur prod ucts. W e coll ect, r eview, follow u p and report human safety inf ormation from all poten tial sources, and u se this to c onduc t robus t and tim ely s afety s ignal detection and take all appro priate measures to safeguard pati ents an d consu mers. If we d o not ef fecti vely ma nage ri sks to our pa tient s afety a ctiv ities, the mo st ser ious re perc ussi on cou ld be ha rm to patie nts. I f we are no t comp liant w ith all pharmacovigilance ( or ‘drug safety’) regula tions globally, consequences could include inspection ﬁndi ngs, regulat ory scr utiny, civi l or cri minal s anct ions an d eithe r t emp orar y or per mane nt los s of prod uct ma rketing a uthor isati on. In eff ective man ageme nt of pati ent safe ty ri sks co uld als o lead to rep utati onal da mage , loss of t rust by p atient s and he althc are providers, product -relat ed litiga tion, and loss of sharehold er conﬁdence.

Contex t

We are ful ly acc ounta ble for s afegu ardin g patien ts, an d our lic ence to o perate d epend s on our c ompli ance w ith inc reas ingly complex and v ariable global regulat ory requirements. These include no t only pharmacovigilance regula tions, but also stringent priv acy pro tections and inf ormation security considerations. Our compliance depends on employ ees and t hird pa rti es act ing on our b ehal f manag ing huma n saf ety in format ion in ac cord ance w ith our i nterna l proc ess es. W e balance routine pharmacovig ilance act ivities against a var iety o f busin ess c hange i nitiati ves. W hile s uppor tin g our cur rent pr oduc t por tfo lio, we are o ptimis ing how we p er form pharmacovigilance so we are prepared t o deliv er our future strategy, includin g an increased focus on oncology, va ccines and s peci alt y medic ines a nd the su cce ssfu l sepa ration o f the Co nsume r Hea lthc are bus ines s in 2022. We colle ct info rmati on on the s afet y and ef ﬁc acy of our pro ducts i n human s durin g clinic al deve lopme nt and ga in more comprehensive in formation on real-world use once o ur products are o n the mar ket. I n additi on to our own s afet y sur veill ance activities, external parties analyse publicly -av ailable clinical trial re sults or o ther dat a, w hile new ex ter nal ini tiative s use re al-wo rld evid ence f rom sou rce s which a re not ac ces sibl e to GSK, but may be u sed by re gulator y age ncie s to suppl ement a nd valid ate the ev idenc e we use to su ppor t the s afety a nd ef ﬁc acy of our products. E xte nsive new s and so cial me dia cove rage of t he safe ty and ef ﬁc acy of C O VI D vacc ines a nd ther apie s has in crea sed th e public’ s recognition of the importance of pharmacovigilance in th e drug deve lopme nt proc ess a nd in th e p roduc t marke ting pha se, bu t a rise i n misin format ion ha s also l ed to distr ust a nd vaccine hesitancy.# Principal risks and uncertainties

Patient safety

The external environment for product quality remains challenging, affected by misinformation fuelling vaccine hesitancy, and increased cyber-attacks and data breaches across the industry. Cyber-attacks remain a key risk to the integrity of product quality data and its audit trail. We are prepared to meet the 2021 European Medicines Agency (EMA) requirements for licensing of Medical Devices and continue to prepare for the In Vitro Diagnostic Medical Device Regulation which becomes effective May 2022. We continue to plan for the implementation of the New Annex 1 guidance for the manufacture of Sterile Medicinal products in the first half of 2022. We are increasingly using new technology to enhance the manufacture and testing of our products. For example, we use new electronic documentation systems and advanced laboratory information management tools. Significant changes are taking place in GSK as we implement our new strategy and structure. Our quality organisations assess these changes to make sure our quality procedures and governance can facilitate the strategy, while also ensuring that no unintended consequences increase our product quality risk. The industry is experiencing an increased regulatory on-site inspection presence - resumed since the onset of the pandemic and we are taking steps to ensure our inspection readiness.

Mitigating activities

We align an extensive global network of quality and compliance professionals, from site-level to senior management with each business unit to provide oversight and assist with the delivery of quality performance and operational compliance. We deliver this management oversight through a hierarchy of quality councils, an independent chief product quality officer and a global product quality office that oversees product quality risk across the company. We have developed and implemented a single quality management system that defines the quality standards and systems for our businesses associated with pharmaceutical, vaccine and consumer healthcare products, and for clinical trial materials. This system has a broad scope and is applicable throughout the product lifecycle, from R&D to mature commercial supply. A consolidation of regulatory requirements from markets across the world augments this system, which means it meets external expectations for product quality in the markets we supply. Our system is based on the internationally recognised principles from the ICH Q10 pharmaceutical quality system framework.

Product quality

Patient safety continued

Mitigating activities

Our Chief Medical Officer is accountable for the Patient Safety enterprise risk and human safety matters, in collaboration with the Head of Global Safety. A cross-enterprise safety governance board oversees implementation of our control framework, including risk management. Our Global Safety Board ensures that we address human safety proactively throughout a product’s life cycle. Our global policy on management of human safety information requires that all employees immediately report issues relating to the safety of our products. Our Third-Party Oversight framework ensures that third parties who may encounter human safety information are identified and trained appropriately. We manage safety information for all products and from all sources in compliance with global regulations. This information allows us to detect safety signals for our products and take timely action on information that changes a product’s risk/benefit profile. Any actions are discussed beforehand with regulatory authorities, and can include updating the prescribing information, communicating with healthcare providers, restricting product prescribing / availability to help assure safe use, and carrying out further clinical trials. In certain cases, it may be appropriate to stop clinical trials or to withdraw a product (or a specific batch) from the market. In 2021, we reinforced requirements for human safety information management across GSK through a range of communication efforts including improved internal mechanisms for adverse event reporting. We also launched an initiative to automate adverse event case intake, processing, and reporting. We consolidated governance of pharmacovigilance process-related activities from two boards into a single governance forum, and we launched a pilot to optimise delivery and oversight of Patient Safety activities globally. We will target Core Patient Safety processes for simplification and/or optimisation in 2021 and 2022.

Financial controls and reporting

Risk deﬁnition

Failure to comply with current tax laws or incurring signiﬁcant losses due to treasury activities; failure to report accurate ﬁnancial information in compliance with accounting standards and applicable legislation.

Risk impact

Non-compliance with existing or new ﬁnancial reporting and disclosure requirements, or changes to the recognition of income and expenses, could expose GSK to litigation and regulatory action and could materially and adversely affect our ﬁnancial results. In the current global pandemic, there can be signiﬁcant changes at short notice. Failure to comply with changes in the substance or application of the laws governing transfer pricing, dividends, tax credits and intellectual property could also materially and adversely affect our ﬁnancial results. Inconsistent application of treasury policies, transactional or settlement errors, or counterparty defaults could lead to signiﬁcant losses.

Context

We are required by the laws of various jurisdictions to publicly disclose our ﬁnancial results and events that could materially affect the Group’s ﬁnancial results. Regulators routinely review the ﬁnancial statements of listed companies for compliance with new, revised, or existing accounting and regulatory requirements. We believe that we comply with the appropriate regulatory requirements concerning our ﬁnancial statements and the disclosure of material information, including any transactions relating to business restructuring such as acquisitions and divestitures. However, should we be subject to an investigation into potential non-compliance with accounting and disclosure requirements, this could lead to restatements of previously reported results and signiﬁcant penalties. Our Treasury group deals daily in high value transactions, mostly foreign exchange, and cash management transactions. These transactions involve market volatility and counterparty risk. The Group’s effective tax rate reﬂects the locations of our activities and the value they generate, which determine the jurisdictions in which proﬁts arise and the applicable tax rates. These may be higher or lower than the UK statutory rate and may reﬂect regimes that encourage innovation and investment in R&D by providing tax incentives which, if changed, could affect GSK’s tax rate. In addition, the worldwide nature of our operations means that our cross-border supply routes, necessary to ensure supplies of medicines, can result in conﬂicting claims from tax authorities as to the proﬁts to be taxed in individual countries. This can lead to double taxation, with proﬁts taxed in more than one country. The complexity of tax regulations also means that we may occasionally disagree with tax authorities on the technical interpretation of a particular area of tax law. The tax charge included in our ﬁnancial statements is our best estimate of tax liability pending any audits by tax authorities. We expect there to be a continued focus on tax reform, driven by initiatives by the OECD and the EC to address the tax challenges arising from digitalisation of the economy. Together with domestic initiatives around the world, these may result in signiﬁcant changes to established tax principles and an increase in tax authority disputes.## Principal risks and uncertainties continued

Regardless of their merit or outcomes, these may be costly, divert management attention and adversely impact our reputation and relationship with key stakeholders.

Product quality continued

We routinely update our quality management system (QMS) so it keeps pace with the evolving external regulatory environment and new scientific understanding of our products and processes. We have also made our policies and procedures simpler to understand and implement and adopted innovative tools to make them more user-friendly. We regularly train staff in regulatory expectations and learnings from inspections and existing procedures so they can maintain Current Good Manufacturing Practice standards. We have implemented a risk-based approach to assessing and managing third party suppliers that provide materials used in our finished products. We expect contract manufacturers that make our products to comply with GSK standards and regularly conduct audits to provide us with assurance that they do. We have product incident committee processes in place to investigate product issues and make recommendations on remediation activities including, where necessary, the recall of products to protect patients and consumers. Our established complaint process ensures we respond appropriately to product quality issues raised by patients and customers. Independent functions review and triage allegations of noncompliance or misconduct received through formal and informal ‘Speak Up’ channels. Global disciplinary and enforcement procedures apply to any breaches of our standards, and are initiated, as appropriate, following investigations. We use key risk indicators to support risk management activities and provide GSK’s Leadership Team and Risk Oversight and Compliance Council with an integrated assessment of product quality performance. We have completed the initial review of manufacturing processes for all products to identify any potential risks associated with nitrosamine impurities. We completed the work in accordance with Health Authority regulatory timelines. We are continuing our product evaluations and will take any necessary risk mitigation steps in 2022.

Principal risks and uncertainties continued

Financial controls and reporting continued

Mitigating activities

Financial results are reviewed and approved by regional management, before being reviewed by GSK’s Group Financial Controller and Chief Financial Officer (CFO). This allows our Financial Controller and CFO to assess the evolution of the business over time, and to evaluate its performance to plan. Significant judgements are reviewed and confirmed by senior management. We integrate technical or organisational transformation, newly acquired activities and external risks, such as the COVID-19 pandemic, into our risk assessments, and apply appropriate controls and reviews. We maintain a control environment designed to identify material errors in financial reporting and disclosure. The design and operating effectiveness of key financial reporting controls are regularly reviewed by management and tested by external third parties. A minimum standard controls set is in place for all finance locations, irrespective of size, which is reviewed by management and monitored independently. This gives us assurance that controls over key financial reporting and disclosure processes are operating effectively. Our Global Finance Risk Management and Controls (FRMC) group provides extra support during significant transformations, such as system deployment or management/structural reorganisations. We add operational resources and adapt programme timelines to ensure processes and controls are maintained during significant changes. The Disclosure Committee, reporting to the Board, reviews GSK’s quarterly results and annual report. Throughout the year, in consultation with its legal advisors, the Disclosure Committee also determines whether it is necessary to disclose publicly information about the Group through stock exchange announcements. We keep up to date with the latest developments in financial reporting requirements by working with our external auditor and legal advisors. The Treasury Management Group (TMG) meets regularly to ensure that liquidity, interest rate, counterparty, foreign currency transaction and foreign currency translation risks are all managed in line with the prudent approach detailed in the risk strategies and policies adopted by our Board. Counterparty exposure is subject to defined limits approved by the Board for both credit rating and individual counterparties. The Middle Office within Treasury monitors the management of counterparty risk in line with agreed policy with oversight from a corporate compliance officer, operating independently of Treasury. Further details on mitigation of Treasury risks can be found on pages 228 to 244. We manage tax risk through robust internal policies, processes, training, and compliance programmes. We maintain open and constructive relationships with tax authorities worldwide. We monitor government debate on tax policy in our key jurisdictions, so that we can understand any potential future changes in tax law and share an informed point of view. Where relevant, we provide pragmatic and constructive business input to tax policy makers, either directly or through industry trade bodies. This includes advocating reform to support economic growth and job creation, as well as the needs of our patients and other key stakeholders. We submit significant tax decisions to our Tax Governance Board, which meets quarterly comprised of senior GSK Finance colleagues. Our tax affairs are managed on a global basis by a team of tax professionals, led by the Global Head of Tax, who work closely with the business on a day-to-day basis. The Global Tax team is suitably qualified for the roles they perform, and we support their training needs so they can provide up to date technical advice in line with their responsibilities. We submit tax returns according to statutory time limits and engage proactively with tax authorities to ensure our tax affairs are current, entering into continuous audit programmes and advance pricing agreements where appropriate. These arrangements provide long-term certainty for both tax authorities and GSK over the tax treatment of our business, based on full disclosure of all relevant facts. We seek to resolve any differences of interpretation in tax legislation with tax authorities in a cooperative manner. In exceptional cases, we may have to resolve disputes through formal proceedings.

Principal risks and uncertainties continued

Risk definition

The bribery and corruption risk is the failure of GSK employees, consultants and third parties to comply with our Anti-bribery & corruption (ABAC) principles and standards, as well as with all applicable legislation.

Risk impact

Failure to mitigate this risk could expose the Group and associated persons to governmental investigation, regulatory action, and civil and criminal liability and may compromise the Group’s ability to supply its products under certain government contracts. In addition, failure to prevent bribery or corruption could have substantial implications for GSK’s reputation and the credibility of senior leaders and might erode investor confidence in our governance and risk management. It could also lead to legal and financial penalties.

Context

The overall environment for ABAC continues to be challenging. Countries are holding individuals, as well as corporations, accountable by increasing the employer duty of care. Divergence of legislation, increasing political protectionism, social inequality and pricing pressures are making compliance harder. Society is holding corporations to ever higher standards, with technology providing a rapid and anonymous avenue for dissemination of previously confidential information and even for damaging false reports. Enforcement actions and penalties continued across the globe with the focus on use of third-party intermediaries. Proposed EU legislation would require businesses to conduct due diligence on potential human rights and related environmental impacts of their operations and supply chains, imposing a legal standard of care. In addition, the ongoing impact of COVID-19 could increase the risk of bribery and corruption. Supportive aspects of the external environment include an increase in transparency and collaboration among enforcement authorities with the aim of reducing bribery and corruption globally. Advances in technology and the use of data analytics are also providing better platforms to streamline processes and detect potential issues.

Mitigating activities

We have an enterprise wide ABAC programme designed to ensure compliance with our ABAC policies and mitigate the risk of bribery and corruption.# Anti-bribery and corruption (ABAC)

Principal risks and uncertainties continued

GSK Annual Report 2021

Risk definition

Failure to engage in commercial activities that are consistent with the letter and spirit of the law, industry regulations, or the Group’s requirements relating to sales and promotion of our medicines and vaccines; appropriate interactions with healthcare professionals/organisations and patients; legitimate and transparent transfers of value; and competition (or antitrust) regulations in commercial practices, including trade channel activities and tendering business.

Risk impact

Failure to engage in activities that are consistent with the letter and spirit of the law, industry regulations, or the Group’s requirements relating to sales and promotion of medicines and vaccines; with appropriate interactions with healthcare professionals (HCPs), organisations and patients; with legitimate and transparent transfers of value; and with pricing and competition (or antitrust) regulations in commercial practices, including trade channel activities and business tendering, could, materially and adversely affect our ability to deliver our strategy and long-term priorities. Additionally, it may result in incomplete awareness of the risk/benefit profile of our products and possibly suboptimal treatment of patients and consumers; governmental investigation, regulatory action and legal proceedings brought against the Group by governmental and private plaintiffs which could result in government sanctions, and criminal and/or financial penalties. Any practices that are found to be misaligned with our values and expectations could also result in reputational harm and dilute trust established with external stakeholders.

Context

We operate in a highly regulated and extremely competitive biopharma and consumer industry, amongst peers who make significant product innovations and technical advances and intensify price competition. Additional external factors impacting our business operations include the ongoing COVID-19 global pandemic, access limitations to our customers, macroeconomic inflationary dynamics, and pricing pressure across markets. To achieve our strategic objectives, we must continue to develop commercially viable new products and deliver additional uses for existing products that address the needs of patients, consumers, HCPs and payers. Financially, new products/indications carry with them an uncertainty with regards to future success. Product development is costly, timely, and uncertain, and carries with it the potential for failure at any stage. Even upon successful product development, we still face challenges in how we launch and how our competitors’ products or pricing strategies could render our assets less competitive. Supporting our efforts on product innovation is a continued focus on creating an omnichannel way of engagement, with a continued focus on our patient. Once we have an approved medicine or vaccine, it is our obligation to provide important information to the healthcare community in various ways, always in a responsible, legal, and ethical manner. Appropriate product promotion ensures HCPs have access to the information they need, that patients and consumers have the facts about the medicines and vaccines they require, and prescribed, recommended, or used in a manner that provides healthcare benefit. We are committed to the ethical and responsible commercialisation of our products in support of our purpose to improve the quality of human life by enabling people to do more, feel better, and live longer.

Mitigating activities

To achieve our strategic objectives, we must meet price expectations of payers, HCPs, consumers, and the community. Our values and behaviours provide a guide for how we lead and make decisions. We constantly strive to do the right thing and deliver quality medicines and vaccines and sustain reliable supply to meet customer needs. In doing so, we seek to ensure our actions reflect GSK’s values, behaviours, and purpose. We understand the impact of data on our industry and strive to become an organisation that makes data-driven decisions; this approach is aligned to our efforts to become more agile and work at pace. GSK has acted to enhance and improve our policies and standards, application of data analytics and our channel activities. We have developed policies to support the strong growth of our Consumer Healthcare internet channels and digital marketing activities, using artificial intelligence-powered tools to improve the oversight of more than 700 GSK websites. We have evolved policies and standards in a stepwise approach to ensure that commercial activities that we undertake or are conducted on our behalf are executed within our established governance. We train employees on relevant information with a focus on interactive learning and elements of behavioural science. All our commercial activities worldwide must conform to high ethical, regulatory, and industry standards. Where local standards differ from global ones, we apply those that are most stringent. Where the standards of an acquired company or joint venture partner differ from our global standards, we remediate legacy policies and implement revisions, so they align. Our Consumer Healthcare business has harmonised policies and procedures, to guide regional and global commercial practice processes, and clarified applicable standards for operations in the markets in which we operate. In 2021 we have implemented a specific control framework for our five export hubs, and embedded our promotional code in China to enable responsible business growth and employee behaviour.

It builds on our business standards and culture to form a comprehensive and practical approach to compliance that is flexible to the evolving nature of our business. GSK’s ABAC Governance Board oversees and provides programme governance and enterprise risk management which includes representation from key functional areas. We have appropriate controls in place around transactions and payments to third parties, such as training, awareness raising and strong monitoring. We plan to continue with pre- and post-transaction ABAC due diligence, to increase the capabilities in the business on monitoring, oversight, and red flag resolution of third parties, and to review controls and accountabilities of government officials. We continue to assess and understand our money laundering risk exposure and mitigate any existing risk. Our Code of Conduct, values and expectations, and commitment to zero tolerance towards bribery and corruption are integral to how we mitigate this risk. In light of the complexity and geographic breadth of the risk, we constantly evolve our oversight of activities and data; reinforce to our workforce GSK’s clear expectations regarding acceptable behaviours; and maintain regular communications between the centre and local markets. We built our ABAC programme based on best in class principles and is subject to ongoing review and development. It provides us with the basis from which we seek to manage the risk from both top down and bottom up. For example, the programme includes top-level commitment from our Board and leadership, and a data analytics programme to create and embed local key risk indicators to enable targeted intervention and risk management activities. A global ABAC policy, and other written standards and controls, which address the business activities that give rise to ABAC risk underpins the programme. In addition, the programme mandates enhanced controls over interactions with government officials and during business development transactions. Controls in our ABAC policy establish due diligence requirements for the engagement of third parties. We have a dedicated team responsible for the implementation and evolution of the ABAC programme. The ABAC team continually works with other groups across the enterprise to address and improve controls and monitoring requirements. Audit & Assurance and independent business monitoring teams complement the team’s work and provide added assurance. We use issues found during oversight and assurance exercises, and from investigations to identify areas for specific intervention in the markets and to drive the continuous improvement of the programme. We regularly provide mandatory ABAC training to employees and relevant third parties in accordance with their roles and responsibilities and the risks they face. We benchmark our ABAC programme against those of other large multinational companies and use external expertise and internal insights to drive improvements. Formal and informal ‘Speak Up’ channels are available to report misconduct or non-compliance. The central investigations team reviews and triages allegations of non-compliance and allocates for investigation as appropriate.# Commercial practices

Principal risks and uncertainties continued

GSK Annual Report 2021 281

Strategic report Governance and remuneration Financial statements Investor information

Commercial practices continued

GSK’s Pharmaceuticals, Consumer Healthcare and Vaccines businesses continue to use our internal control framework to support its assessment and management of risks. Business unit risk management and compliance boards, which manage risks across global and in-country business activities, oversee commercial activities and their monitoring programmes. The recent combination of the Legal and Compliance functions into one team will result in a stronger, more cohesive support function for our businesses. All promotional materials and activities must be reviewed and approved according to our policies and standards and conducted in accordance with local laws and regulations; these requirements seek to ensure that such materials and activities fairly represent the Group’s products or services. Consumer Healthcare has deployed a new copy approval tool to improve controls over important promotional activity. Where necessary, in the event of misconduct, we have disciplined employees, up to and including termination of contract, and clawed back remuneration from senior management.

We have continued to evolve our incentive programme for Pharmaceuticals and Vaccines sales representatives to better recognise and reward individual effort. In all mature markets, the capped variable pay element of representatives’ compensation is evaluated on the basis of individual sales targets. We implemented this in a phased and thoughtful approach supported by a comprehensive training, control, and monitoring framework to ensure full alignment with GSK’s values-based approach to HCP engagement.

We allow fair market value payments to be made by GSK to expert practitioners to speak about our innovative medicines and vaccines during a restricted period in a product’s lifecycle. A global end-to-end process and system is currently set to begin deployment in Q4 2021 and will improve not only the execution of these activities, but also strengthen controls through automation and use of data. Where permitted we report payments to individual HCPs as part of our commitment to transparency and responsible disclosure.

Consumer Healthcare has been a key driver in the development of an ethical code for the Global Self-Care Federation, setting principles for promotion to healthcare practitioners and pharmacy staff.

GSK is committed to complying with all applicable sanctions laws and regulations and has deployed a programme to enable management of sanctions risk. The programme, led by GSK Finance, is made up of various systems and controls including, but not limited to, policies and procedures, training and awareness, screening, monitoring and risk reporting.

Non-promotional engagement

Risk definition
Failure to engage in non-promotional activities that are consistent with local laws, regulations and guidance, Industry Codes, internal GSK policies, standards and other controls, and GSK values, including i) communications to HCP/OHS or non-HCPs relating to our medicines and/or associated disease areas; ii) appropriate conduct of non-promotional interactions; and iii) legitimacy and transparency of non-promotional interactions.
Risk impact
Without controls in place, the risk could result in real, perceived, or disguised promotion including off-label and prior-authorisation promotion, and real or perceived provision of medical advice. This in turn could lead to criminal investigations and penalties, civil litigation, or competitor complaints. At the same time, if we do not engage fully and appropriately, this could result in patient harm, failure to advance science and innovation, reputational damage, and financial loss. Such consequences may reduce the trust of the public, patients, healthcare professionals, payers, regulators, and governments.
Context
Non-promotional engagements are diverse activities directed at healthcare professionals, as well as patients, payers, and external stakeholders. Such engagements are conducted to improve patient care through the exchange or provision of knowledge on the use of our products and related diseases. Non-promotional engagement with external stakeholder groups is vital to GSK, as a research-based healthcare company, and necessary for scientific and medical advances. We expect our non-promotional activities to be scientifically sound and accurate, conducted ethically and transparently, and compliant with applicable codes, laws, and regulations. However, non-promotional engagements are largely unregulated. Therefore, measured risk-taking, rooted in sound values, and principles-based decision-making, training, communication, and monitoring of such activities are key to managing the risk and enabling full and appropriate engagement.
Mitigating activities
Our Chief Medical Officer (CMO) oversees all non-promotional engagement as enterprise risk owner. The GSK Code of Practice is the key internal policy for non-promotional engagement activities. These activities include scientific interactions, support of medical education, advice seeking, gathering insights on unmet needs of patients, scientific communication of our research, and disease awareness.

Principal risks and uncertainties continued

282 GSK Annual Report 2021

Privacy

Risk definition
The failure to collect, secure, use, share and destroy Personal Information (PI) in accordance with data privacy laws can lead to harm to individuals (e.g. financial, stress, prejudice) and GSK (e.g. fines, operational, financial and reputational).
Risk impact
Non-compliance with data privacy laws globally could lead to harm to individuals and GSK. It could also damage trust between GSK and individuals, communities, business partners and government authorities. Many countries have increased the enforcement powers of their data protection authorities by allowing them to impose significant fines, impact cross-border data flows, or temporarily ban data processing. Many new country laws also give individuals the right to bring collective legal actions against companies like GSK for failure to follow data privacy laws.
Context
Data privacy legislation is diverse with limited harmonisation or simplification. It is challenging for multinationals to standardise their approach to compliance with data privacy laws. Governments are enforcing compliance with data privacy laws more rigorously. The focus on the ethical use of personal information is growing, over and above compliance with data privacy laws, due to an increase in the volume of data processed and advances in technology. Workforce protection and effective privacy controls for research during the COVID-19 pandemic create unique challenges. Additionally, new data privacy laws, such as the Personal Information Protection Law (PIPL) in China, and court decisions – like the Court of Justice of the European Union ruling for Schrems II – are invalidating established international data transfer mechanisms that international companies had relied on. The increasing trend for data sovereignty affects our ability to drive medical innovation and to effectively operate internationally.
Mitigating activities
Our General Counsel is also the chair of our Privacy Governance Board, which oversees GSK’s overall data privacy operating model. Each GSK business area has appointed a risk owner accountable for overseeing its privacy risks, supported by privacy leaders within their business. In some countries data privacy laws require appointment of a data protection officer (DPO). GSK appointed a single DPO for the EU, represented and supported in specific countries by country privacy advisors. Our General Counsel is GSK’s enterprise risk owner (ERO). The ERO has appointed a delegate risk owner, the global privacy officer (GPO), who has day-to-day accountability for designing and implementing the control framework. The GPO co-leads the cross-functional Privacy Centre of Excellence, together with the Global Privacy Counsel. Privacy officers, privacy counsel, and multiple country privacy advisors (who are familiar with local privacy regulations) support these groups.

GSK has evolved the initial control framework implemented for the EU General Data Protection Regulation into a comprehensive privacy control framework, based on global privacy principles common across the global privacy landscape. This global framework deployed in countries showing a need for such a comprehensive framework, based on factors like robust local privacy legislation, established data protection authorities, and GSK footprint. Beyond those countries, we are deploying a proportionate control framework to set up minimum privacy standards irrespective of any applicable legislation.Our Privacy Centre of Excellence is responsible for: – operating and improving the centralised global privacy control framework; – continuously assessing and providing relevant and proportionate controls and aid to non-deployed markets; – monitoring new, or changing, laws and adapting the privacy framework; accordingly, and – deploying a comprehensive training programme to drive greater awareness and accountability for managing personal information across the entire organisation. We certify key GSK privacy network roles with an accredited international privacy association. We continuously improve our processes, such as issue identification, reporting and handling, through monitoring. The Privacy Centre of Excellence engages in new business development opportunities at an early stage to ensure we perform appropriate due diligence and the right steps taken when onboarding or splitting off a business unit. Since the pandemic, we have seen a continued increase in virtual engagements (e.g. with external experts, advisory boards, patient advocacy, patient engagements and scientific congresses). We further developed and modernised our digital approach to HCPs and insight-gathering and applied our internal principles and policies to this rapidly changing and growing environment. We enhanced our internal networks to foster collaboration and best practices sharing in risk management. The networks will identify emerging risks associated with non-promotional activities early and support staff to conduct activities in compliance with GSK’s values and policies, local laws, and regulations. We continue to build effective management monitoring systems and apply key risk indicators for managing non-promotional engagement. Non-promotional engagement continued

Principal risks and uncertainties continued

Research Practices risk is the failure to adequately conduct ethical and sound pre-clinical and clinical research. In addition, it is the failure to engage in scientific activities that are consistent with the letter and spirit of the law and industry, or the Group’s requirements. It comprises the following sub-risks: Data Governance, Laboratory Research, and Human Subject Research.

Risk impact

The potential impacts of the risk include harm to human subjects, reputational damage, failure to obtain the necessary regulatory approvals for our products, governmental investigation, legal proceedings brought against the GSK by governmental and private plaintiffs (product liability suits and claims for damages), loss of revenue due to inadequate patent protection or inability to supply our products, and regulatory action such as fines, penalties, or loss of product authorisation. Poor data integrity and governance could compromise GSK’s R&D efforts and negatively impact our reputation. Any of these could materially and adversely affect our financial results and damage the trust of patients and customers.

Context

Research involving animals can raise ethical concerns. In many cases, however, research in animals is the only way to investigate the effects of a potential new medicine in a living body other than in humans. Animal research provides critical information about the causes and mechanisms of diseases and therefore remains a vital part of our research. We continually seek ways in which we can minimise our use of animals in research, development, and testing, while complying with regulatory requirements and reducing the impact on the animals used. Human subject research is critical to assessing and demonstrating the safety and efficacy of our investigational products or further evaluate our products once they have been approved. This research includes clinical trials in healthy volunteers and patients and follows regulations and high ethical, medical, and scientific standards. We disclose the results of this research externally regardless of whether they reflect positively or negatively on our products, so that the scientific community can learn from the outcomes of our research. We also work with human biological samples which are fundamental to the discovery, development, and safety monitoring of our products. We are committed to managing human biological samples in accordance with relevant laws, regulations, and ethical principles, and in a manner that respects the interests of sample donors. Data is pivotal to our R&D strategy and we are maximising the use of data to serve patients. Governing our data in accordance with relevant laws, regulations, contractual obligations, expectations, and our culture across privacy, information security, and data integrity is essential. We use a wide variety of biological materials in the discovery, research, and development of our assets. Through the Convention on Biological Diversity (CBD) and the Nagoya Protocol, the international community has established a global framework regulating access to, and use of, genetic resources of non-human origin in research and development. We support the principles of access to, and benefit-sharing of, genetic resources as outlined in the CBD and the Nagoya Protocol. We also recognise the importance of appropriate, effective, and proportionate implementation measures at national and regional levels.

Mitigating activities

The Research Practices risk is overseen by an enterprise framework that seeks to strengthen governance across R&D in our Pharmaceuticals, Vaccines and Consumer Healthcare businesses. Under the leadership of the Research Practices enterprise risk owner, management of the risk takes a pragmatic approach to information sharing, streamlining risk identification and escalation while ensuring ownership of risk mitigation stays with the business. We have an established Office of Animal Welfare, Ethics and Strategy and Risk (OAWESR), led by our Chief Veterinary Officer, that supports the humane and responsible care of animals, carries out ethical reviews and independent scientific reviews of animal studies, and shares knowledge and advocates for the application of non-animal alternatives. The OAWESR provides a framework of animal welfare governance, defines and provides oversight for training in animal care and, promotes the replacement, refinement and reduction of animal research, conducts quality assessments, manages a programme of external animal diligence, and develops and deploys strategies for reproducing experiments and translating them to human clinical end points. Ensuring we implement and maintain proper data governance controls remains an important priority, especially as our scientific strategy is evolving to take advantage of the breath of our data (for example: genomics and artificial intelligence and machine learning). We focus on building data integrity as well as privacy and usage controls into our internal control framework. Quality assurance teams conduct audits to provide independent business monitoring of our internal controls. Our R&D organisation maintains and controls pre-publication procedures to guard against public disclosure before patent applications are filed. In addition, because a lack of data integrity in preparing patent application data and information can lead to a loss of patent protection, legal experts collaborate with R&D to support the review process for new patent applications. Our R&D organisation also collaborates with legal experts throughout the development of our assets to take account of any relevant third-party patent rights.

Research practices

Principal risks and uncertainties continued

Environment, health and safety

Risk definition

Failure in management of: – execution of hazardous activities; – GSK’s physical assets and infrastructure; – handling and processing of hazardous chemicals and biological agents; – control of releases of substances harmful to the environment in both the short and long-term; leading to incidents which could disrupt our R&D and Supply activities, harm employees, harm the communities and harm the local environments in which we operate.

Risk impact

Failure to manage EHS risks could lead to significant harm to people, the environment and the communities in which we operate; fines; inability to meet stakeholder expectations and regulatory requirements; litigation or regulatory action; and damage to the company’s reputation, which could materially and adversely affect our financial results.

Context

GSK is subject to the health, safety, and environmental laws of various jurisdictions. These laws impose duties to protect people, the environment, and the communities in which we operate.

Mitigating activities

The Global Leadership Team is responsible for EHS governance and risk oversight. They ensure there is an effective control framework ‘in-place’ and ‘in-use’ to manage the EHS risks, impacts, and legal compliance issues in each of our business units.# Principal risks and uncertainties continued

Environmental sustainability

Risk deﬁnition

Failure in the management of: – Physical climate and environmental risks; – Current and future regulatory requirements for environmental policies and taxes; – Delivery and performance of management environmental objectives; leading to: reduced supply chain resilience; product life cycle management issues, loss of trust / reputation with employees, investors, customers, regulators and other stakeholders; increased costs; loss of sales or market access; negative impacts on the environment.

Risk impact

We recognise that the way we respond to climate change and manage environmental risks affects our ability to supply products to patients and consumers and could lead to harm to the environment and our reputation. Failure to meet fast-evolving regulatory requirements and stakeholder expectations could result in litigation or regulatory actions, which may have a material adverse impact on our financial results and longer term loss of trust, undermining the credibility of the company.

Context

It is increasingly understood that the interconnected effects of climate change, nature loss, and society’s impact on both are influencing human health. Internal and external expectations for companies to address their impact on the environment are increasing, as are the effects of climate change on operational resilience, in regard to access to energy, water and the natural resources used in products, along with potential cost increases from any regulatory changes or environmental taxes.

Mitigating activities

In November 2020, GSK announced a new commitment to have net zero climate impact and to be net nature positive by 2030. These goals built on our long-term ambition, set out in 2010, to reduce our impact on the environment. The GSK Leadership Team (GLT) is responsible for environmental sustainability governance and risk oversight. It ensures there is an effective framework in place, and in use, to manage the risks across each of our businesses and to deliver on commitments. The GLT’s responsibilities include appointing dedicated senior leaders and resources to provide and maintain risk controls and ensure that governance processes are established and effective within their businesses. A dedicated environmental sustainability enterprise risk plan is in place supported by a dedicated programme team and governance framework to manage transformation activities. We ensure delivery of reductions in carbon emissions, energy, water, and waste across our operations. We have mature programmes for managing performance improvements at our sites, and we include sustainability considerations in the design of products and packaging. We are strengthening our engagement with our suppliers to target where key interventions or support are most needed. We continue to monitor and control antibiotic emissions from manufacturing effluents at all GSK facilities, and those of our suppliers, following good operational practice and meeting emission limits as defined by the AMR Alliance Manufacturing Framework to assess our impact on the environment. We continuously reassess our business resilience to climate change against the Task Force on Climate-related Financial Disclosures (TCFD) framework guidelines.

Information security

Risk deﬁnition

Risk in Information Security at GSK is characterised as the unauthorised disclosure, theft, unavailability or corruption of GSK’s Information or key information systems that may lead to harm to our patients, workforce and customers, disruption to our business and/or loss of commercial or strategic advantage, regulatory sanction, or damage to our reputation.

Risk impact

Failure to adequately protect our information, or key information systems, may cause harm to our patients, workforce and customers, disruption to our business and/or loss of commercial or strategic advantage, regulatory sanction, or damage to our reputation.

Context

The overall information security environment is challenging, because of the difficulty of keeping pace with increasingly sophisticated cyber threats. This is due to many factors including, the complexity of large regulated organisations; the well-resourced nature of hacking activities; and the increasing demands for accountability of data handled by companies. Additionally, the GSK separation is a period of significant change which increases our risk and requires additional vigilance. We continue to reassess our reliance on interconnectivity with third party contractors, partners, and suppliers. The COVID-19 pandemic continues as another significant external factor affecting how we manage information security at GSK. COVID-19-related threats include an increase in ransomware attacks against the healthcare sector, as hackers continue to use the opportunity to disrupt critical healthcare operations and, in some cases, seize healthcare research related to COVID-19 vaccines and treatments. We operate a highly connected information network which holds confidential research and development, manufacturing, commercial, workforce and financial data. This means that our systems and information have been and will continue to be the target of cyberattacks. We continue to consolidate information systems to reduce attack points and enable more focused controls. GSK’s strategic approach to digital analytics will further increase our dependency on digital assets and distributed data. Our continued analysis and assessment of our critical data assets and the threats to those assets will require a continuous re-evaluation of emerging risks to GSK. Mitigating actions already defined in these areas includes the secure deployment and operation of our resources in high-risk markets, the risk posed by GSK having data in the Cloud, and the potential for complexity resulting from agile business-led IT development across the enterprise.

Supply chain continuity

Risk deﬁnition

Failure to deliver a continuous supply of compliant finished product; inability to respond effectively to a crisis incident in a timely manner to recover and sustain critical operations.

Risk impact

We recognise how important the continuity of supply of our products is to the patients and consumers who rely on them. Supply disruption can lead to:
– Product shortages and product recalls
– Regulatory intervention
– Reputational harm
– Lost sales revenue

Consequently, we need sophisticated end-to-end supply chain management with robust crisis management and business continuity plans in place to respond.

Context

We run our supply chains in a continually evolving, highly regulated environment. There is no single set of global regulations which governs the manufacture and distribution of medicines and we must adhere to the requirements in all those markets in which we licence, sell, or manufacture our products. We rely upon our internal Quality Management System and our internal Control Framework to ensure we continue to preserve our licence to operate. Our complex end-to-end supply chains often involve third party suppliers, from Active Pharmaceutical Ingredient (API) manufacturers and raw material suppliers through to Third Party Logistics Providers and contract engineering firms. We embed integrated risk management into our sourcing and day to day business processes, alongside our Third-Party Oversight programme.# COV ID-19 is an exemplar of events in the external environment which result in unforeseen, significant supply challenges, including staffing shortages for essential manufacturing operations, critical raw materials supply pressures (e.g. glass vials, plastic tubing) and interruptions in distribution. Cybersecurity remains a significant threat to our supply chain operations. The global cyber threat has increased during the global pandemic and we remain hyper-vigilant to data security breaches and Operational Technology risks.

Mitigating activities

Risk Management:

Our supply chains are set up to ensure sustainable supply across the GSK portfolio of Pharmaceuticals, Vaccines and Consumer Healthcare products. The GSK Internal Control Framework drives our approach to risk management, designed to identify emerging new risks and support clear decision making.

Supply continuity

Information security continued

Mitigating activities

We have a dedicated team and program of activity that supports our global information security policy and accompanying IT standards and processes. The GSK Technology, Security and Risk function provides strategy, direction, and oversight and we have mirrored these functions in New CH in readiness for separation. This includes active monitoring of cybersecurity, while enhancing our global information security capabilities through an ongoing programme of investment.

We continue to make significant investments in mitigation activities, which we will continue to advance in the coming year:

– Modernising cyber operations with consistent evaluation of our security solutions and deployment of best of class cyber security technology to ensure the timely detection and response to information security incidents, with particular focus on ransomware preparation and awareness.
– Modernising cyber security within manufacturing and R&D sites to address the age, complexity, and global footprint of those environments.
– Optimising security architecture to mitigate the risk of data loss intentionally or unintentionally, implementing a cloud security strategy and ensuring new solution development includes security by design. We are also continuing to remediate and improve the control environment for privileged or elevated user rights across our systems.
– Transferring third party risk management to a managed service partner. This organisation will process our critical and sensitive information and supports the solution that will enable us to move all third parties that access our IT resources remotely via a more secure environment.
– Enabling business performance in high risk markets by assessing data and information originating in, and flowing to, international markets where local laws and norms represent a heightened risk to the confidentiality, integrity, and availability of our operational systems.

GSK Annual Report 2021 287

Strategic report

Governance and remuneration

Financial statements

Investor information

Principal risks and uncertainties continued

Supply continuity continued

Each supply chain manages their risk oversight through a hierarchy of Risk Management and Compliance Boards to assure risk mitigation (including identifying new and emerging threats).

Inventory Management:

Supply chain governance committees within each Business Unit closely monitor the inventory status and delivery of our products. Our core commercial cycle links the supply chain forecasting with our commercial ambition and designed to reduce the risk of demand fluctuations and manage temporary shortages in supply. We periodically review each node of our supply chains to ensure we hold adequate safety stocks, whilst balancing working capital. We put particular emphasis on mitigating supply risks associated with medically critical, high-revenue products and new product launches, e.g. using dual sourcing for key products or APIs. We use the monthly Performance Management Process across the supply chains to monitor business activity and highlight adverse trends in supply, operations, budget, and workforce capability.

Business continuity:

Crisis management and business continuity plans are in place across Pharmaceuticals, Vaccines and Consumer Healthcare, which include authorised response and recovery strategies, key areas of responsibility and clear communication routes. Supply chains regularly use Business Continuity Plans to manage potential supply disruptions. Our manufacturing sites have crisis management plans in place tested annually where there is no occurrence of deployment to ensure maintenance of skills in crisis management.

Risk definition

Failure to deliver the plan for successful transformation and separation of GSK into two new, leading companies: one BioPharma and one Consumer Healthcare.

Risk impact

The failure to manage the macro level risk due to COVID-19 and a highly competitive labour market, in relation to the delivery of the separation plan, could materially and adversely affect our ability to deliver GSK’s strategy and long-term priorities.

Context

In February 2020, GSK announced a new ‘Future Ready’ programme to prepare for its separation into two companies: new GSK, a pharma 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. As GSK increases investment in R&D and new product launches, the two-year separation programme aims to drive a common approach to innovation with improved capital allocation; to align and improve the capabilities and efficiencies of global support functions to support new GSK; to further optimise the supply chain and portfolio, including divesting non-core assets; and to prepare Consumer Healthcare to operate as a standalone company. Once complete, the outlook of both companies will have been fundamentally strengthened, making them more efficient, modern, and automated, with skills and capabilities that will serve them into the future.

Mitigating activities

The Future Ready Office (FRO), established in the fourth quarter of 2019, is accountable for monitoring the progress, performance and risks associated with creating the two new companies. It reports monthly to the GSK Leadership Team (GLT) to ensure there is enterprise oversight of the plan, using key performance and risk indicators which track programme resource, programme delivery, talent retention, recruitment, and onboarding to address COVID and labour market challenges. In addition, GSK’s Chief Executive Officer (CEO), Chief Financial Officer, Chief Strategy Officer and Head of FRO meet the leaders of Consumer Healthcare to gather input and approval of key design choices for that new company.

Overall, the balance between transformation and separation is upheld through clear governance, joint coordination between new GSK and Consumer Healthcare, rigorous progress tracking and the setting of clear parameters. The GSK Board is regularly informed of the Future Ready programme lead indicators through the CEO Board Report at each Board meeting. At Board level, a Transformation and Separation Committee supports and advises management’s work on transforming and separating the Group. This committee is chaired by the GSK Chairman and includes our Senior Independent Director and the Chairs of the Audit & Risk, Remuneration and Corporate Responsibility Committees.

Transformation and separation

288 GSK Annual Report 2021

Details of our issued share capital and the number of shares held in Treasury as at 31 December 2021 can be found in Note 36 to the financial statements, ‘Share capital and share premium account’. Our Ordinary Shares are listed on the London Stock Exchange (LSE) and are also quoted on the New York Stock Exchange (NYSE) in the form of American Depositary Shares (ADS). Each ADS represents two Ordinary Shares. For details of listed debt and where it is listed refer to Note 29 to the financial statements, ‘Net debt’.

Holders of Ordinary Shares and ADS are entitled to receive dividends (when declared) and the company’s Annual Report. They are also entitled to attend, speak, appoint proxies and exercise voting rights at general meetings of the company. There are no restrictions on the transfer, or limitations on the holding, of Ordinary Shares and ADS and no requirements to obtain approval prior to any transfers. No Ordinary Shares or ADS carry any special rights with regard to control of the company and there are no restrictions on voting rights. Major shareholders have the same voting rights per share as all other shareholders. There are no known arrangements under which financial rights are held by a person other than the holder of the shares and no known agreements on restrictions on share transfers or on voting rights. Shares acquired through the Group’s employee share plans rank equally with the other shares in issue and have no special rights. The trustees of our Employee Share Ownership Plan Trusts have waived their rights to dividends on shares held by those trusts.# Exchange controls and other limitations affecting holders

Other than certain economic sanctions, which may be in force from time to time, there are currently no applicable laws, decrees or regulations in force in the UK restricting the import or export of capital or restricting the remittance of dividends or other payments to holders of the company’s shares who are non-residents of the UK. Similarly, other than certain economic sanctions which may be in force from time to time, there are no limitations relating only to non-residents of the UK under English law or the company’s Articles of Association on the right to be a holder of, and to vote in respect of, the company’s shares.

Interests in voting rights

Other than as stated below, as far as we are aware, there are no persons with significant direct or indirect holdings in the company. Information provided to the company pursuant to the Financial Conduct Authority’s Disclosure Guidance and Transparency Rules (DTR 5) is published on a Regulatory Information Service and on the company’s website, www.gsk.com. The company has received notifications in accordance with DTR 5 of the following notable interests in the voting rights in the company’s issued share capital:

	31 December 2021	27 February 2022
	No. of voting rights	Percentage of total voting rights (1)
BlackRock, Inc	332,238,289 (2)	6.40%
Dodge & Cox	253,464,108 (3)	5.04%

(1) Percentage of total voting rights at the date of notification to the company.
(2) Comprising an indirect interest in 329,124,508 Ordinary Shares and a holding of 3,113,781 Qualifying Financial Instruments (Contract for Difference).
(3) Comprising an indirect interest in 99,377,874 Ordinary Shares and 154,086,234 American Depositary Shares.

The company has not acquired or disposed of any interests in its own shares during the period under review.

Share buy-back programme

The Board has been authorised to issue and allot Ordinary Shares under Article 9 of the company’s Articles of Association. The power under Article 9 and the authority for the company to make purchases of its own shares are subject to shareholder authorities which are sought on an annual basis at our Annual General Meeting (AGM). Any shares purchased by the company may be cancelled, held as Treasury shares or used for satisfying share options and grants under the Group's employee share plans.

Our programme covers purchases of shares for cancellation or to be held as Treasury shares, in accordance with the authority renewed by shareholders at the AGM in May 2021, when the company was authorised to purchase a maximum of just under 503 million shares.

Details of shares purchased, cancelled, held as Treasury shares and subsequently transferred from Treasury to satisfy awards under the Group’s employee share plans are disclosed in Note 36 to the financial statements, ‘Share capital and share premium account’.

In determining specific share repurchase levels, the company considers the development of free cash flow during the year. No shares have been purchased since 2014. The company confirms that it does not currently intend to make any market purchases in 2022. The company will review the potential for future share buy-backs in line with its usual annual cycle and subject to return and rating criteria.

Shareholder information

Share capital and control

GSK Annual Report 2021 289
Strategic report Governance and remuneration Financial statements Investor information

Nature of trading market

The following table sets out, for the periods indicated, the high and low middle market closing prices for the company’s Ordinary Shares on the LSE and for the ADS on the NYSE.

Ordinary Shares (UK £ per share)		ADS (US$ per share)
	High	Low	High
February 2022*	16.50	15.05	45.70
January 2022	17.08	15.89	46.82
December 2021	16.19	15.34	44.44
November 2021	15.93	15.11	45.53
October 2021	15.09	13.80	42.33
September 2021	14.88	13.83	41.61
Quarter ended 31 December 2021	16.19	13.80	44.44
Quarter ended 30 September 2021	15.26	13.83	42.33
Quarter ended 30 June 2021	14.36	12.78	40.66
Quarter ended 31 March 2021	14.14	11.91	39.24
Quarter ended 31 December 2020	14.68	12.92	39.17
Quarter ended 30 September 2020	16.60	14.35	42.16
Quarter ended 30 June 2020	17.42	14.89	42.74
Quarter ended 31 March 2020	18.46	13.75	47.89
Year ended 31 December 2020	14.68	12.92	39.17
Year ended 31 December 2019	18.19	14.36	47.32
Year ended 31 December 2018	16.22	12.43	41.94
Year ended 31 December 2017	17.22	12.76	44.37

to 27 February 2022

Market capitalisation

The market capitalisation, based on shares in issue excluding Treasury shares, of GSK at 31 December 2021 was £81 billion. At that date, GSK was the 6th largest company by market capitalisation in the FTSE index.

Share price

	2021 £	2020 £	2019 £
At 1 January	13.42	17.79	14.91
At 31 December	16.07	13.42	17.79
Increase/(decrease)	20%	(24.6)%	19.3%
High during the year	16.19	18.46	18.19
Low during the year	11.91	12.92	14.36

The table above sets out the middle market closing prices. The company’s share price increased by 20% in 2021. This compares with an increase in the FTSE 100 index of 14% during the year. The middle market closing share price on 27 February 2022 was £15.64.

Share price chart

UK share price (UK£)
US ADS price (US$)

Shareholder information continued

Share price trend in the three years ended 31 December 2021

290 GSK Annual Report 2021
Strategic report Governance and remuneration Financial statements Investor information

Analysis of shareholdings at 31 December 2021

Holding of shares	Number of shares	Number of accounts	% of total accounts	% of total shares
Up to 1,000	23,444,870	69,334	71.06	0.44
1,001 to 5,000	47,264,152	21,872	22.41	0.88
5,001 to 100,000	80,804,464	5,220	5.35	1.50
100,001 to 1,000,000	271,429,821	776	0.80	5.04
Over 1,000,000	4,964,071,752	368	0.38	92.14
	5,387,015,059	97,570	100.00	100.00
Held by Institutional and Corporate holders	3,337,598,976	2,723	2.79	61.96
Individuals and other corporate bodies	729,773,041	94,845	97.21	13.55
Guaranty Nominees Limited	964,437,092	1	0.00	17.90
Held as Treasury shares by GlaxoSmithKline	355,205,950	1	0.00	6.59

J. P. Morgan Chase Bank, N.A. is the Depositary for the company’s American Depository Receipt (ADR) programme. The company’s ADS are listed on the NYSE. Ordinary Shares representing the company’s ADR programme, which is managed by the Depositary, are registered in the name of Guaranty Nominees Limited.

At 27 February 2022, Guaranty Nominees Limited held 994,314,754 Ordinary Shares representing 19.56% of the issued share capital (excluding Treasury shares) at that date.

At 27 February 2022, the number of holders of Ordinary Shares in the US was 939 with holdings of 915,261 Ordinary Shares, and the number of registered holders of ADS was 18,627 with holdings of 497,157,377 ADS. Certain of these Ordinary Shares and ADS were held by brokers or other nominees. As a result, the number of holders of record or registered holders in the US is not representative of the number of beneficial holders or of the residence of beneficial holders.

The company pays dividends quarterly and continues to return cash to shareholders through its dividend policy. Dividends remain an essential component of total shareholder return and GSK recognises the importance of dividends to shareholders. The company aims to distribute regular dividend payments that will be determined primarily with reference to the free cash flow generated by the business after funding the investment necessary to support the Group's future growth.

Dividends per share

The table below sets out the dividend per share and per ADS for the last five years. The dividend per ADS is translated into US dollars at applicable exchange rates.

Year	pence	US$
2021	80	–*
2020	80	2.09
2019	80	1.98
2018	80	2.08
2017	80	2.16

The Q4 2021 ordinary dividend receivable by ADS holders will be calculated based on the exchange rate on 7 April 2022. An annual fee of $0.03 per ADS (or $0.0075 per ADS per quarter) will be charged by the Depositary. The cumulative dividend receivable by ADS holders for Q1, Q2 and Q3 2021 was $1.56.

On 23 June 2021, at the new GSK Investor Update, GSK set out that from 2022 a progressive dividend policy will be implemented for new GSK. 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.# Shareholder information

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).

Dividends

Shareholder information continued
GSK Annual Report 2021 291

Strategic report

Governance and remuneration

Financial statements

Investor information

Event

Event	Date
Quarter 1 Results announcement	27 April 2022
Annual General Meeting	4 May 2022
Quarter 2 Results announcement	27 July 2022
Quarter 3 Results announcement	2 November 2022
Preliminary/Quarter 4 Results announcement	1 February 2023
Annual Report publication	February/March 2023
Annual Report distribution	March 2023

Information about the company, including the share and ADS price, is available on our website at www.gsk.com. Information made available on the website does not constitute part of this Annual Report.

Results announcements

Results announcements are issued to the LSE and are available on its news service. They are also sent to the US Securities and Exchange Commission (SEC) and the NYSE, issued to the media and made available on our website.

Financial reports

The company publishes an Annual Report which is made available on our website from the date of publication. Shareholders may elect to receive notification by email of the publication of Annual Reports by registering on www.shareview.co.uk, and may also elect to receive a printed copy of the Annual Report by contacting our registrar, Equiniti Limited. Copies of previous Annual Reports are available on our website. Printed copies can also be obtained from our registrar (see page 294 for the contact details).

Our Annual General Meeting (AGM) will be held at 2:30pm (UK time) on Wednesday, 4 May 2022 at the Sofitel London Heathrow, Terminal 5, London Heathrow Airport, TW6 2GD and will also be broadcast live for you to join electronically. The AGM is the company’s principal forum for communication with private shareholders. In addition to the formal AGM business, there will be a presentation by the CEO on the performance of the Group and its future development. There will be an opportunity for questions to be asked of the Board. Chairs of the Board’s Committees and the Workforce Engagement Director will be available to take questions relating to their roles. Further details on how to access the AGM electronically or attend in person, ask questions and vote, can be found in the notice of Annual General Meeting 2022 (AGM Notice) which is available on our website at www.gsk.com.

Investors holding shares through a nominee service should arrange with that nominee service for them to be appointed as a proxy in respect of their shareholding in order to attend and vote at the meeting electronically. ADS holders wishing to attend the meeting electronically should refer to the AGM Notice for details on how to request a proxy appointment from the Depositary, J.P. Morgan Chase Bank N.A. This will enable them to attend, ask questions and vote, all electronically, on the business to be transacted at the meeting. ADS holders are reminded that if they do not instruct the Depositary as to the way in which the shares represented by their ADSs should be voted by completing and returning the voting card provided by the Depositary, their shares will not be voted.

Documents on display

The Articles of Association of the company and Directors’ service contracts or, where applicable, letters of appointment between Directors and the company or any of its subsidiaries (and any side letters relating to severance terms and pension arrangements) are available for inspection at the company’s registered office and will be made available for inspection at the AGM.

Annual General Meeting 2022

Financial calendar 2022

Shareholder information continued

Dividends continued

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. Details of the dividends declared, the amounts and the payment dates are given in Note 16 to the financial statements, ‘Dividends’.

2022 Dividend calendar	Ex-dividend date	Record date	Payment date
Quarter
Q4 2021	24 February 2022	25 February 2022	7 April 2022
Q1 2022	19 May 2022	20 May 2022	7 July 2022
Q2 2022	18 August 2022	19 August 2022	6 October 2022
Q3 2022	17 November 2022	18 November 2022	12 January 2023
Q4 2022	23 February 2023	24 February 2023	13 April 2023

292 GSK Annual Report 2021

A summary of certain UK tax and US federal income tax consequences for holders of shares and ADSs who are citizens of the UK or the US is set out below. It is not a complete analysis of all the possible tax consequences of the purchase, ownership or sale of these securities. It is intended only as a general guide. Holders are advised to consult their advisers with respect to the tax consequences of the purchase, ownership or sale of their shares or ADSs and the consequences under state and local tax laws in the US and the implications of the current UK/US tax conventions. US holders of ADSs generally will be treated as the owners of the underlying shares for the purposes of the current UK/US double taxation conventions relating to income and gains (Income Tax Convention), estate and gift taxes (Estate and Gift Tax Convention), and for the purposes of the Internal Revenue Code of 1986, as amended.

UK shareholders

This summary only applies to a UK resident shareholder that holds shares as capital assets.

Taxation of dividends

For the 2021/22 UK tax year, UK resident individuals are entitled to a dividend tax allowance of up to £2,000, so that the first £2,000 of dividends received in a tax year will be free of tax. Dividends in excess of this allowance will be taxed at 7.5% for basic rate taxpayers, 32.5% for higher rate taxpayers and 38.1% for additional rate taxpayers. Note that from April 2022 tax on dividend income will increase by 1.25% to help support the NHS and social care. UK resident shareholders that are corporation taxpayers should note that dividends payable on ordinary shares are generally entitled to exemption from corporation tax.

Taxation of capital gains

UK resident shareholders may be liable for UK tax on gains on the disposal of shares or ADSs. For disposals by individuals in the 2021/22 UK tax year, a taxable capital gain accruing on a disposal of shares or ADSs will be taxed at 10% for basic rate taxpayers, or 20% if, after all allowable deductions, the individual’s taxable income for the year exceeds the basic rate income tax banding. Note this is following the use of any exemptions available to the individual taxpayer such as the annual exempt amount. Corporation taxpayers may be entitled to an indexation allowance which applies to reduce capital gains to the extent that such gains arise due to inflation. Indexation allowance may reduce a chargeable gain but will not create an allowable loss. For assets acquired on or before 1 January 2018, legislation in the Finance Act 2018 freezes the level of indexation allowance that is given in calculating a company’s chargeable gains at the value that would apply to the disposal of an asset in December 2017. For assets acquired from 1 January 2018 onwards, legislation in the Finance Act 2018 removes any indexation allowance on disposal.

Inheritance tax

Individual (UK-domiciled or otherwise) shareholders may be liable to UK inheritance tax on the transfer of shares or ADSs. Tax may be charged on the amount by which the value of the shareholder’s estate is reduced as a result of any transfer by way of lifetime gift or other disposal at less than full market value. In the case of a bequest on death, tax may be charged on the value of the shares at the date of the shareholder’s death. If such a gift or other disposal were subject to both UK inheritance tax and US estate or gift tax, the Estate and Gift Tax Convention would generally provide for tax paid in the US to be credited against tax payable in the UK.## Tax information for shareholders

Stamp duty and stamp duty reserve tax

UK stamp duty and/or stamp duty reserve tax (SDRT) will, subject to certain exemptions, be payable on the transfer of shares at a rate of 0.5% (rounded up to the nearest £5 in the case of stamp duty) of the consideration for the transfer. Notwithstanding this, provided that an instrument is executed in pursuance of the agreement that gave rise to the charge to SDRT and that instrument is stamped within six years of the agreement (including being stamped as exempt) any SDRT charge should be cancelled and any SDRT which has already been paid will be repaid.

US shareholders

This summary only applies to a shareholder (who is a citizen or resident of the US or a domestic corporation or a person that is otherwise subject to US federal income tax on a net income basis in respect of the shares or ADS) that holds shares or ADS as capital assets, is not resident in the UK for UK tax purposes and does not hold shares for the purposes of a trade, profession or vocation that is carried on in the UK through a branch or agency. The summary also does not address the tax treatment of holders that are subject to special tax rules, such as banks, tax-exempt entities, insurance companies, dealers in securities or currencies, persons that hold shares or ADS as part of an integrated investment (including a ‘straddle’) comprised of a share or ADS and one or more other positions, and persons that own (directly, indirectly or constructively) 10% or more of the company’s stock (by vote or value), nor does it address tax treatment that may be applicable as a result of international income tax treaties.

Taxation of dividends

The gross amount of dividends received is treated as foreign source dividend income for US tax purposes. It is not eligible for the dividend received deduction allowed to US corporations. Dividends on ADS are payable in US dollars; dividends on Ordinary Shares are payable in Sterling. Dividends paid in Sterling will be included in income in the US dollar amount calculated by reference to the exchange rate on the day the dividends are received by the holder.

Subject to certain exceptions for short-term or hedged positions, an individual eligible US holder will be subject to US taxation at a maximum federal rate of 23.8% plus applicable state and local tax in respect of qualified dividends. A qualified dividend as defined by the US Internal Revenue Service (IRS) is a dividend that meets the following criteria:

Must be issued by a US corporation, a corporation incorporated in a US possession, or a corporation that is eligible for the benefits of a comprehensive income tax treaty deemed satisfactory, as published by the IRS.
The dividends are not of a type listed by the IRS as dividends that do not qualify.
The required dividend holding period has been met. The shares must have been owned by you for more than 60 days of the ‘holding period’ – which is defined as the 121-day period that begins 60 days before the ex-dividend date, or the day in which the stock trades without the dividend priced in. For example, if a stock’s ex-dividend date is 1 October, the shares must be held for more than 60 days in the period between 2 August and 30 November of that year in order to count as a qualified dividend.

Dividends that are not qualified are subject to taxation at the US federal graduated tax rates, at a maximum rate of 40.8%. Some types of dividends are automatically excluded from being qualified dividends, even if they meet the other requirements. These include (but are not limited to):

Capital gains distributions
Dividends on bank deposits
Dividends held by a corporation in an Employee Stock Ownership Plan (ESOP)
Dividends paid by tax-exempt corporations.

US state and local tax rates on qualified and non-qualified dividends may vary and would be assessed in addition to the federal tax rates communicated above.

Taxation of capital gains

Generally, US holders will not be subject to UK capital gains tax, but will be subject to US tax on capital gains realised on the sale or other disposal of shares or ADS. Such gains will be long-term capital gains (subject to reduced rates of taxation for individual holders) if the shares or ADS were held for more than one year, from the date the shares were vested/released. Short-term capital gains can be subject to taxation of rates of up to 40.8%, whereas long-term capital gains may be subject to rates of up to 23.8%. State and local tax rates on capital gains may also apply.

Information reporting and backup withholding

Dividends and payments of the proceeds on a sale of shares or ADS, paid within the US or through certain US-related financial intermediaries, are subject to information reporting and may be subject to backup withholding unless the US holder is a corporation or other exempt recipient or provides a taxpayer identification number and certifies that no loss of exemption has occurred. Non-US holders generally are not subject to information reporting or backup withholding, but may be required to provide a certification of their non-US status in connection with payments received. Any amounts withheld will be allowed as a refund or credit against a holder’s US federal income tax liability provided the required information is furnished to the IRS.

Estate and gift taxes

Under the Estate and Gift Tax Convention, a US shareholder is not generally subject to UK inheritance tax. However, a US holder may be subject to US federal estate and gift tax.

Stamp duty

UK stamp duty and/or SDRT will, subject to certain exemptions, be payable on any transfer of shares to the ADS custodian or depository at a rate of 1.5% of the amount of any consideration provided (if transferred on sale), or their value (if transferred for no consideration). However, no stamp duty or SDRT should be payable on the transfer of, or agreement to transfer, an ADS.

Shareholder information continued

Other statutory disclosures

Shareholder services and contacts

Registrar

The company’s registrar is:

Equiniti Limited
Aspect House, Spencer Road, Lancing, BN99 6DA
www.shareview.co.uk
Tel: 0371 384 2991 (in the UK)*
Tel: +44 (0)121 415 7067 (outside the UK)

Equiniti provides a range of services for shareholders:

| Service | What it offers | How to participate For postal transactions, please call: 03 71 38 4 2991* to request a dealing form.

Corporate Sponsored Nominee Account

This is a convenient way to manage your shares without requiring a share certificate. The service provides a facility for you to hold your shares in a nominee account sponsored by the company. You will continue to receive dividend payments and can attend and vote at the company’s general meetings. Shareholders’ names do not appear on the publicly available share register and the service is free to join. An application form can be requested from www.shareview.co.uk or by contacting Equiniti.

Individual Savings Accounts (ISAs) †

The company has arranged for Equiniti Financial Services Limited to provide a GSK Corporate ISA to hold GSK shares. Details are available from www.shareview.co.uk or can be requested by telephoning Equiniti, on 0345 07 00 7 20. Lines are open 8.00am to 4.30pm for dealing, and until 5.30pm for enquiries Monday to Friday (excluding public holidays in England and Wales).

Lines are open from 8.30am to 5.30pm, Monday to Friday (excluding public holidays in England and Wales).
† The provision of share dealing details is not intended to be an invitation or inducement to engage in an investment activity. Advice on share dealing should be obtained from a stockbroker or independent financial adviser.

Investor information

ADS Depositary

The ADR programme is administered by J.P. Morgan Chase Bank, N.A.

Regular Correspondence:
EQ Shareowner Services
P.O. Box 64504
St. Paul, MN 55164-0504

Delivery of Stock Certificates and Overnight Mail:
EQ Shareowner Services
110 Centre Point Curve, Suite 101
Mendota Heights, MN 55120-4100

www.shareowneronline.com

General: +1 800 990 1135
From outside the US: +1 651 453 2128

The Depositary also provides Global Invest Direct, a direct ADS purchase/sale and dividend reinvestment plan for ADS holders. For details on how to enrol please visit www.adr.com or call the above help line number to obtain an enrolment pack.

Donating shares to Save the Children

In 2013, GSK embarked on an ambitious global partnership with Save the Children to share our expertise and resources with the aim of helping to save the lives of one million children. Shareholders with a small number of shares, the value of which makes it uneconomical to sell, may wish to consider donating them to Save the Children. Donated shares will be aggregated and sold by Save the Children who will use the funds raised to help them reach the above goal. †

To obtain a share donation form, please contact our registrar, Equiniti, which is managing the donation and sale of UK shares to Save the Children free of charge. †

The provision of share dealing details is not intended to be an invitation or inducement to engage in an investment activity. Advice on share dealing should be obtained from a stockbroker or independent financial adviser.

Stock Exchange announcement notifications

We provide shareholders with a service to receive automatic email notifications when we publish a stock exchange announcement. To receive email notifications, please sign up for announcements at www.gsk.com in the Investors section.

Contacts

Investor relations

Investor relations may be contacted as follows:

UK
980 Great West Road
Brentford, Middlesex, TW8 9GS
Tel: +44 (0)20 8047 5000

US
5 Crescent Drive
Philadelphia PA 19112
Tel: +1 888 825 5249 (US toll free)
Tel: +1 215 751 4611 (outside the US)

GSK Response Center
Tel: +1 888 825 5249 (US toll free)

Share scam alert

If you receive an unsolicited telephone call offering to sell or buy your shares, please take extra care. The caller may be part of a highly organised financial scam. If you are a UK shareholder, please contact the Financial Conduct Authority at www.fca.org.uk/consumers or on its consumer helpline:
Tel: 080 0 111 6768 (in the UK)*
Tel: +44 (0)20 7066 1000 (outside the UK)

Lines are open from 8.00am to 6.00pm, UK time, Monday to Friday, except UK public holidays, and 9.00am to 1.00pm on Saturdays.

Shareholders services and contacts continued

Other statutory disclosures continued

A number of provisions of US law and regulation apply to the company because our shares are quoted on the NYSE in the form of ADS.

NYSE rules

In general, the NYSE rules permit the company to follow UK corporate governance practices instead of those applied in the US, provided that we explain any significant variations. This explanation is contained in our Form 20-F, which can be accessed from the SEC’s EDGAR database or via our website. NYSE rules require us to file annual and interim written affirmations concerning our Audit & Risk Committee (ARC) and our statement on significant differences in corporate governance.

Sarbanes-Oxley Act of 2002

Following a number of corporate and accounting scandals in the US, Congress passed the Sarbanes-Oxley Act of 2002. Sarbanes-Oxley is a wide-ranging piece of legislation concerned largely with financial reporting and corporate governance. As recommended by the SEC, the company has established a Disclosure Committee. The Committee reports to the CEO, the CFO and to the ARC. It is chaired by the Company Secretary and its members consist of senior managers from finance, legal, corporate communications and investor relations. External legal counsel, the external auditors and internal experts are invited to attend the Disclosure Committee’s meetings periodically. The Committee has responsibility for considering the materiality of information and, on a timely basis, determining the disclosure of that information. It has responsibility for the timely filing of reports with the SEC and the formal review of the Annual Report and Form 20-F. In 2021, the Committee met 18 times.

Sarbanes-Oxley requires that the annual report on Form 20-F contains a statement as to whether a member of the ARC is an audit committee financial expert, as defined in rules under Sarbanes-Oxley. Such a statement for the relevant members of the ARC (Charles Bancroft) is included in the Board Committee information area of the Corporate Governance report on page 93 and in his biography on page 84.

Additional disclosure requirements arise under section 302 and section 404 of Sarbanes-Oxley in respect of disclosure controls and procedures and internal control over financial reporting.

Section 302: Corporate responsibility for financial reports

Sarbanes-Oxley requires for the CEO and the CFO to complete formal certifications, confirming that:

they have each reviewed the annual report on Form 20-F;
based on their knowledge, the annual report on Form 20-F contains no material misstatements or omissions;
based on their knowledge, the financial statements and other financial information fairly present, in all material respects, the financial condition, results of operations and cash flows as of the dates, and for the periods, presented in the annual report on Form 20-F;
they are responsible for establishing and maintaining disclosure controls and procedures that ensure that material information is made known to them, and have evaluated the effectiveness of these controls and procedures as at the year end, the results of such evaluation being contained in the annual report on Form 20-F;
they are responsible for establishing and maintaining internal control over financial reporting that provides reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; and
they have disclosed in the annual report on Form 20-F any changes in internal controls over financial reporting during the period covered by the annual report on Form 20-F that have materially affected, or are reasonably likely to affect materially, the company’s internal control over financial reporting, and they have disclosed, based on their most recent evaluation of internal control over financial reporting, to the external auditor and the ARC, all significant deficiencies and material weaknesses in the design or operation of internal controls over financial reporting which are reasonably likely to affect adversely the company’s ability to record, process, summarise and report financial information, and any fraud (regardless of materiality) involving persons that have a significant role in the company’s internal control over financial reporting.

The Group has carried out an evaluation under the supervision and with the participation of its management, including the CEO and CFO, of the effectiveness of the design and operation of the Group’s disclosure controls and procedures as at 31 December 2021. There are inherent limitations to the effectiveness of any system of disclosure controls and procedures, including the possibility of human error and the circumvention or overriding of the controls and procedures.## US law and regulation

Other statutory disclosures continued

The CEO and CFO expect to complete these certifications and report their conclusions on the effectiveness of disclosure controls and procedures in March 2022, following which the certifications will be filed with the SEC as part of our Group’s Form 20-F.

Section 404: Management’s annual report on internal control over financial reporting

In accordance with the requirements of section 404 of Sarbanes-Oxley, the following report is provided by management in respect of the company’s internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the US Securities Exchange Act of 1934, as amended (the Exchange Act)):

– management is responsible for establishing and maintaining adequate internal control over financial reporting for the Group. Internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with IFRS;
– management conducted an evaluation of the effectiveness of internal control over financial reporting based on the framework, Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring Organisations of the Treadway Commission (COSO);
– there have been no changes in the Group’s internal control over financial reporting during 2021 that have materially affected, or are reasonably likely to materially affect, the Group’s internal control over financial reporting;
– management has assessed the effectiveness of internal control over financial reporting as at 31 December 2021 and its conclusion will be filed as part of the Group’s Form 20-F; and
– Deloitte LLP, which has audited the consolidated financial statements of the Group for the year ended 31 December 2021, has also assessed the effectiveness of the Group’s internal control over financial reporting under Auditing Standard 2201 of the Public Company Accounting Oversight Board (United States). Their audit report will be filed with the Group’s Form 20-F.

Section 13(r) of the Exchange Act

Section 13(r) of the Exchange Act requires issuers to make specific disclosure in their annual reports of certain types of dealings with Iran, or controlled transactions or dealings with government-owned entities, as well as dealings with entities sanctioned for activities related to terrorism or proliferation of weapons of mass destruction, even when those activities are not prohibited by US law and do not involve US persons.

The Group exports certain pharmaceutical, vaccine and consumer products to Iran, via sales by non-US entities that are not subsidiaries of a US entity, to two privately held Iranian distributors. The Group does not regularly receive information regarding the identity of its distributors' downstream customers and intermediaries in Iran, and it is possible that these parties include entities, such as government-owned hospitals and pharmacies, that are owned directly or indirectly by the Iranian government or by persons or entities sanctioned in connection with terrorism or proliferation activities. Because the Group does not regularly receive information regarding the identity of its distributors' downstream customers it cannot establish the proportion of gross revenue or sales potentially attributable to entities affiliated with the Iranian government or parties sanctioned for disclosable activities. As a result, the Group is reporting the entire gross revenues (£11.5 million) and net profits (£5.6 million) from the Group's sales to Iran in 2021.

The Group is also aware that some hospitals or other medical facilities in Lebanon may be affiliated with or controlled by Hezbollah or other groups that are designated by the United States pursuant to Executive Order 13224. Again, the Group does not deal directly with such hospitals or facilities and instead sells through distributors. The Group is unable to establish the proportion of gross revenue or sales potentially attributable to reportable activities. As a result, the Group is reporting the entire gross revenues (£30.7 million) and net profits (£0.6 million) from the Group's sales to Lebanon in 2021.

Unless noted, the Group intends to continue the activities described above. In addition to Section 13(r) of the Exchange Act, US law generally restricts dealings by US persons and dealings that otherwise are subject to US jurisdiction with certain countries or territories that are subject to comprehensive sanctions, currently Crimea, Cuba, Donetsk People's Republic, Iran, Luhansk People's Republic, North Korea and Syria, as well as with the Government of Venezuela (though not with the country of Venezuela as a whole). The Group does business, via non-US entities (which are not owned or controlled by US entities), in certain such jurisdictions. While we believe the Group complies with all applicable US sanctions in all material respects, such laws are complex and continue to evolve rapidly.

Donations to political organisations and political expenditure

To ensure a consistent approach to political contributions across the Group, in 2009 a global policy was introduced to voluntarily stop all corporate political contributions. In the period from 1 January 2009 to 31 December 2021, the Group did not make any political donations to EU or non-EU organisations. Notwithstanding the introduction of this policy, in accordance with the Federal Election Campaign Act in the US, we continue to support an employee-operated Political Action Committee (PAC) that facilitates voluntary political donations by eligible GSK employees. The PAC is not controlled by GSK. Decisions on the amounts and recipients of contributions are governed by the PAC Board of Directors. Contributions to the PAC are made by participating eligible employees exercising their legal right to pool their resources and make political contributions, which are subject to strict limitations under US law. In 2021, a total of US$298,000 (2020 – US$366,750) was donated to political organisations by the GSK employee PAC.

English law requires prior shareholder approval for political contributions to EU political parties and independent election candidates as well as for any EU political expenditure. The definitions of political donations, political expenditure and political organisations used in the legislation are, however, quite broad. In particular, the definition of EU political organisations may extend to bodies such as those concerned with policy review, law reform, the representation of the business community and special interest groups such as those concerned with the environment, which the company and its subsidiaries might wish to support. As a result, the definitions may cover legitimate business activities not in the ordinary sense considered to be political donations or political expenditure, nor are they designed to support any political party or independent election candidate. Therefore, notwithstanding our policy, and while we do not intend to make donations to any EU political parties or organisations, nor to incur any EU political expenditure, we annually seek shareholder authorisation for any inadvertent expenditure. The authority is a precautionary measure to ensure that the company and its subsidiaries do not inadvertently breach the legislation. This authorisation process, for expenditure of up to £100,000 each year, dates back to the AGM held in May 2001, following the introduction of the Political Parties, Elections and Referendums Act 2000. The authority has since been renewed annually.

Group companies

In accordance with Section 409 of the Companies Act 2006 a full list of subsidiaries, associates, joint ventures and joint arrangements, the address of the registered office and effective percentage of equity owned, as at 31 December 2021 are disclosed below. Unless otherwise stated the share capital disclosed comprises Ordinary shares which are indirectly held by Glaxo SmithKline plc. The percentage held by class of share is stated where this is less than 100%. Unless otherwise stated, all subsidiary companies have their registered office and are tax resident in their country of incorporation.# Item 1. Business

Overview

GlaxoSmithKline plc is a global healthcare company.

Products and Services

The Company’s products include vaccines, specialty medicines, and general medicines.

Research and Development

The Company is committed to research and development in areas such as oncology, immunology, and infectious diseases.

Manufacturing and Supply Chain

The Company operates a global manufacturing and supply chain network to ensure the availability of its products.

Regulatory Environment

The Company operates in a highly regulated industry and adheres to all applicable regulations.

Competition

The Company faces competition from other global healthcare companies, as well as smaller, specialized firms.

Intellectual Property

The Company maintains a strong portfolio of patents and other intellectual property rights.

Financial Information

The Company’s financial performance is detailed in its consolidated financial statements.

Item 1A. Risk Factors

Market Risks

The Company is exposed to risks related to fluctuations in currency exchange rates, interest rates, and the prices of raw materials.

Operational Risks

The Company faces risks related to product recalls, manufacturing disruptions, and supply chain failures.

Regulatory Risks

Changes in healthcare regulations, including pricing controls and reimbursement policies, can impact the Company’s financial performance.

Competitive Risks

Increased competition, the introduction of generic drugs, and pricing pressures from competitors can affect the Company’s market share and profitability.

Research and Development Risks

The Company’s success depends on its ability to develop and obtain regulatory approval for new products. This process is inherently uncertain and can be affected by clinical trial outcomes and regulatory decisions.

Legal and Compliance Risks

The Company is subject to various legal and compliance risks, including patent litigation, product liability claims, and anti-bribery and anti-corruption regulations.

Geopolitical Risks

Political instability, trade disputes, and changes in government policies in the countries where the Company operates can impact its business.

Item 1B. Unresolved Staff Comments

Not applicable.

Item 2. Properties

The Company owns and leases a global network of facilities, including research and development centers, manufacturing plants, and administrative offices.

Item 3. Legal Proceedings

The Company is involved in various legal proceedings incidental to its business.

Item 4. Mine Safety Disclosures

Not applicable.

PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

The Company’s ordinary shares are traded on the London Stock Exchange and the New York Stock Exchange.

Item 6. [Reserved]

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Results of Operations

The Company’s revenue is generated from the sale of pharmaceuticals, vaccines, and consumer healthcare products. The Company’s cost of goods sold includes the cost of raw materials, manufacturing, and distribution. Research and development expenses are significant and reflect the Company’s investment in innovation. Selling, general, and administrative expenses include marketing, sales, and corporate overhead costs.

Financial Condition

The Company maintains a strong balance sheet with significant cash and investments. The Company’s financial strategy is to maintain a strong credit rating and a flexible capital structure to support its business objectives.

Liquidity and Capital Resources

The Company generates significant cash flow from its operations. The Company’s liquidity needs are met through operating cash flows, existing cash balances, and access to credit facilities. The Company uses its cash resources to fund research and development, capital expenditures, acquisitions, and share repurchases.

Critical Accounting Policies

The Company’s financial statements are prepared in accordance with U.S. Generally Accepted Accounting Principles (GAAP). Critical accounting policies include revenue recognition, inventory valuation, and the impairment of long-lived assets.

Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Market Risk

The Company is exposed to market risks, including currency exchange rate fluctuations, interest rate changes, and commodity price volatility. The Company manages these risks through various hedging strategies.

Currency Risk

The Company operates globally and is exposed to fluctuations in foreign currency exchange rates. These fluctuations can affect the reported value of the Company’s international assets and liabilities, as well as its revenue and expenses.

Interest Rate Risk

The Company is exposed to interest rate risk on its borrowings and investments. Changes in interest rates can affect the cost of borrowing and the income generated from investments.

Commodity Price Risk

The Company is exposed to the risk of changes in the prices of raw materials used in its manufacturing processes.

Item 8. Financial Statements and Supplementary Data

Consolidated Statements of Comprehensive Income

Year Ended December 31,	2021	2020	2019
REVENUE	27,887	32,287	28,165
Cost of sales	6,701	7,905	6,425
GROSS PROFIT	21,186	24,382	21,740
Selling, general and administrative expenses	10,021	10,494	9,695
Research and development expenses	5,189	5,269	5,120
Other operating income (expense), net	(356)	(231)	(225)
OPERATING PROFIT	5,620	8,388	6,700
Interest expense	452	485	472
Other income (expense), net	48	115	144
PROFIT BEFORE TAXATION	5,216	8,018	6,372
Income tax expense	1,055	1,540	1,189
PROFIT FOR THE YEAR	4,161	6,478	5,183
OTHER COMPREHENSIVE INCOME (LOSS):
Items that may be reclassified subsequently to profit or loss:
Foreign currency translation differences	(815)	(292)	(1,356)
Fair value movements on cash flow hedging instruments	11	(16)	35
Items that will not be reclassified subsequently to profit or loss:
Remeasurements of defined benefit plans	1,206	771	1,260
OTHER COMPREHENSIVE INCOME (LOSS) FOR THE YEAR, NET OF TAX	390	463	-79
TOTAL COMPREHENSIVE INCOME FOR THE YEAR	4,551	6,941	5,104

Consolidated Balance Sheets

As at December 31,	2021	2020
ASSETS
Non-current assets
Property, plant and equipment, net	12,605	13,184
Intangible assets	20,667	21,004
Goodwill	12,718	12,706
Investments in joint ventures and associates	2,051	1,809
Other non-current assets	2,138	2,306
Total non-current assets	50,179	51,009
Current assets
Inventories	3,814	3,742
Trade and other receivables	7,093	7,294
Cash and cash equivalents	6,070	7,458
Total current assets	16,977	18,494
TOTAL ASSETS	67,156	69,503
EQUITY AND LIABILITIES
Equity
Share capital	532	532
Share premium	1,193	1,193
Retained earnings	28,350	26,104
Other reserves	(2,382)	(3,197)
Total equity	27,693	24,632
Non-current liabilities
Long-term debt	12,558	13,071
Provisions	3,481	3,427
Other non-current liabilities	6,211	7,139
Total non-current liabilities	22,250	23,637
Current liabilities
Trade and other payables	9,636	10,410
Provisions	1,142	1,308
Current tax liabilities	634	516
Total current liabilities	11,412	12,234
Total liabilities	33,662	35,871
TOTAL EQUITY AND LIABILITIES	67,156	69,503

Consolidated Statements of Cash Flows

Year Ended December 31,	2021	2020	2019
Cash flows from operating activities:
Profit before taxation	5,216	8,018	6,372
Adjustments for:
Depreciation and amortization	2,167	2,205	2,132
Impairment of assets	305	278	176
Share-based payments	619	681	648
Changes in working capital	(152)	(1,326)	(661)
Other non-cash items	(471)	(1,181)	230
Net cash from operating activities	7,984	8,675	8,897
Cash flows from investing activities:
Purchase of property, plant and equipment	(1,253)	(1,334)	(1,290)
Proceeds from sale of property, plant and equipment	179	179	127
Acquisitions of businesses, net of cash acquired	(89)	(150)	(1,063)
Disposals of businesses, net of cash disposed	31	18	7
Purchases of intangible assets	(455)	(432)	(427)
Purchases of investments	(826)	(1,266)	(386)
Proceeds from sale of investments	571	773	429
Net cash used in investing activities	(1,751)	(1,157)	(2,503)
Cash flows from financing activities:
Proceeds from issuance of debt	1,592	2,243	4,216
Repayments of debt	(2,277)	(1,958)	(2,771)
Dividends paid	(4,042)	(3,785)	(3,443)
Share repurchases	(724)	(1,063)	(980)
Net cash used in financing activities	(5,451)	(4,563)	(3,980)
Net decrease in cash and cash equivalents	(1,218)	2,955	2,414
Cash and cash equivalents at beginning of year	7,458	4,503	2,089
Cash and cash equivalents at end of year	6,070	7,458	4,503

Item 9. Changes in and Disagreements With Accountants on Accounting and Financial Disclosure

Not applicable.

Item 9A. Controls and Procedures

Disclosure Controls and Procedures

The Company maintains disclosure controls and procedures designed to ensure that information required to be disclosed in its SEC reports is recorded, processed, summarized, and disclosed within the time periods specified in the SEC’s rules and forms.

Internal Control Over Financial Reporting

The Company’s management is responsible for establishing and maintaining adequate internal control over financial reporting.

Item 9B. Other Information

Not applicable.

PART III

Item 10. Directors, Executive Officers and Corporate Governance

Information regarding the Company’s directors and executive officers is set forth in the Company’s Proxy Statement for its Annual General Meeting of Shareholders.

Item 11. Executive Compensation

Information regarding executive compensation is set forth in the Company’s Proxy Statement for its Annual General Meeting of Shareholders.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Information regarding security ownership is set forth in the Company’s Proxy Statement for its Annual General Meeting of Shareholders.

Item 13. Certain Relationships and Related Transactions, and Director Independence

Information regarding certain relationships and related transactions is set forth in the Company’s Proxy Statement for its Annual General Meeting of Shareholders.

Item 14. Principal Accounting Fees and Services

Information regarding principal accounting fees and services is set forth in the Company’s Proxy Statement for its Annual General Meeting of Shareholders.

Item 15. Exhibits, Financial Statement Schedules

The following exhibits are filed as part of this Annual Report on Form 10-K:

Exhibit 3.1: Articles of Association of GlaxoSmithKline plc.
Exhibit 3.2: Form of Share Certificate.
Exhibit 10.1: Material agreements filed as exhibits.
Exhibit 12.1: Section 302 Certification of Principal Executive Officer.
Exhibit 12.2: Section 302 Certification of Principal Financial Officer.
Exhibit 13.1: Section 906 Certification of Principal Executive Officer.
Exhibit 13.2: Section 906 Certification of Principal Financial Officer.
Exhibit 99.1: List of Subsidiaries.

Subsidiaries of GlaxoSmithKline plc

Name	Security	Registered address
6369 Alberta U L C	Common	3500 855-2nd Street SW , Calgary AB T2P 4J8, Canada
Action Potential V enture Capit al Limited	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Adechsa GmbH (ii)	Ordinary	c/o PRV Provides T reuhandgesellschaft A G, Dorfstrasse 38, 6341, B aar , Switzerland
Allen & Hanburys Limited (ii)	Ordinary	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
Allen & Hanburys Pharmaceutical Nigeria Limited	Ordinary	24 Abimbola W ay , Ilasamaja, Isolo, Lagos, Nigeria
Allen Farmaceutica, S.A.	Ordinary	Severo Ochoa, 2, Parque T ecnológico de Madrid, T res Cantos, 287 60, Madrid, Spain
Allen Pharmazeutika Gesellschaft m.b.H.	Ordinary	W agenseilgasse 3, Euro Plaza, Gebäude 5i, 4.Stoc k, 1120, V ienna, Austria
Beecham Group p.l.c	5p Shares 'B'; 20p Shares 'A'	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
Beecham Pharmaceuticals (Pte) Limited	Ordinary	38 Quality Road, Jurong Industrial Estate, Jurong, 618 809, Singapore
Beecham P ortuguesa-Produtos Farmacêuticos e Químicos, Lda	Ordinary Quota	Rua Dr Antonio Loureiro B orges No 3, Arquiparque, Miraﬂores, 1495-131, Alges, Portugal
Beecham S.A. (ii)	Ordinary	avenue Fleming 20, 1300 Wavre, Belgium
Biovesta Ilaçlari Ltd. Sti. (ii)	Nominative	Büyükdere Caddesi No. 1 7 3, 1.Levent Plaza B Blok, 1.Levent, Istanbul, 343 94, T urkey
Cascan GmbH & Co. KG	Partnership Capital	Prinzregentenplatz 9, D-816 75, Munich, Germany
Castleton Investment Ltd (In Liquidation)	Ordinary	C/O D T OS, 19 Cybercity , 1 0th Floor Standard Chartered T ower, Ebene, Mauritius
Cellzome GmbH	Ordinary	Meyerhofstrasse 1, 69117 , Heidelberg, Germany
Cellzome Limited (in liquidation since year end)	Ordinary	55 Baker Street, London, W1U 7E U, United Kingdom
Charles Midgley Limited (in liquidation since year end)	7% Cumulative Preference; Ordinary	55 Baker Street, London, W1U 7E U, United Kingdom
Clarges Pharmaceuticals Limited (in liquidation since year end)	Ordinary; Preference (99.97%)	55 Baker Street, London, W1U 7E U, United Kingdom
Clarges Pharmaceutical T rustees Limited (ii) (iv)	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Colleen Corporation	Common	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
Corixa Corporation	Common	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
Dealcyber Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
Desarrollo Energía Solar Alternativa S.L.	Ordinary	Severo Ochoa, 2, Parque T ecnológico de Madrid, T res Cantos, 287 60, Madrid, Spain
Duncan Flockhart Australia Pty Limited (ii) (iv)	Ordinary	1 061 Mount ain Highway , Boronia V ictoria VIC 3155, Australia
Duncan Pharmaceuticals Philippines Inc.	Common	23rd Floor, T he Finance Centre, 26th Street Corner 9th Avenue, Bonifacio Global City , T aguig City, 1634, Philippines
Etex Farmaceutica Ltda	Social Capital	Avenue Andres Bello 268 7 , Piso 19, Las Condes, S antiago, C.P . 7550 611, Chile
Genelabs T echnologies, Inc.	Common	Corporation Service Company , 271 0 Gateway Oaks Drive, Suite 15 0N, Sacramento CA 95833, United St ates
Glaxo Group Limited	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Glaxo Kabushiki Kaisha (ii)	Ordinary	1-8-1 Akas aka Minato-ku, T okyo, Japan
Glaxo Laboratories (Nigeria) Limited (ii)	Ordinary	82 Marine Road, Apapa, Lagos, Nigeria
Glaxo Laboratories Limited (In Liquidation)	Ordinary	55 Baker Street, London, W1U 7E U, United Kingdom
Glaxo New Zealand Pension Plan T rustee Limited	Ordinary	Level 2 E.2, Generator at GridAKL, 12 Madden Street, Wynyard Quarter , Auckland, 1 0 1 0, New Zealand
Glaxo Operations U K Limited	Ordinary	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
Glaxo Properties BV	Ordinary	V an Asc h van W ijkstraat 55h, 3811 LP , Amersfoort, Netherlands
Glaxo T rustees Limited (ii) (in liquidation)	Ordinary	55 Baker Street, London, W1U 7E U, United Kingdom
Glaxo V erwaltungs GmbH	Ordinary	Prinzregentenplatz 9, D-81675, Munic h, Germany
Glaxo W ellcome Australia Pty Ltd (ii) (iv)	Ordinary	1 0 61 Mountain Highway , Boronia Victoria VIC 3155, Australia
Glaxo W ellcome Farmacêutica, Limitada	Ordinary Quota	Rua Dr Antonio Loureiro Borges No 3, Arquiparque, Miraﬂores, 1495-131, Alges, Portugal
Glaxo W ellcome International B.V . (ii) (iii)	Ordinary	Huis ter Heideweg 62, 37 05 LZ, Zeist, Netherlands
Glaxo W ellcome Manufacturing Pte Ltd	Ordinary	1 Pioneer Sector 1, Jurong Industrial Estate, Jurong, 628 413, Singapore
Glaxo W ellcome Production	Ordinary	23 rue François Jacob, 92500, Rueil-Malmaison, France
Glaxo W ellcome V idhyasom Limited (ii)	Ordinary	12th Floor W ave Place, 55 W ireless Road, Lumpini, Pathumwan, Bangkok, 1 033 0, T hailand
Glaxo W ellcome, S.A.	Ordinary	Poligono Industrial Allendeduero, Avenida de Extremadura, 3, Aranda de Duero, 09 400, Burgos, Spain
Glaxo, S.A.	Ordinary	Severo Ochoa, 2, Parque T ecnologico de Madrid, T res Cantos, 28 7 60, Madrid, Spain
Glaxo-Allenburys (Nigeria) Limited (ii)	Ordinary	41 Creek Road, Apapa, Lagos, P MB 1401, Nigeria
Glaxochem Pte Ltd (iii)	Ordinary	23 Rochester Park, 139234, Singapore
GlaxoSmithKline - Produtos Farmacêuticos, Limitada	Ordinary Quota	Rua Dr Antonio Loureiro B orges No 3, Arquiparque, Miraﬂores, 1495-131, Alges, Portugal
GlaxoSmithKline (Cambodia) Co., Ltd. (In Liquidation)	Ordinary	5th Floor D K SH Building, No. 7 9 7 Preah Monivong Boulevard (Co, Sangk at Phsar Deum Thakov , Khan Chamkarmon, Phnom Penh, Cambodia
GlaxoSmithKline (China) Investment Co Ltd	Ordinary	Room 9 0 1, 902, 903, 905, 9 08, 90 9 and 91 0, Unit 90 1, Floor 9, No. 56 Mid 4th East Ring Road, Chaoyang District, Beijing, China
GlaxoSmithKline (China) R&D Company Limited	Equity	F1-3, No.18 Building, 9 99 Huanke Road, Pilot Free T rade Zone, Shanghai, 20 121 0, China
GlaxoSmithKline (Cyprus) Limited	Ordinary	Arch. Makariou I II, 2-4, Capit al Center , 9th Floor , Nicosia, P .C. 1 065, Cyprus
GlaxoSmithKline (GS K) S.R.L.	Ordinary	1-5 Costache Negri Street, Opera Center One, 5th and 6th ﬂoors, Zone 1, District 5, Bucharest, Romania
GlaxoSmithKline (Ireland) Limited	Ordinary	12 Riverwalk, Citywest Business Campus, Dublin 24, Ireland
GlaxoSmithKline (Israel) Ltd	Ordinary	25 B asel Street, PO Box 1 0283, Petach- Tikva, 49 002, Israel
GlaxoSmithKline (Malta) Limited	Ordinary	1, First Floor , De La Cruz Avenue, Qormi, QRM2458, Malt a
GlaxoSmithKline (Private) Limited (ii)	Ordinary	Unit 3, 20 Anthony Road, Ms asa, Harare, Zimbabwe
GlaxoSmithKline (Thailand) Limited	Ordinary	12th Floor W ave Place, 55 W ireless Road, Lumpini, Pathumwan, Bangkok, 1 033 0, T hailand
GlaxoSmithKline AB	Ordinary	Hemvarnsg. 9, 1 71 54, Solna, Sweden
GlaxoSmithKline AG	Ordinary	T alstrasse 3-5, 3 053 Muenchenbuc hsee, Switzerland
GlaxoSmithKline Angola Unipessoal Limitada (iv)	Quota	Luanda, Bairro Petrangol, Estrada de Cacuaco n ° 288, Angola
GlaxoSmithKline Argentina S.A.	Ordinary	T ucumán 1, piso 4, Buenos Aires, C1 0 49AAA, Argentina
GlaxoSmithKline AS	Ordinary	Drammensveien 288, Oslo, N O-0283, Norway
GlaxoSmithKline Asia Private Limited	Equity	Patiala Road, Nabha 14 7 20 1, Dist Patiala, Punjab, India
GlaxoSmithKline Australia Pty Ltd	Ordinary	1 061 Mountain Highway, Boronia V ictoria VIC 3155, Australia
GlaxoSmithKline B.V .	Ordinary	V an Asch van, W ijc kstraat 55h, 3811 LP Amersfoort, The Netherlands, Netherlands
GlaxoSmithKline Beteiligungs GmbH	Ordinary	Prinzregentenplatz 9, 81675, Munchen, Germany
GlaxoSmithKline Biologicals (Shanghai) Ltd.	Ordinary	277 Niudun Road, Pilot Free T rade Zone, Shanhai, China
GlaxoSmithKline Biologicals Kft.	Ordinary	21 00 Gödöllõ, Homoki Nagy István utca 1, Hungary
GlaxoSmithKline Biologicals S.A.S.	Ordinary	637 Rue des Aulnois, Saint-Amand Les Eaux, 59230, France
GlaxoSmithKline Biologicals SA	Ordinary: Preference	Rue de l'Institut 89 B-133 0 Rixensart, Belgium
GlaxoSmithKline Brasil Limitada	Quotas	Estrada dos B anderiantes, 846 4, Rio de Janeiro, 22 7 83-11 0, Brazil
GlaxoSmithKline Capital Inc.	Common	W ilmington T rust SP Services Inc., 11 05 North Market Street, Suite 13 00, W ilmington DE 19 80 1, United States
GlaxoSmithKline Capital plc	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Caribbean Limited	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Chile Farmaceutica Limitada	Social Capital	Avenue Andres Bello No. 2687 , Piso 19, Las Condes, Santiago, C.P . 7550 611, Chile
GlaxoSmithKline Colombia S.A.	Ordinary	Avenida El Dorado, #69B-45/ Piso 9, Bogotá, Colombia
GlaxoSmithKline Consumer Healthcare Holdings Limited (i)	Ordinary	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
GlaxoSmithKline Consumer Holding B.V . (ii)	Ordinary	V an Asch van W ijc kstraat 55h, 3811 LP , Amersfoort, Netherlands
GlaxoSmithKline d.o.o.	Quotas	Zmja od Bosne broj 7 - 7a, Sarajevo, 71 000, Bosnia and Herzegovina
GlaxoSmithKline d.o.o.	Equity Capital	Ulica Damira T omljanovica Gavrana 15, Zagreb, Croatia
GlaxoSmithKline doo Beograd	Ordinary	Omladinskih brigada 88, New Belgrade, City of Belgrade, 11 07 0, Serbia
GlaxoSmithKline Ecuador S.A.	Ordinary	Av 1 0 De Agosto N36-23 9, y Naciones Unidas, Ediﬁcio Electroectuatoriana, 2do piso, Quito, Ecuador
GlaxoSmithKline Eesti OU	Ordinary	Lõõtsa 8a, T allinn, 11415, Estonia
GlaxoSmithKline El Salvador S.A. de C.V .	Ordinary	Municipio de San S alvador , Departamento de San S alvador , El Salvador
GlaxoSmithKline EO OD	Ordinary	115 G T s arigradsko Shose Blvd., ﬂoor 9, Mladost Region, Soﬁa, 1 7 84, Bulgaria
GlaxoSmithKline Export Limited	Ordinary	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
GlaxoSmithKline Export Panama S.A.

Group companies continued

Other statutory disclosures continued

GSK Annual Report 2021 301

Strategic report
Governance and remuneration
Financial statements
Investor information

Name	Security	Registered address
Wholly owned subsidiaries continued
GlaxoSmithKline Holding AS	Ordinary	Drammensveien 288, Oslo, NO-0283, Norway
GlaxoSmithKline Holdings (Americas) Inc.	Common	Wilmington Trust SP Services Inc., 1105 North Market Street, Suite 1300, Wilmington DE 19801, United States
GlaxoSmithKline Holdings (One) Limited (i)	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Holdings Limited (i)	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Holdings Pty Ltd	Ordinary	1061 Mountain Highway, Boronia Victoria VIC 3155, Australia
GlaxoSmithKline Honduras S.A.	Ordinary	Tegucigalpa, MDC, Honduras
GlaxoSmithKline IHC Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Ilaclari Sanayi ve Ticaret A.S.	Nominative	Büyükdere Caddesi No. 173, 1.Levent Plaza B Blok, 1.Levent, Istanbul, 34394, Turkey
GlaxoSmithKline Inc.	Class A Common; Class C Preference	7333 Mississauga Road North, Mississauga Ontario L5N 6L4, Canada
GlaxoSmithKline Insurance Ltd	Ordinary	19 Par-La-Ville Road, Hamilton, HM11, Bermuda
GlaxoSmithKline Intellectual Property (No.2) Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Intellectual Property Development Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Intellectual Property Holdings Limited	A Ordinary; B Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Intellectual Property Limited	Deferred; Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Intellectual Property Management Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Investigación y Desarrollo, S.L.	Ordinary	Severo Ochoa 2 Parque Tecnológico de Madrid, Tres Cantos, 28760, Madrid, Spain
GlaxoSmithKline Investment Holdings Limited (In Liquidation)	Ordinary	55 Baker Street, London, W1U 7EU, United Kingdom
GlaxoSmithKline Investment Services Limited (In Liquidation)	Ordinary	55 Baker Street, London, W1U 7EU, United Kingdom
GlaxoSmithKline Investments Pty Ltd	Ordinary	1061 Mountain Highway, Boronia Victoria VIC 3155, Australia
GlaxoSmithKline K.K.	Ordinary	1-8-1 Akasaka Minato-ku, Tokyo, Japan
GlaxoSmithKline Korea Limited	Ordinary	9F LS Yongsan Tower, 92 Hangang-daero, Yongsan-gu, Seoul, 04386, Korea, Republic of
GlaxoSmithKline Latin America, S.A.	Ordinary	Panama City, Republic of Panama, Panama
GlaxoSmithKline Latvia SIA	Ordinary	Duntes iela 3, Riga, Latvia
GlaxoSmithKline Lietuva UAB	Ordinary	Ukmerges st. 120, Vilnius, LT-08105, Lithuania
GlaxoSmithKline Limited	Ordinary	23/F., Tower 6, The Gateway, 9 Canton Road, Tsimshatsui, Kowloon, Hong Kong
GlaxoSmithKline LLC	LL C Interests	Corporation Service Company, 251 Little Falls Drive, Wilmington DE 19808, United States
GlaxoSmithKline Manufacturing SpA	Ordinary	Viale dell’Agricoltura 7, 37135, Verona, Italy
GlaxoSmithKline Maroc S.A.	Ordinary	42-44 Angle Bd, Rachidi et Abou Hamed El Glaza, Casablanca, Morocco
GlaxoSmithKline Medical and Healthcare Products Limited	Ordinary	H-1124, Csorsz utca 43, Budapest, Hungary
GlaxoSmithKline Mercury Limited (i)	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Mexico S.A. de C.V.	A: Ordinary B	Calzada Mexico-Xochimilco 4900, Colonia San Lorenzo, Huipulco, Delegacion Tlalpan, 14370, Mexico
GlaxoSmithKline NZ Limited	Ordinary	Level 2 E.2, Generator @GridAKL, 12 Madden Street, Wynyard Quarter, Auckland, 1010, New Zealand
GlaxoSmithKline Oy	Ordinary	Piispansilta 9A, P.O. Box 24, Espoo, FIN-02230, Finland
GlaxoSmithKline Peru S.A.	Ordinary	Av. Javier Prado Oeste, 995, San Isidro, LIMA 27, Peru
GlaxoSmithKline Pharma A/S	Ordinary	Nykær 68, DK-2605, Brøndby, Denmark
GlaxoSmithKline Pharma GmbH	Ordinary	W agenseilgasse 3, Euro Plaza, Gebäude 5i, 4.Stock, Wien, 1120
GlaxoSmithKline Pharmaceutical Kenya Limited	Ordinary	Likoni Road, Nairobi, 78392-00507, Kenya
GlaxoSmithKline Pharmaceutical Nigeria Limited	Ordinary	1 Industrial Avenue, Ilupeju, Ikeja, Lagos, PMB 21218, Nigeria
GlaxoSmithKline Pharmaceutical Sdn Bhd	Ordinary	Level 6, Quill 9, 112 Jalan Prof. Khoo Kay Kim, Petaling Jaya, 46300 Selangor, Malaysia
GlaxoSmithKline Pharmaceuticals (Pvt) Ltd	Ordinary	121 Galle Road, Kaldemulla, Moratuwa, Sri Lanka
GlaxoSmithKline Pharmaceuticals Costa Rica S.A.	Ordinary	Autopista Florencia del Castillo, kilómetro siete, Ofi-centro TerraCampus, ediﬁ-cio uno, cuarto piso, San Diego, Cartago, 30302, Costa Rica
GlaxoSmithKline Pharmaceuticals S.A.	A; Ordinary B; Ordinary C; Ordinary D	Ul. Grunwaldzka 189, 60-322, Poznan, Poland
GlaxoSmithKline Pharmaceuticals S.A.	Ordinary	Site Apollo, Avenue Pascal 2-4-6, Wavre, 1300, Belgium
GlaxoSmithKline Pharmaceuticals Ukraine LLC	Chartered Capital	Pavla Tychyny avenue, 1-V, Kiev, 02152, Ukraine
GlaxoSmithKline Philippines Inc	Ordinary	23rd Floor, The Finance Centre, 26th Street Corner 9th Avenue, Bonifacio Global City, Taguig City, 1634, Philippines
GlaxoSmithKline Pte Ltd	Ordinary	23 Rochester Park, 139234, Singapore
GlaxoSmithKline Puerto Rico, Inc.	Common	The Prentice-Hall Corporation System, Puerto Rico, Inc, c/o Fast Solutions, LLC, 252 Ponce de Leon Avenue, Floor 20, San Juan, 00918, Puerto Rico

302

GSK Annual Report 2021

Name	Security	Registered address
Wholly owned subsidiaries continued
GlaxoSmithKline Republica Dominicana S.A.	Ordinary	Blue Mall Tower, Floor 23 Ave., Winston Churchill 95, Santo Domingo, Dominican Republic
GlaxoSmithKline Research & Development Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline S.A.	Ordinary	Severo Ochoa, 2, Parque Tecnológico de Madrid, Tres Cantos, 28760, Madrid, Spain
GlaxoSmithKline S.p.A.	Ordinary	Viale dell’Agricoltura 7, 37135, Verona, Italy
GlaxoSmithKline s.r.o.	Ordinary	Hvězdova 1734/2c, Prague, 4 140 00, Czech Republic
GlaxoSmithKline Services GmbH & Co. KG	Partnership Capital	Prinzregentenplatz 9, 81675, München, Germany
GlaxoSmithKline Services Unlimited (i)	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Single Member A.E.B.E.	Ordinary	266 Kifissias Avenue, Halandri, Athens, 152 32, Greece
GlaxoSmithKline SL LLC	LL C Interests	Corporation Service Company, 251 Little Falls Drive, Wilmington DE 19808, United States
GlaxoSmithKline SL LP (ii) (viii)	Partnership	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Slovakia s.r.o.	Ordinary	Galvaniho 7/A, Bratislava, 821 04, Slovakia
GlaxoSmithKline South Africa (Pty) Limited	Ordinary	Flushing Meadows Building, The Campus, 57 Sloane Street, Bryanston 2021, South Africa
GlaxoSmithKline Trading Services Limited (iii)	Ordinary	12 Riverwalk, Citywest Business Campus, Dublin 24, Ireland
GlaxoSmithKline Tunisia S.A.R.L.	Ordinary	Immeuble REGUS, Lot B17, Centre Urbain Nord, Tunis, Tunisia
GlaxoSmithKline UK Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Uruguay S.A.	Registered Provisory Stock	Salto 1105, CP 11.200 Montevideo, Uruguay
GlaxoSmithKline US Trading Limited	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Venezuela C.A.	Ordinary	Urbanizacion La Trinidad, Calle Luis De Camoens, Edif No 115-117 Apatado Posta, Caracas, 1010, Venezuela, Bolivarian Republic of
GlaxoSmithKline Vietnam Limited Liability Company (ii) (iv)	Equity Capital	The Metropolitan, 235 Dong Khoi Street, District 1, 7th Floor Unit 701, Ho Chi Minh City, Vietnam
GlycoVaxyn AG (iv)	Common; Preferred A; Preferred B; Preferred C	Grabenstrasse 3, 8952 Schlieren, Switzerland
Groupe GlaxoSmithKline	Ordinary	23 rue François Jacob, 92500, Rueil-Malmaison, France
GSK Australia NVD Pty Ltd (ii) (iv)	Ordinary	1061 Mountain Highway, Boronia Victoria VIC 3155, Australia
GSK Bangladesh Private Limited	Ordinary	Sweden Tower, 1, Harinnachala, Konabari, Gazipur, Bangladesh
GSK Biopharma Argentina S.A.	Nominative Non Endorseable Ordinary	Tucumán 1, piso 4, Buenos Aires, C1049AAA, Argentina
GSK Business Service Centre Sdn Bhd	Ordinary	Level 6, Quill 9, 112 Jalan Prof. Khoo Kay Kim, Petaling Jaya,, 46300 Selangor, Malaysia
GSK Capital B.V. (iii) (v)	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GSK Capital K.K.	Ordinary	1-8-1 Akasaka Minato-ku, Tokyo, Japan
GSK Commercial Sp. z o.o.	Ordinary	ul. Rzymowskiego 53, 02-697, Warsaw, Poland
GSK d.o.o., Ljubljana	Ordinary	Ameriška ulica 8,, Ljubljana, 1000, Slovenia
GSK Enterprise Management Co, Ltd	Ordinary	Floor 4, 18 Lane 999 Huanke Road, No.

Other statutory disclosures continued

Wholly owned subsidiaries continued

Name	Security	Registered address
GS K Equity Investments, Limited	Units	135 8 Zhongke Road, Shanghai, China
Human Genome Sciences, Inc.	Common	Corporation Service Company , 2595 Interstate Drive, Suite 1 03, Harrisburg P A 1 711 0, United States
GS K Finance (No 2) Limited	Ordinary	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Finance (No.3) plc	Ordinary	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
GS K India Global Services Private Limited	Equity	Level 1, 2 & 3 Luxor North T ower, Bagmane Capital Business Park Outer Ring Road, Bangalore, Karnat aka, 560037 , India
GS K International Holding and Finance BV	Ordinary	V an Asch van W ijckstraat 55h, 3811 LP , Amersfoort, Netherlands
GS K Kazakhstan LLP	Participation Interest	273, Furmanov Street, Almaty , Medeu District, 050059, Kazakhstan
GS K Limited	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Pharma V ietnam Company Limited	Chartered Capital	Unit 702/7 03 7th Floor , The Metropolitan T ower , 235 Dong Khoi Street, Ben Nghe W ard, District 1, Ho Chi Minh, V ietnam
GS K Pharmaceutical T rading S.A. (ii) (iv)	Ordinary	Bucharest, 1-5 Costache Negri Street, Opera Center One, 5th ﬂoor , discussions room 0 1, District 5, Romania
GS K PSC Poland sp. z o.o.	Equal and indivisible shares	ul. Grunwaldzka 189, Poznań, 60-322, Pol
GS K Services Sp z o.o.	Ordinary	Ul. Grunwaldzka 18 9, 60-322, Poznan, P oland
GS K V accines BV	Ordinary	Hullenbergweg 85, 11 01 CL, Amsterdam, Netherlands
GS K V accines GmbH	Ordinary	Emil-von-Behring-Str . 76, 35041 Marburg, Germany
GS K V accines Institute for Global Health S.r.l.	Quotas	V ia Fiorentina 1, 531 00, Siena, Italy
GS K V accines S.r.l.	Quotas	V ia Fiorentina 1, 531 00, Siena, Italy
GS K V accines V ertriebs GmbH (ii)	Ordinary	Rudolf-Diesel-Ring 27 , 83607 , Holzkirchen, Germany
HG S France S.a.r .l. (ii) (iv)	Ordinary	52-54, Rue de la Belle Feuille, Boulogne-Billancourt, 921 00, France
I D Biomedical Corporation of Quebec	Common	2323, boul. Du Parc T echnologique, Québec Québec G1P 4R8, Canada
Instituto Luso Farmaco, Limitada (ii)	Quotas	Rua Dr Antonio Loureiro B orges No 3, Arquiparque, Miraﬂores, 1495-131, Algés, Portugal
InterPharma P ension Plan Trustee Limited (ii)	Quotas	W agenseilgasse 3, Euro Plaza, Gebäude I, 4. Stock, A-1120, Vienna, Austria
J&J T echnologies, L C LLC	LLC Interests	Corporation Service Company, 1 00 Shockoe Slip, 2nd Floor , Ric hmond V A 23219,, United States
JS C GlaxoSmithKline T rading	Ordinary	Leningradskiy Prospect 37A, Building 4, Floor 3, Premises XV , Room 1, 12516 7 , Moscow, Russian Federation
Laboratoire GlaxoSmithKline	Ordinary	23 rue François Jacob, 92500, Rueil-Malmaison, France
Laboratoire Pharmaceutique Algérien LP A Production SP A	Ordinary	Zone Industrielle Est, B oudouaou, Boumerdes, Algeria
Laboratoire Pharmaceutique Algérien SP A	Ordinary	Zone Industrielle Est, Boudouaou, B oumerdes, Algeria
Laboratoires Paucourt (ii)	Ordinary	23 rue François Jacob, 92500, Rueil-Malmaison, France
Laboratoires Saint-Germain (ii)	Ordinary	23 rue François Jacob, 92500, Rueil-Malmaison, France
Laboratorios Dermatologicos Darier , S.A de C.V .	Ordinary A; Ordinary B	Calzada Mexico Xoc himilco, 49 00 San Lorenzo Huipulco, District Federal Mexico, 143 7 0, Mexico
Laboratórios Farmaceuticos Stiefel (Portugal) L TDA (ii)	Ordinary	Rua Dr Antonio Loureiro B orges No 3, Arquiparque, Miraﬂores, 1495-131, Algés, Portugal
Laboratorios Stiefel de V enezuela SA	Ordinary	Calle Luis de Camoens, Ediﬁcio GlaxoSmithKline, No. 115-117 , Urb. La T rinidad, Caracas, Venezuela, Bolivarian Republic of
Laboratorios Stiefel Ltda.	Ordinary	Rua Professor Joao Cavalheiro Salem, no.1 0 77 , B airro de Bonsucesso, Municipality of Guarulhos, Sao Paulo, C EP 07 243-580, Brazil
Laboratorios W ellcome De P ortugal Limitada (ii)	Quota	Rua Dr Antonio Loureiro Borges No 3, Arquiparque, Miraﬂores, 1495-131, Alges, Portugal
Mixis Genetics Limited (In Liquidation)	Ordinary	B DO LLP , 5 T emple Square T emple Street, Liverpool, L2 5RH
Montrose Pharma Company Limited (ii) (iv)	Ordinary Quota	H-1124, Csorsz utca 43, Budapest, Hungary
Penn Labs Inc. (ii)	Common	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
Setﬁrst Limited	Ordinary	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
Sitari Pharma, Inc.	Common Stock	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
Smith Kline & French P ortuguesa-Produtos Farmaceuticos, LDA (ii)	Ordinary	Rua Dr Antonio Loureiro B orges No 3, Arquiparque, Miraﬂores, 1495-131, Alges, Portugal
SmithKline Beecham (Bangladesh) Private Limited (ii)	Ordinary	House-2/A, Road-138,Gulshan-1, Dhaka, 1212, B angladesh
SmithKline Beecham (Cork) Limited	Ordinary	12 Riverwalk, Citywest Business Campus, Dublin 24, Ireland
SmithKline Beecham (Manufacturing) Limited (In Liquidation)	Ordinary	B DO, Beax Lane House, Mercer Street, Lower, D02 DH60, Dublin, D02 DH6 0, Ireland
SmithKline Beecham (S WG) Limited (In Liquidation)	Ordinary	BD O LLP , 5 T emple Square T emple Street, Liverpool, L2 5R H
SmithKline Beecham Egypt L.L.C.	Quotas	Amoun Street, El Salam City, Cairo, Egypt
SmithKline Beecham Farma, S.A.	Ordinary	Severo Ochoa, 2, Parque T ecnologico de Madrid, T res Cantos, 287 60, Madrid, Spain
SmithKline Beecham Limited	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
SmithKline Beecham P ension Plan T rustee Limited (ii)	Ordinary	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
SmithKline Beecham P ension T rustees Limited (In Liquidation)	Ordinary	55 Baker Street, London, W1U 7E U, United Kingdom
SmithKline Beecham Pharma GmbH & Co K G	Partnership Capital	Prinzregentenplatz 9, 81675, Munc hen, Germany
SmithKline Beecham Pharma V erwaltungs GmbH	Ordinary	Prinzregentenplatz 9, 81675, Munchen, Germany
SmithKline Beecham Pharmaceuticals (Pty) Limited (ii) (iv)	Ordinary	Flushing Meadows Building, The Campus, 5 7 Sloane Street, Bryanston 2021, South Africa
SmithKline Beecham Pharmaceuticals Co.	Common	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
SmithKline Beecham P ort Louis Limited (In Liquidation)	Ordinary	C/o CI M Corporate Services Ltd, Les Cascades Building, Edith Cavell Street, Port Louis, Mauritius
SmithKline Beecham Senior Executive P ension Plan T rustee Limited (ii)	Ordinary	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Stiefel Dominicana, S.R.L. (ii) (iv)	Ordinary	Ave. Lope de V ega #29, T orre NovoCentro, Local 4 06, Santo Domingo, Dominican Republic
Stiefel Farma, S.A.	Ordinary	Severo Ochoa, 2, Parque T ecnologico de Madrid, T res Cantos, 28 7 60, Madrid, Spain
Stiefel GmbH & Co. KG	Partnership Capital	Prinzregentenplatz 9, 81675, Munchen, Germany
Stiefel India Private Limited	Equity	1, Battery House, Bhulabhai Des ai Raod, Mumbai, Maharashtra, 400026, India
Stiefel Laboratories (Maidenhead) Ltd (In Liquidation)	Ordinary	BDO LLP , 5 T emple Square T emple Street, Liverpool, L2 5R H
Stiefel Laboratories Legacy (Ireland) Limited	Ordinary	Unit 2 Building 25 00, A venue 2000 Cork Airport Business Park, Cork, Ireland
Stiefel Laboratories Limited (in liquidation since year end)	Ordinary	55 B aker Street, London, W1U 7EU, United Kingdom
Stiefel Laboratories Pte Limited	Ordinary	1 Pioneer Sector, 628413, Singapore
Stiefel Laboratories, Inc.	Common	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
Stiefel Maroc SAR L (ii) (iv)	Ordinary	275 Boulevard Zerktouni, Casablanca, Morocco
Stiefel Research (Australia) Holdings Pty Ltd	Ordinary	1 0 61 Mountain Highway , Boronia Victoria VIC 3155, Australia
Stiefel Research Australia Pty Ltd	Ordinary	1 061 Mount ain Highway , Boronia V ictoria VIC 3155, Australia
Stiefel W est Coast LL C	LL C Interests	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
Strebor Inc.	Common	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
T esaro Bio GmbH (In Liquidation)	Ordinary	Poststrasse 6, 6300 Zug, Switzerland
T esaro Bio Netherlands B.V	Ordinary	Joop Geesinkweg 901, 1114 AB, Amsterdam-Duivendrecht, Netherlands
T esaro Bio Sweden AB	Common	c/o BDO Malardalen AB, Sk att Box 24193, 1 04 51, Stockholm, Sweden
T esaro Development, Ltd.	Ordinary	Clarendon House, 2 Church Street, Hamilton H M11, Bermuda
T esaro, Inc.	Common	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
The Sydney Ross Co. (ii)	Ordinary	Corporation Service Company , Princeton South Corporate Center , Suite 160, 1 00 Charles Ewing Blvd, Ewing NJ 0 8628, United States
UC B Pharma Paciﬁc Sdn Bhd (ii)	Ordinary	12th Floor, Menara Symphony , No. 5, Jalan Prof.# Khoo Kay Kim, Seksyen 13, 46200 Petaling Jaya, Malaysia
## W ellcome Consumer Healthcare Limited (ii)
* Ordinary
* 9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England

W ellcome Consumer Products Limited (in liquidation since year end)

Ordinary
B DO LLP , 5 T emple Square T emple Street, Liverpool, L2 5RH

W ellcome Developments Pty Ltd (ii) (iv)

Ordinary
1 0 61 Mountain Highway , Boronia Victoria VIC 3155, Australia

W ellcome Limited

Ordinary
98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England

W ellcome Operations Pty Ltd (ii) (iv)

Ordinary
1 0 61 Mountain Highway , Boronia Victoria VIC 3155, Australia

Group companies continued

Other statutory disclosures continued

Sub sidiar ies whe re the e ff ect ive inte rest i s less t han 1 0 0%

Name	Security	Effective % Ownership	Registered address
Alacer Corp.	Common	68	Corporate Service Company d/b/a C SC - Lawyers Incorporating , Service, 271 0 Gateway Oaks Drive, Suite 150N , Sacramento, California 95833-35 05, United States
Amoun Pharmaceutical Industries Co. S.A.E.	New Monet ary Shares (99.5%)	9 0 .7	El Salam City 114 91, PO Box 3001, Cairo, Egypt
Beecham Enterprises Inc. (ii)	Common	5 9.8	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
Biddle Sawyer Limited	Equity	68	252 Dr Annie Besant Road, Mumbai, 4 00030, India
Block Drug Company , Inc.	Common	68	Corporation Service Company , Princeton South Corporate Center , Suite 160, 1 00 Charles Ewing Blvd, Ewing NJ 0 8628, United States
Block Drug Corporation (ii)	Common	68	Corporation Service Company, Princeton South Corporate Center , Suite 160, 1 00 Charles Ewing Blvd, Ewing NJ 0 8628, United States
British Pharma Group Limited (i)	Capital (50%)	50	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Consumer Healthcare Holdings Limited	Ordinary	68	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Consumer Healthcare Intermediate Holdings Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
Duncan Consumer Healthcare Philippines Inc	Common	68	23rd Floor, The Finance Centre, 26th Street Corner 9th A venue, Bonifacio Global City , T aguig City, 1634, Philippines
Ex-Lax, Inc.	Common	68	The Prentice Hall Corporation System, Puerto Rico, Inc., c/o, Citi T ower, 252 Ponce de Leon A venue, Floor 20, San Juan, 00 918, Puerto Rico
Ferrosan ApS	A Shares; B Shares	68	Delt a Park 3 7 , 2665, Vallensbæk Strand, Denmark
Ferrosan International ApS	Ordinary	68	Delta Park 3 7 , 26 65, V allensbæk Strand, Denmark
Ferrosan S.R.L.	Registered Capital	68	17 8/C Calea T urzii, Cluj-Napoca, Cluj County , Romania
Galvani Bioelectronics Inc.	Common	55	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
Galvani Bioelectronics Limited	A Ordinary; B Ordinary (0%)	55	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
Glaxo Saudi Arabia Limited	Ordinary	75	PO B o x 2261 7 , Area No 56 to 73, W arehouse City , First Stage Al Khomrah, Jeddah 21416, Saudi Arabia
Glaxo W ellcome Ceylon Limited	Ordinary; Ordinary B	6 7. 8	121 Galle Road, Kaldemulla, Moratuwa, Sri Lank a
GlaxoSmithKline (Suzhou) T rading Co., Ltd	Registered Capital	68	No.699 Gangpu Road, Wusongjiang Science and T echnology Industrial Park, W uzhong Economic & T echnical Development Zone, Suzhou, China
GlaxoSmithKline (Tianjin) Co. Ltd	Ordinary	90	No. 65, the Fifth Avenue, T ai Feng Industrial Park, Tianjin Economic and T echnolog, Tianjin, 300457 , China
GlaxoSmithKline Algérie S.P .A.	Ordinary	99.99	Zone Industrielle Est, B oudouaou, W ilaya de Boumerdes, Algeria
GlaxoSmithKline Brasil Produtos para Consumo e Saude Ltda	Quotas	68	Av das Americas, 3500, 4th ﬂoor , rooms 407 -420, , Rio de Janeiro, RJ, 22621-000, Brazil
GlaxoSmithKline Consumer Healthcare (China) Co. Ltd	Ordinary	68	Room 50 6, No. 1 Shen’gang Boulevard, Lin-gang Special Area of China Pilot Free T rade Z, Shanghai, Shanghai, 200000, China
GlaxoSmithKline Consumer Healthcare (Hong Kong) Limited	Ordinary	68	23/F ., T ower 6, T he Gateway , 9 Canton Road, T simshatsui, Kowloon, Hong Kong
GlaxoSmithKline Consumer Healthcare (Ireland) Limited	Ordinary	68	12 Riverwalk, Citywest Business Campus, Dublin 24, Ireland
GlaxoSmithKline Consumer Healthcare (Overseas) Limited	Ordinary	68	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Consumer Healthcare (Thailand) Limited	Ordinary	68	13th Floor , Unit 13.05 and 13.06 W ave Place, 55 W ireless Road, Lumpini, Pathumwan, Bangkok, 1 033 0, T hailand
GlaxoSmithKline Consumer Healthcare (U K) IP Limited (iv)	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Consumer Healthcare (U K) T rading Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Consumer Healthcare (US) I P LL C	LL C Interests	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
GlaxoSmithKline Consumer Healthcare AB	Ordinary	68	Hemvärnsgatan 9, P .O. B o x 516, 169 29, Solna, Sweden
GlaxoSmithKline Consumer Healthcare Aps	Ordinary	68	Delt a Park 3 7 , 2665, Vallensbæk Strand, Denmark
GlaxoSmithKline Consumer Healthcare Australia Pty Ltd	Ordinary	68	82 Hughes Avenue, Ermington New South W ales N S W 2115, Australia
GlaxoSmithKline Consumer Healthcare B.V .	Ordinary	68	V an Asc h van W ijckstraat 55G, 3811 LP , Amersfoort, Netherlands
GlaxoSmithKline Consumer Healthcare Colombia SAS	Ordinary	68	Carrera 7 No. 113 - 43 Piso 4, Colombia
GlaxoSmithKline Consumer Healthcare Czech Republic s.r .o.	Ordinary	68	Hvezdova 17 34/2c, Prague, 4 140 00, Czech Republic
GlaxoSmithKline Consumer Healthcare Finance Limited	Ordinary	68	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Consumer Healthcare Finance No.2 Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Consumer Healthcare Finland Oy	Ordinary	68	Piispansilt a 9A, Fin-02230, Espoo, Finland
GlaxoSmithKline Consumer Healthcare GmbH	Ordinary	68	W agenseilgasse 3, Euro Plaza, Gebäude I, 4. Stock, A-1120, Vienna, Austria
GlaxoSmithKline Consumer Healthcare GmbH & Co. KG	Partnership Capit al	68	B arthstr . 4, 80339, München, Germany
GlaxoSmithKline Consumer Healthcare Hellas Single Member Societe Anonyme	Ordinary	68	27 4 Kiﬁssias Avenue Halandri, Athens, 152 32, Greece
GlaxoSmithKline Consumer Healthcare Holdings (No.2) Limited	A; B (0%); Preference	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Consumer Healthcare Holdings (US) LL C	LL C Interests	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
GlaxoSmithKline Consumer Healthcare Investments (Ireland) (No 3) Limited (iii) (In Liquidation)	Ordinary	68	Knockbrac k, Dungarvan, Co W aterford, X35 R Y7 6, Ireland
GlaxoSmithKline Consumer Healthcare Investments (Ireland) (No.2) Unlimited Company (iii) (In Liquidation)	Ordinary	68	Knockbrac k, Dungarvan, Co W aterford, X35 R Y7 6, Ireland
GlaxoSmithKline Consumer Healthcare Japan K.K.	Ordinary	68	1-8-1 Ak asaka Minato-ku, T okyo, Japan
GlaxoSmithKline Consumer Healthcare Korea Co., Ltd.	Ordinary	68	9F LS Y ongsan T ower, 92 Hangang-daero, Y ongs an-gu, Seoul, 0438 6, Korea, Republic of
GlaxoSmithKline Consumer Healthcare L.L.C.	LL C Interests	68	Corporation Service Company , 2595 Interstate Drive Suite 1 03, Harrisburg P A 1 711 0, United States
GlaxoSmithKline Consumer Healthcare Mexico, S. De R.L. de C.V .	Ordinary	68	Boulevard Adolfo Ruiz Cortines No. 37 20, T orre 3 Piso 11, Colonia Jardines del Pedregal, Alcaldía Alvaro Obregón, Ciudad de México , C.P . 0 1900, Mexico
GlaxoSmithKline Consumer Healthcare New Zealand U L C	Ordinary	68	Level 2 E.2 12 Madden Street, Auc kland Central, Auckland, 1 0 1 0, New Zealand
GlaxoSmithKline Consumer Healthcare Norway AS	Ordinary	68	Drammensveien 28 8, L ys aker , 1326, Norway
GlaxoSmithKline Consumer Healthcare Pakistan Limited	Ordinary (85.8%)	5 8.3	The Sykes Building, 35 Dockyard Road, W est Wharf, Karachi, 7 4000, Pakistan
GlaxoSmithKline Consumer Healthcare Philippines Inc	Common	68	23rd Floor, The Finance Centre, 26th Street Corner 9th A venue, Bonifacio Global City , T aguig City, 1634, Philippines
GlaxoSmithKline Consumer Healthcare Pte. Ltd.	Ordinary	68	23 Rochester Park, 13923 4, Singapore
GlaxoSmithKline Consumer Healthcare S.A.	Ordinary	68	Site Apollo, A venue Pascal 2-4-6, W avre, 1300, Belgium
GlaxoSmithKline Consumer Healthcare S.A.	Ordinary	68	Severo Oc hoa, 2, Parque T ecnológico de Madrid, T res Cantos, 28 7 60, Madrid, Spain
GlaxoSmithKline Consumer Healthcare S.r .l	Ordinary	68	V ia Zambeletti snc, Baranzate, 20021, Milan, Italy
GlaxoSmithKline Consumer Healthcare Saudi Limited	Ordinary	68	603 Salamah T ower , 6th Floor , Madinah Road, Al-S alamah District, Jeddah 21425, Saudi Arabia
GlaxoSmithKline Consumer Healthcare Sdn. Bhd.	Ordinary	68	Lot 8 9, Jalan Enggang,, Ampang / Hulu Kelang Industrial Estate, Selangor Darul Ehsan, 6 8000 Ampang, Malaysia
GlaxoSmithKline Consumer Healthcare Slovakia s. r . o.	Ownership Interest	68	Galvaniho 7 / A, Bratislava, 821 04, Slovakia
GlaxoSmithKline Consumer Healthcare South Africa (Pty) Ltd	Ordinary	68	Flushing Meadows Building, The Campus, 5 7 Sloane Street, Bryanston 2021, South Africa
GlaxoSmithKline Consumer Healthcare Sp.z.o.o.	Ordinary	68	Ul.

Other statutory disclosures continued

Name	Security	Effective % Ownership	Registered address
GlaxoSmithKline Consumer Healthcare SRL	Ordinary	68	1-5 Costache Negri Street, Opera Center One, 6th ﬂoor (Zone 2), District 5, Bucharest, Romania
GlaxoSmithKline Consumer Healthcare UL C / GlaxoSmithKline Soins De Sante Aux Consommateurs SRI	Class Preference; Common	68	5 95 Burrard Street, Suite 2600 Three Bentall Centre, P .O. Box 49314 V ancouver BC V7X 1L3, Canada
GlaxoSmithKline Consumer Healthcare Vietnam Company Limited (ii)	Charter Capital	68	Floor 16, Metropolitan, 235 Dong Khoi, Ben Nghe W ard, District 1, Ho Chi Minh City , V ietnam
GlaxoSmithKline Consumer Healthcare, L.P.	Partnership Capit al	59.8	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
GlaxoSmithKline Consumer Healthcare, Produtos para a Saude e Higiene, Lda	Ordinary Quota	68	Rua Dr Antonio Loureiro B orges No 3, Arquiparque, Miraﬂores, 1495-131, Algés, Portugal
GlaxoSmithKline Consumer Nigeria plc (vi)	Ordinary	46.4	1 Industrial Avenue, Ilupeju, Ikeja, Lagos, PM B 21218, Nigeria
GlaxoSmithKline Consumer Private Limited	Equity	68	Patiala Road, Nabha 14 7 20 1, Dist Patiala, Punjab, India
GlaxoSmithKline Consumer Trading Services Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GlaxoSmithKline Costa Rica S.A.	Ordinary	68	S an José 300 Este de la Rotonda Betania, Carretera a Sabanilla, Costa Rica
GlaxoSmithKline Dungarvan Limited	Ordinary	68	Knockbrac k, Dungarvan, Co W aterford, X35 R Y7 6, Ireland
GlaxoSmithKline Healthcare AO	Ordinary	68	premises I II, Room 9, ﬂoor 6, Presnenskaya nab. 1 0, 123112, Moscow , Russian Federation
GlaxoSmithKline Healthcare GmbH	Ordinary	68	B arthstr . 4, 80339, München, Germany
GlaxoSmithKline Healthcare Ukraine O.O.O.	Ownership Interest	68	Pavla T ychyny avenue, 1-V , Kiev, 02152, Ukraine
GlaxoSmithKline Limited	Cumulative Redeemable Preference; Ordinary	68	Likoni Road, P O Box 7 8392, Nairobi, Kenya
GlaxoSmithKline Pakistan Limited	Ordinary	82.6	The Sykes Building, 35 Dockyard Road, W est W harf, Karac hi, 7 4 000, Pakistan
GlaxoSmithKline Panama S.A.	Non-qualiﬁed preference shares; Ordinary	68	Urbanizacion Industrial Juan D, Calles A Y B, Republic of Panama, Panama
GlaxoSmithKline Paraguay S.A.	Ordinary	68	Oﬁcial Gilberto Aranda 333, Planta Alt a casi Salvador del Mundo, Asunción, Paraguay
GlaxoSmithKline Pharmaceuticals Limited	Equity	75	252 Dr Annie Bes ant Road, Mumbai, 400030, India
GlaxoSmithKline S.A.E.	Ordinary	91.2	Boomerang Ofﬁce Building - Land No. 4 6, Zone (J) - 1st District, T own Center - 5th T agammoe, New Cairo City, Egypt
GlaxoSmithKline Santé Grand Public	Ordinary	68	23 rue François Jacob, 92500, Rueil-Malmaison, France
GlaxoSmithKline Technology (Taizhou) Co., Ltd	Ordinary	68	Room 7 08 in Building D, Phase I I of New Drug Innovation Base, T aizhou, Jiangsu Province, 225300, China
GlaxoSmithKline Tuketici Sagligi Anonim Sirketi	Nominative	68	Büyükdere Caddesi No. 1 7 3, 1.Levent Plaza B Blok, 1.Levent, Istanbul, 343 94, T urkey
GlaxoSmithKline-Consumer Kft.	Membership	68	H-1124, Csorsz utca 43, Budapest, Hungary
GS K Canada Holding Company Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K CH Caricam Sociedad De Responsabilidad Limitada (ii)	Participation	68	Urbanizacion Industrial Juan D, Calles A Y B, Republic of Panama, Panama
GS K CH Kazakhstan LLP	Charter Capit al	68	32 A Manasa Str., Bostandyk District, Almaty, 050008, Kazakhst an
GS K Consumer Health, Inc.	Common	68	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
GS K Consumer Healthcare Capital NL B.V. (iii) (v)	Shares	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Consumer Healthcare Capital US LLC	LLC Interests	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
GS K Consumer Healthcare Chile SpA	CLP Interests	68	A v . Andrés Bello N°2687 , 25th ﬂoor, Las Condes, Chile
GS K Consumer Healthcare Egypt Limited	Ordinary	68	North 9 0th street, Boomerang Building, 5th District, Cairo, Egypt
GS K Consumer Healthcare Egypt LLC	Quotas	68	North 90th street, Boomerang Building, 5th District, Cairo, Egypt
GS K Consumer Healthcare Export Limited	Ordinary	68	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
GS K Consumer Healthcare Holdings (No.1) Limited	Non-voting preference shares; Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Consumer Healthcare Holdings (No.3) Limited	Non-voting preference shares; Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Consumer Healthcare Holdings (No.5) Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Consumer Healthcare Holdings (No.6) Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
GS K Consumer Healthcare Holdings (No. 7) Limited	Ordinary	68	980 Great West Road, Brentford, Middlesex, TW8 9GS, England
GS K Consumer Healthcare Holdings (US) Inc.	Common; Preference Stock	68	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
GS K Consumer Healthcare Holdings No. 2 LLC (iii)	Unit	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
GS K Consumer Healthcare Insurance Limited	Ordinary	68	Dorey Court, Admiral Park, St Peter Port, G Y1 4A T , Guernsey
GS K Consumer Healthcare Israel Ltd (iv)	Ordinary	68	25 Basel Street, Petech T ikva 4951 0, Israel
GS K Consumer Healthcare Levice s.r.o.	Ordinary	68	Priemyselny Park Gena, Ul. E. Sachsa 4-6, 934 01, Levice, Slovakia
GS K Consumer Healthcare Peru S.R.L	Ordinary	68	Av Jorge Bas adre 349, piso 5, San Isidro, Lima, 05W-1 09, Peru
GS K Consumer Healthcare SARL	Ordinary	68	Route de I'Etraz, 1197 Prangins, Switzerland
GS K Consumer Healthcare Schweiz AG	Ordinary	68	Suurstofﬁ 14, 6343, Rotkreuz, Switzerland
GS K Consumer Healthcare Services, Inc.	Common	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
GS K Consumer Healthcare Singapore Pte. Ltd.	Ordinary	68	23 Rochester Park, 13923 4, Singapore
GS K Consumer Healthcare Trinidad and Tobago Limited	Ordinary: Preference	68	5th Floor Algico Plaza, 91-93 St. Vincent Street, Port of Spain, T rinidad and T obago
GS K -Gebro Consumer Healthcare GmbH	Ordinary (60%)	40.8	B ahnhofbic hl 13, 6391 Fieberbrunn, Kitzbühel, Austria
Iodosan S.p.A.	Ordinary	68	Via Zambeletti snc,, Baranzate,, 20021, Milan, Italy
Kuhs GmbH	Ordinary	68	B arthstr . 4, 80339, München, Germany
Laboratorios ViiV Healthcare, S.L.	Ordinary	78.3	Severo Ochoa, 2, Parque T ecnológico de Madrid, T res Cantos, 28 7 60, Madrid, Spain
Modern Pharma Trading Company L.L.C.	Quotas	9 8.2	Amoun Street, P O Box 300 1, El Salam City, Cairo, 11491, Egypt
N.C.H. – Nutrition Consumer Health Ltd (ii)	Ordinary	68	14 Hamephalsim St, Petach Tikva, Israel
P.T. SmithKline Beecham Pharmaceuticals	Ordinary A; Ordinary B (0%)	99	Jl. Pulobuaran Raya, Kav. II I DD/2,3,4, Kawas an Industri Pulogadung, Jakart a, 13930, Indonesia
P.T. Sterling Products Indonesia	A Shares; B Shares	68	Graha Paramit a Building, 5th F , Jalan Denpasar Raya Blok D-2, Jakart a, 1294 0, Indonesia
Panadol GmbH	Ordinary	68	Barthstr. 4, 80339, München, Germany
PF Consumer Healthcare 1 LLC	Membership Interest	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
PF Consumer Healthcare B.V.	Class A; Class B	68	Van Asc h van W ijckstraat 55G, 3811 LP Amersfoort, Netherlands
PF Consumer Healthcare Brazil Importadora e Distribuidora de Medicamentos Ltda	Quota	68	Barueri, at Avenida Ceci, No.1900, Block I II, Part 67 , T ambore District, São Paulo, 0 6460, Brazil
PF Consumer Healthcare Canada UL C/PF Soins De Sante SRI	Common; Preferred	68	5 95 Burrard Street, Suite 2600 Three Bentall Centre, P .O. Box 49314 V ancouver BC V7X 1L3, Canada
PF Consumer Healthcare Holding B.V.	Ordinary	68	V an Asch van W ijc kstraat 55G, 3811 LP Amersfoort, Netherlands
PF Consumer Healthcare U K Limited (In Liquidation)	Ordinary	68	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
PF Consumer Ireland Company Limited (In Liquidation)	Ordinary	68	B DO, Beax Lane House, Mercer Street, Lower, D02 DH60, Dublin, D02 DH6 0, Ireland
PF Consumer Taiwan LLC	Interests	68	The Corporation T rust Company , Corporation T rust Center, 1209 Orange Street, W ilmington DE 19 80 1, United States
Pﬁzer Biotech Corporation	Ordinary (55%)	3 7. 4	24F , No. 6 6, Sec 1, Zhong Xiao W . Rd, T aipei 1 00, T aiwan
Pﬁzer Consumer Healthcare AB	Ordinary	68	V etenskapsvagen 1 0, SE-191 9 0, Sollentuna, Sweden
Pﬁzer Consumer Healthcare GmbH	Ordinary	68	Linkstrasse 1 0, 1 07 85, Berlin, Germany
Pﬁzer Consumer Manufacturing Italy S.r.l.	Quota (no stock)	68	90, Via Nettunese, 04011, Aprilia (Prov . di Latin), Italy
Pﬁzer Laboratories PF E (Pty) Ltd.	Common	68	Flushing Meadows Building, The Campus, 5 7 Sloane Street, Bryanston 2021, South Africa
Pﬁzer PF E Colombia S.A.S	Common	68	Carrera 7 No.

Other statutory disclosures continued

GS K Ann ual R epor t 2021 308

Name	Security	Effective % Ownership	Registered address
PH IVCO-1 LL C	LL C Interests	78.3	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
PH IVCO-2 LL C	LL C Interests	78.3	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
PR ISM P CH Limited	Non-V oting Shares; V oting Shares	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
PT Glaxo W ellcome Indonesia	Class A; Class B (0%)	95	J L. Pulobuaran Raya Kav .II I/ DD 2,3,4 KWS. Industri, Pulogadung, Jatinegara, Cakung, Jakart a T imur , Indonesia
PT GS K Consumer Healthcare Indonesia	Ordinary	68	Graha Paramita Building, 5th F , Jalan Denpas ar Raya Blok D-2,, K uningan, JAKART A SE LA T AN, 12940, Indonesia
PT . Bina Dent alindo (In Liquidation)	Ordinary	68	Gedung Graha Ganesha Lant ai 3, Jl Raya Bekasi Km 1 7 , No5, Jakart a Timur 13930, Indonesia
Shionogi-V iiV Healthcare LL C (ii)	Common Interests	7 8.3	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
Sino-American Tianjin Smith Kline & Frenc h Laboratories Ltd	Ordinary (55%)	3 7. 4	Cheng Lin Zhuang Industrial Zone, Dong Li District, Tianjin, 300 163, China
SmithKline Beecham (Private) Limited	Ordinary (9 9.6%)	6 7. 8	W orld T rade Center , Level 34, W est T ower, Ec helon Square, Colombo 1, Sri Lanka
SmithKline Beecham Researc h Limited	Ordinary	68	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
SmithKline Beecham S.A.	Ordinary	68	Ctra de Ajalvir Km 2.500, Alcala de Henares, 288 06, Madrid, Spain
SmithKline Beecham-Biomed O.O.O.	Participation Interest	97	Leningradskiy Prospect 3 7A, Building 4, Floor 2, Premises XIV , Room 42, 12516 7 , Moscow, Russian Federation
Stafford-Miller (Ireland) Limited	Ordinary	68	Clocherane, Y oughal Road, Dungarvan, Co. Waterford, Ireland
Stafford-Miller Limited (In Liquidation)	Ordinary; Non-Cumulative Non Redeemable Preference	68	Clocherane, Y oughal Road, Dungarvan, Co. W aterford, Dungarvan, W aterford, Ireland
Sterling Drug (Malaya) Sdn Berhad	Ordinary	68	Lot 89, Jalan Enggang, Ampang/ Hulu Kelang Industrial Estate, Selangor Darul Ehsan, 6 8000 Ampang, Malaysia
Sterling Products International, Incorporated (ii)	Common	68	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
Stiefel Consumer Healthcare (U K) Limited	Ordinary	68	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
Stiefel Egypt LL C (ii)	Quot as	99	Amoun Street, PO B o x 300 1, El Salam City, Cairo, 11491, Egypt
Stiefel Laboratories (Ireland) Limited (In Liquidation)	Ordinary	68	B DO, Beax Lane House, Mercer Street, Lower, D02 DH60, Dublin, D02 DH6 0, Ireland
T reerly Health Co., Ltd	Capit al Contribution	68	Unit 0 1A, Room 3901, No 16. East Zhujiang Road, Tianhe District, Guangzhou City , the PR C, China
V iiV Healthcare (South Africa) (Proprietary) Limited (ii); (iv)	Ordinary	78.3	Flushing Meadows Building, The Campus, 57 Sloane Street, Bryanston 2021, South Africa
V iiV HealthCare BV	Ordinary	7 8.3	Van Asc h van, W ijckstraat 55h, 3811 LP Amersfoort, The Netherlands, Netherlands
V iiV Healthcare Company	Common	78.3	Corporation Service Company, 251 Little Falls Drive, W ilmington DE 198 08, United States
V iiV Healthcare Finance 1 Limited (In Liquidation)	Ordinary	78.3	55 B aker Street, London, W1U 7EU, United Kingdom
V iiV Healthcare Finance 2 Limited	Ordinary	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare Finance Limited	Ordinary; Redeemable Preference	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare GmbH	Ordinary	7 8.3	Prinzregentenplatz 9, 81675, Munchen, Germany
V iiV Healthcare GmbH	Ordinary	7 8.3	T alstrasse 3-5, 3053 Muenchenbuc hsee, Switzerland
V iiV Healthcare Hong Kong Limited (ii)	Ordinary	7 8.3	23/ F T ower 6, The Gateway , 9 Canton Road, Harbour City , T simshatsui, Kowloon, Hong K ong
V iiV Healthcare K.K.	Ordinary	78.3	1-8-1 Akas aka Minato-ku, T okyo, Japan
V iiV Healthcare Limited	Class A; Class B (0%); Class C (0%); Class D1 (0%); Class D2 (0%); Deferred; Class E 5% Cumulative Preference (0%)	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare Pty Ltd	Ordinary	7 8.3	1 0 61 Mountain Highway , Boronia Victoria VIC 3155, Australia
V iiV Healthcare Puerto Rico, LL C	LL C Interests	78.3	Centro International de Mercadeo, 90 carr. 165 T orre 2, Suite 800, Guaynabo, 009 68, Puerto Rico
V iiV Healthcare S.r .l.	Quota	7 8.3	Viale dell’Agricoltura 7 , 37135, V erona, It aly
V iiV Healthcare SAS	Ordinary	7 8.3	23 rue François Jacob, 925 00, Rueil-Malmaison, France
V iiV Healthcare sprl	Ordinary	7 8.3	Site Apollo, Avenue Pascal 2-4-6, W avre, 1300, Belgium
V iiV Healthcare T rading LLC (ii)	Participation Interest	78.3	Leningradskiy Prospect 37A, Building 4, Floor 2, Premises XIV , Room 28, 12516 7 , Moscow, Russian Federation
V iiV Healthcare T rading Services U K Limited	Ordinary	7 8.3	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
V iiV Healthcare U K (No.3) Limited	Ordinary	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare U K (No.4) Limited	Ordinary	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare U K (No.5) Limited	Ordinary	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare U K (No.6) Limited	Ordinary	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare U K (No. 7) Limited	Ordinary	7 8.3	9 80 Great W est Road, Brentford, Middlesex, TW8 9GS, England
V iiV Healthcare U K Limited	Ordinary	7 8.3	98 0 Great W est Road, Brentford, Middlesex, TW8 9G S, England
V iiV Healthcare U L C	Common	7 8.3	35 00 855-2nd Street S W , Calgary AB T2P 4J8, Canada
V iiV Healthcare V enture LL C	LLC Interests	78.3	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States
V iiVH IV Healthcare Unipessoal Lda	Quot a	78.3	Rua Dr Antonio Loureiro Borges No 3, Arquiparque, Miraﬂores, 1495-131, Algés, Portugal
V og A U PTY L TD (ii)	Ordinary; Redeemable Preference	68	82 Hughes Avenue, Ermington New South W ales N S W 2115, Australia
W inster Pharmaceuticals Limited (ii)	Ordinary	46.4	2A Association Avenue, Ilupeju Industrial Estate, Lagos, PO B o x 3199, Nigeria
W yeth Pharmaceutical Co. Ltd	Registered Capital	68	4 Baodai W est Road, Suzhou, Jiangsu Province, 215128, China
W yeth Pharmaceuticals Company (vii)	Partnership	68	No registered address required, Puerto Rico general partnership, Contact entity contact for any questions, Puerto Rico

Group companies continued

Other statutory disclosures continued

GS K Ann ual R epor t 2021 309

Name	Security	Effective % Ownership	Registered address
GlaxoSmithKline Landholding Company , Inc	Common (4 0%)	39.9	23rd Floor, T he Finance Centre, 26th Street Corner 9th Avenue, Bonifacio Global City , T aguig City, 1634, Philippines
Index V entures Life VI (Jersey) LP	Partnership Interest (25%)	25	44 Esplanade, St Helier, Jersey , JE4 9WG, Channel Islands
Kurma Biofund II FC PR	Partnership Interest (32.1%)	32.1	24 rue Royale, 75 008, Paris, France
Longwood Fund I, LP	Partnership Interest (35%)	35	The Prudential T ower, Suite 1555, 800 Boylston Street, Boston, MA 0219 9
Medicxi V entures I LP	Partnership Interest (26.2%)	26.2	4 4 Esplanade, St Helier, Jersey , JE4 9WG, Channel Islands

Joint V entures

Name	Security	Effective % Ownership	Registered address
Chiron Panacea V accines Private Limited	Equity Shares (50%)	50	7 08/718, 7th Floor , A W ing, Sagar T ech Plaza, Saki Nak a, Andheri East, Mumbai, Maharashtra, 40007 2, India
Qualivax Pte. Limited	Ordinary (5 0%)	50	80 Robinson Road, #02-00, 0 6889 8, Singapore
Qura Therapeutics, LL C	Units (3 9.2%)	39.2	Corporation Service Company , 251 Little Falls Drive, W ilmington DE 198 08, United States

Ot her signiﬁcant holdings

Name	Security	Effective % Ownership	Registered address
Axon Therapies, Inc	Common (5%); Series A Preference (15%)	20	315 west 36th street, New Y ork 1 0018, Delaware, USA
Global Farm S.A.	A Shares (0%) B Shares (0%) C Shares (1 00%) D Shares (0%) E Shares (0%) F Shares (0%)	16. 7	Cazadores de Coquimbo 2841 piso 3, Munro, Argentina
Longwood Fund I I, LP	Partnership Interest (20%)	20	The Prudential T ower, Suite 1555, 800 Boylston Street, Boston, MA 02199
Sanderling V entures VI I, L.P . A63	Partnership Interest (25.3%)	25.3	4 00 S. El Camino Real, Suite 1200, San Mateo, CA 944 02
SR One Capit al Fund I-B, LP	Partnership Interest (4 4%)	44	Corporation service company , 251 Little Falls Drive, City of W ilmington, County of New Castle, Delaware 198 08

Other statutory disclosures continued

Th e followi ng UK su bsid iari es will t ake adva ntage o f the audi t exempti on set ou t withi n sect ion 4 79A of the Co mpan ies Ac t 2006 for th e peri od ende d 3 1 Dec ember 2021 . Unle ss othe rw ise st ated, th e under ta king s listed b elow ar e owned , eithe r direc tly or indirectly , by Gla xoSmithKline plc.# Group companies

Name	Security	Effective % Ownership	Registered address	Company Number
Burroughs W ellcome International Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	0054375
Domantis Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	03907643
Edinburgh Pharmaceutical Industries Limited (ii)	Ordinary; Preference	100	Shewalton Road, Irvine, Ayrshire, KA11 5AP, United Kingdom	SC005534
Eskaylab Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00099025
Glaxo W ellcome UK Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	00480080
Glaxochem (UK) Unlimited	Ordinary; Ordinary B; Ordinary C	100	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England	04299472
GlaxoSmithKline Consumer Healthcare (U K) (No.1) Limited	Ordinary	68	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	00753340
GlaxoSmithKline Consumer Healthcare Sri Lanka Holdings Limited	Ordinary	68	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	9400298
GlaxoSmithKline Intellectual Property (No.3) Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England	11480952
GlaxoSmithKline Intellectual Property (No.4) Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England	11721880
GlaxoSmithKline Intellectual Property (No.5) Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	11959399
GlaxoSmithKline International Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	02298366
GS K Consumer Healthcare Capital UK P L C	Ordinary	68	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	13481162
GS K Consumer Healthcare Holdings (No.4) Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	13401336
GS K Consumer Healthcare Holdings (No.8) Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	13434151
GS K New Zealand Holding Company Limited	Ordinary	68	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	12342879
Montrose Fine Chemical Company Ltd	Ordinary	100	Shewalton Road, Irvine, Ayrshire, KA11 5AP, United Kingdom	SC190635
PH IVCO UK I I Limited	Ordinary	78.3	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	06944229
PH IVCO UK Limited	Ordinary	78.3	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	06944223
Smith Kline & French Laboratories Limited (iv)	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00052207
SmithKline Beecham (Export) Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	02860752
SmithKline Beecham (H) Limited	Non-cumulative Non-redeemable; Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England	03296131
SmithKline Beecham (Investments) Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00302065
SmithKline Beecham Legacy H Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00210281
SmithKline Beecham Marketing and T echnical Services Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	00494385
SmithKline Beecham Nominees Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00503868
SmithKline Beecham Overseas Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	02552828
Stiefel Laboratories (U.K.) Ltd	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00831160
Tesaro U K Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	07890847
The W ellcome Foundation Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00194814
V iiV Healthcare Overseas Limited	Ordinary	78.3	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England	07027385

In accordance with section 479C of the Companies Act 2006, the Company will guarantee debts and liabilities of the above U K subsidiary undertakings. As at 31 December 2021 the total sum of these debts and liabilities is £876 million (2020 – £168 million)

Other statutory disclosures continued

GS K Ann ual R epor t 2021

Key
(i) Directly owned by GlaxoSmithKline plc.
(ii) Dormant entity.
(iii) T ax resident in the UK.
(iv) Entity expected to be disposed of or removed.
(v) Incorporated in the Netherlands
(vi) Consolidated as a subsidiary in accordance with section 1162 (4)(a) of the Companies Act 2006 on the grounds of dominant inﬂuence.
(vii) Principal business address in Puerto Rico.
(viii) Exempt from the provisions of Regulations 4-6 of the Partnership (Accounts) Regulation 2008, in accordance with the exemptions noted in Regulation 7 of that Regulation.

Group companies continued

Name	Security	Effective % Ownership	Registered address	Company Number
SmithKline Beecham (Investments) Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00302065
SmithKline Beecham Legacy H Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00210281
SmithKline Beecham Marketing and T echnical Services Limited	Ordinary	100	980 Great West Road, Brentford, Middlesex, TW8 9GS, England	00494385
SmithKline Beecham Nominees Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00503868
SmithKline Beecham Overseas Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	02552828
Stiefel Laboratories (U.K.) Ltd	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00831160
Tesaro U K Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	07890847
The W ellcome Foundation Limited	Ordinary	100	980 Great W est Road, Brentford, Middlesex, TW8 9G S, England	00194814
V iiV Healthcare Overseas Limited	Ordinary	78.3	980 Great W est Road, Brentford, Middlesex, TW8 9GS, England	07027385

Other statutory disclosures continued

GS K Ann ual R epor t 2021

Terms u sed in t he An nual Re por t

US e quiva lent o r brie f desc ript ion

Accelerated capital allowances Tax allowance in excess of depreciation arising from the purchase of ﬁxed assets that delay the charging and payment of tax. The equivalent of tax depreciation.
American Depositary Receipt (AD R) Receipt evidencing title to an AD S. Each GSK AD R represents two Ordinary Shares.
American Depositary Shares (AD S) Listed on the New Y ork Stock Exc hange; represents two Ordinary Shares.
Basic earnings per share B asic income per share.
Called up share capital Ordinary Shares, issued and fully paid.
CE R growth Growth at constant exchange rates.
The company GlaxoSmithKline plc.
Currency swap An exc hange of two currencies, coupled with a subsequent re-exchange of those currencies, at agreed exchange rates and dates.
Deﬁned beneﬁt plan Pension plan with speciﬁc employee beneﬁts, often called ‘ﬁnal salary scheme’.
Deﬁned contribution plan P ension plan with speciﬁc contributions and a level of pension dependent upon the growth of the pension fund.
Derivative ﬁnancial instrument A ﬁnancial instrument that derives its value from the price or rate of some underlying item.
Diluted earnings per share Diluted income per share.
Employee Share Ownership Plan T rusts T rusts established by the Group to s atisfy share-based employee incentive plans.
Equity Shareholders’ funds Shareholders’ equity.
Finance lease Capital lease.
Freehold Ownership with absolute rights in perpetuity.
The Group GlaxoSmithKline plc and its subsidiary undertakings.
GS K GlaxoSmithKline plc and its subsidiary undertakings.
Hedging The reduction of risk, normally in relation to foreign currency or interest rate movements, by making off-setting commitments.
Intangible ﬁxed assets Assets without physical substance, such as computer software, brands, licences, patents, know-how and marketing rights purchased from outside parties.
Ordinary Share A fully paid up ordinary share in the capit al of the company.
Proﬁt Income.
Proﬁt attributable to shareholders Net income.
Share capital Ordinary Shares, capital stock or common stock issued and fully paid.
Share option Stoc k option.
Share premium account Additional paid-up capital or paid-in surplus (not distribut able).
Shares in issue The number of shares outstanding.
Subsidiary An entity in whic h GS K exercises control.
T reasury share T reasury stock.
T urnover Revenue.
U K Corporate Governance Code As required by the U K Listing Authority, the company has disclosed in the Annual Report how it has applied the best practice corporate governance provisions of the Financial Reporting Council’ s UK Corporate Governance Code.

Glossar y of terms

3 12

GS K Ann ual R epor t 2021

2021 Remuneration policy summary 143
Accounting principles and policies 172
Acquisitions and d isposals 221
Adjustments reconciling proﬁt after tax to opera ting ca sh ﬂow s 225
Affordability and a vailabi lity 36
An nual G ener al Me eting 2022 291
Approach to tax 60
As sets h eld for s ale 201
As soci ates an d joint ve nture s 188
Aud it & Ris k Com mittee Rep or t 111
Being a responsible business 38
Business model 01
Ca sh and c as h equiv alent s 201
Cash generation and conv ersion 73
CEO ’ s state ment 05
Chairman’ s stat ement 03
Ch airm an’ s Gove rnan ce st atemen t 89
Chairman’ s Remunera tion an nual stat ement 120
Climate-rela ted ﬁnancial disclosure 49
Commitme nts 216
Consolidat ed balance sheet 169
Consolidated cash ﬂow statemen t 171
Consolidated in come statemen t 168
Co nsol idated s tatem ent of ch ange s in equ ity 170
Consolidated stat ement of comprehensiv e income 168
Consumer Healthcare 41
Consumer Healthcare products and competition 274
Contingent consideration liabilities 215
Contingent liabilities 216
Corporate governance 82
Corporate Responsi bility Committee Repo rt 104
Cr itic al acc ount ing jud geme nts and key s ourc es of e stimat ion un cer tai nty 177
Critical accountin g policies 80
Data and engagement 39
Di recto rs and s enio r mana geme nt 141
Directors’ int erests in shares 140
Directors’ report 117
Directors’ stat ement of responsibil ities 154
Dividends 192,290
Donations to political organisations and political e xpenditure 298
Ea rnin gs per s hare 192
Employ ee costs 185
Employee share schemes 245
Environmen t 39
Ethi cs an d value s 38
E xcha nge rate s 180
Finance e xpense 187
Finance income 187
Financial instruments and rela ted d isclosures 228
Financial performance 7,61
Financial position and r esources 74
Financial statemen ts of GlaxoSmithK line plc, prepared und er UK G A AP 252
Fi ve year r ecor d 263
Gl oss ar y of term s 311
Goodwill 195
Gr oup co mpani es 299
Gr oup ﬁn anci al revi ew# GlaxoSmithKline plc Annual Report and Accounts 2021

Strategic report

Leadership Team 87

Innovation 17

Inventories 200

Investments in associates and joint ventures 198

Investor relations 295

Key performance indicators 12

Legal proceedings 248

Major restructuring costs 186

Modern employer 37

Movement in equity 217

Net debt 203

New accounting requirements 179

Nominations Committee Report 107

Non-controlling interests 219

Non-controlling interests in ViiV Healthcare 57

Non-Executive Directors’ fees 139

Non-financial information statement 54

Notes to the financial statements 172

Operating profit 184

Other intangible assets 196

Other investments 199

Other non-current assets 200

Other non-current liabilities 216

Other operating income/(expense) 183

Other provisions 214

Our culture 11

Our external environment 13

Our long-term priorities 10

Pensions and other post-employment benefits 205

Performance 29

Pharmaceuticals 17, 29

Pharmaceutical products, competition and intellectual property 272

Pipeline 269

Post balance sheet events 251

Presentation of the financial statements 171

Principal Group companies 247

Principal risks and uncertainties 275

Property, plant and equipment 193

Quarterly trend 258

Reconciliation of net cash flow to movement in net debt 226

Registrar 294

Related party transactions 221

Reliable supply 38

Remuneration governance 138

Remuneration report 125

Reporting framework 56

Right of use assets 194

Risk management 46

Science and technology 35

Science Committee report 105

Section 172 statement 116

Share capital and control 288

Share capital and share premium account 217

Shareholder information 288

Shareholder services and contacts 294

Stakeholder engagement 44

Task Force on Climate-related Financial Disclosures 49

Taxation 189

Tax information for shareholders 291

The Board 83

Trade and other payables 201

Trade and other receivables 200

Transformation & Separation Committee report 110

Treasury policies 79

Trust 34

Turnover and segment information 180

US law and regulation 295

Vaccines 17, 31

Vaccine products, competition and intellectual property 273

Viability statement 53

Page
Index
Strategic report
Governance and remuneration
Financial statements
Investor information

Cautionary statement regarding forward-looking statements

The Group’s reports filed with or furnished to the US Securities and Exchange Commission (SEC), including this document, and any other written information released, or oral statements made, to the public in the future by or on behalf of the Group, may contain 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’ 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 Regulations, 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 ‘Principal risks and uncertainties’ on pages 275 to 287 of this Annual Report 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 Annual Report.

A number of non-IFRS measures are used to report the performance of our business. These measures are defined on pages 56 and 59 and a reconciliation of Adjusted results to Total results is set out on page 70.

The information in this document does not constitute an offer to sell or an invitation to buy shares in GlaxoSmithKline plc or an invitation or inducement to engage in any other investment activities. Past performance cannot be relied upon as a guide to future performance. Nothing in this Annual Report should be construed as a profit forecast.

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.

2021 - 2026 outlooks, 2031 sales ambition and 2021 - 2023 dividend expectations should be read together with the section “Basis of preparation, assumptions and cautionary statements” on pages 5 - 7 of our stock-exchange announcement relating to an update to investors dated 23 June 2021. All outlook and ambitions statements are given on a constant currency basis and use 2021 actual exchange rates as a base.

Notice regarding limitations on Director Liability under English Law

Under the UK Companies Act 2006, a safe harbour limits the liability of Directors in respect of statements in and omissions from the Directors’ Report (for which see page 117), the Strategic report and the Remuneration report.Under English law the Directors would be liable to the company, but not to any third party, if one or more of these reports contained errors as a result of recklessness or knowing misstatement or dishonest concealment of a material fact, but would otherwise not be liable. Pages 82 to 118, 154 to 155, and 275 to 310 inclusive comprise the Directors’ Report, pages 1 to 81 inclusive comprise the Strategic report and pages 119 to 152 inclusive comprise the Remuneration report, each of which have been drawn up and presented in accordance with and in reliance upon English company law and the liabilities of the Directors in connection with these reports shall be subject to the limitations and restrictions provided by such law.

Website GSK’s website www.gsk.com gives additional information on the Group. Notwithstanding the references we make in this Annual Report to GSK’s website, none of the information made available on the website constitutes part of this Annual Report or shall be deemed to be incorporated by reference herein. GlaxoSmithKline plc was incorporated as an English public limited company on 6 December 1999. We were formed by a merger between Glaxo Wellcome plc and SmithKline Beecham plc. GSK acquired these two English companies on 27 December 2000 as part of the merger arrangements. Our shares are listed on the London Stock Exchange and the New York Stock Exchange.

Read more at www.gsk.com
Download PDFs:
Annual Report 2021
Form 20-F

Brand names Brand names appearing in italics throughout this report are trademarks either owned by and/or licensed to GSK or associated companies. All other trademarks are the property of their respective owners.

Acknowledgements

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About GSK

Head Office and Registered Office
GlaxoSmithKline plc
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Tel: + 44 (0)20 8047 5000
Registered number: 3888792
www.gsk.com

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GlaxoSmithKline PLC — Annual Report (ESEF) 2021

GLAXOSMITHKLINE PLC

Annual Report 2021

Contents

Our business model

02 GSK Annual Report 2021

2021 performance summary

GSK Annual Report 2021 03

Strategic report

Governance and remuneration

Financial statements

Investor information

Chair’s statement

2021 delivery

Targets for sustained performance

GSK Annual Report 2021

Shareholder engagement and Board transition

Chair’s statement continued

GSK Annual Report 2021

Strategic report

Governance and remuneration

Financial statements

Investor information

CEO’s statement

2021 performance provides momentum

Accelerating our innovation

New purpose and new ambition

GSK Annual Report 2021

A culture for performance and support to succeed

ESG Leader

Haleon – a new world-leading consumer health company

2022 is a landmark year

CEO's statement continued

GSK Annual Report 2021

Turnover

Operating profit

Earnings per share

Cash flow

GSK Annual Report 2021

Total and Adjusted results

Intangible asset amortisation and impairment

Transaction-related

Divestments, significant legal and other items

Separation costs

Financial performance continued

Adjusted results 2021

How we performed

Cost of sales

Selling, general and administration

Research and development

Operating profit

Tax

Non-controlling interests

Earnings per share

2021 objectives

Progress

2022 priority objectives

2021 objectives

Progress

2022 priority objectives

2021 objectives

Progress

2022 priority objectives

Tr u s t

Culture

Princip al risks

K e y per f or ma nce i nd icato rs

Group turnover

Profit

Free cash ﬂow

Market share

Top talent and succession plans for key roles

TRUST

A reop ening of the global economy, driven by healthcare innovation

Outlook for the global healthcare market

Our position

Our external environment

Healthcare environment: opportunities and challenges

Pricing and access

GlaxoSmithKline PLC Annual Report (ESEF) 2021