Andrew Witty
Analyst · Bank of America Merrill Lynch. Please go ahead
Great. Thank you very much. Welcome everybody to this Q4 2015 full-year update. In just a second or two, I will just take you through some of the slides which are on the my GSK.com website, under the investor side. So I'll just give you a second to pull them up if you want to and then Simon will follow-up after me. So we've announced today our Q4 results. You will see that Group sales are up 6% at CER on a reported basis and 1% up CER on a pro forma basis, obviously the difference being the impact of the transaction with Novartis. What you'll also see is at the CER EPS level earnings per share were down 15%, obviously, that driven by the diluted effect of the transaction but importantly ahead of the guidance that we sent back in May of last year. If now, we go to the slide deck, maybe if I direct you to the first data slide, slide 3. Really during the year, we continued to make, I think, very substantial progress in executing our strategy. There is still a lot to do, but I'm delighted with the progress we've made in 2015 and really building our three growth businesses. You can see the balance that we've created as a Company. Importantly, significant progression of our next generation of pipeline assets that we talked about in the New York meeting and since then, I'd say broadly speaking everything has gone pretty well on the pipeline. Then importantly, as you can see in the middle probably most critically for the short to medium run of the Company, very significant continued strong performance of new product sales in the pharma and vaccine business. If I take you then to slide 4, the left-hand side of this slide, you can see in terms of the proportion of pharmaceuticals of our pharmaceutical business made up of new products. Those are the ones we've launched just in the last two or three years. You can see that from Q3 to Q4 we continue to increase the penetration of our overall business, 16.5% of pharma now made up of those new products. Certainly, when we look at our peer group, the companies that look like GSK - we don't see any other company with anything like that kind of new product sales performance in the pharma business. We think this as an important step forward. On the right-hand side of the slide you can see how the growth of the new products has progressed over the last three years. To some degree, you can see why in 2013 people were frustrated with GSK, because the new products weren't moving as quickly as we would have liked. I think as it's turned out and we look at other competitor companies, I think, we're seeing other companies struggle particularly in the primary care marketplace to get early traction on new products. But back in 2013, we were probably at the leading edge of discovering that new reality particularly in America. But as you look through 2014 and 2015, in particular, you see really very substantial progression of our new products. As you see, we're GBP682 million in the last quarter. We're GBP2 billion delivered for the full year. Obviously, if you annualize the Q4 rate, we're very - we're running up now an annualized rate of close to GBP3 billion. That's why we feel confident that we're going to be able to bring forward the time in which we hit our target, that we laid out in May of GBP6 billion. So rather than hitting that number in 2020, we think we now could hit that number up to two years earlier, maybe as early as 2018. Of course, in addition to the products which are in the run rate, we've also got Shingrix to come which we expect to file later this year 2016. So I'm very, very pleased with new product performance. A big piece of that of course is the building of access in key markets. The globalization of access but also the commercial energy we've put behind these businesses. Now, I also understand that over the last two years, as we've made leadership changes in the way in which we compete in the marketplace, where we've moved ahead of the industry on a number of dimensions - not everybody has believed that's been the right thing to do. I think the proof is in the pudding. I think the proof is evident in terms of our industry-leading penetration of new product sales and just the absolute quantum of new products now are being delivered across a broad base of assets. If we go to slide 5, I just want to pick out a few qualitative and quantitative dimensions of what we've changed. First of all, throughout the entire 2015 financial year, our global sales force was on the new incentive system. So all of the sales growth that you see on the previous slide for new products was driven by sales forces on our new incentive system, a completely new world. You can see that, if anything, we accelerated in that new world not decelerate. We have also stopped as of January 1 of 2016 all payments to healthcare practitioners to speak on our behalf. You should know that by the middle of 2015 about half of the world had already stopped. So again a lot of that behavior is in the run rate. Our development of new approach is to communicate, both through digital technologies and also through the hiring of medical professionals on to staff at GSK as being achieved a very industrial level. Actually the qualitative feedback from customers across the world including in the United States is that GSK speaker is just as likely to be impressive as a non-GSK speaker. We see no dilution and quality and in some cases enhancement of impact. So from that point of view, the new model is deployed. We don't see any deleterious effect in our biggest markets with the most employment, so for example, in the U.S., where we've had changes in field force compensation for the longest period of time. Our most recent survey of personnel demonstrates an extraordinary level of energy, commitment and understanding of the strategy of the business. I'd say the moral of our U.S. sales force has not been as high as we see it now for many, many years. Possibly even going as far back as before the creation of GSK. That's all great news. It's all supportive of the progress of our new products. The central part of side 5, gives you a few data points, you can see the very large numbers of interactions. I'll just draw your attention to two key themes. One is just the number of interactions. There's a small typo on the second part, it should say there between 4,000 and 7,000 HCPs, not 5,000 to 10,000. But nonetheless, very large numbers of interactions. Even more important is the dwell time that we're achieving. So typically in these interactions, we're achieving contact time with physicians, Q&A time with physicians, far in excess of what we would have historically seen in the old model. We're also seeing very high satisfaction scores from our customers. On the right-hand side, again, now just looking for example at the consumer business, we're seeing awards coming from very major customers such as CVS in terms of Healthcare Vendor of the Year. We know the Flonase launch was highly respected by our U.S. customer base. A very substantial number of new products launched. Importantly, we delivered 100% on-time launch for all of our new products in all markets across the world that we scheduled for the year. It's worth noting that we launched five times more market introductions in 2015 than we did in 2014. So a market introduction would be, for example, Breo in Brazil would count as one market introduction. We did that five times more frequently in 2015 that 2014. We hit every single one on time. As far as consumer, just to give you a sense, as you all know, in 2014, we had some supply disruptions in consumer, both on the Novartis legacy and the GSK legacy side of the business. As we left 2015, we were running at a 96% OTIF score. For those of you who are not familiar with OTIF, on-time in-full, what on-time in-full means is absolute perfection on delivery. So if we promised you 300 packs on February 3 and we delivered anything different than that - so for example, if we delivered you 301 packs on February 3 or 299, the score would be zero. So, we're achieving a 96% OTIF, so that's a very high score. We're very pleased with the progress there, all of which has helped very much in terms of the disciplined execution of the Company. Let's go to the next slide, it just gives you a little bit of an update on where we're with Breo in terms of NRx and TRx share. We've just received this morning the latest NBRx share, not on this slide, but I can tell you, we had another significant jump in NBRx this morning. Importantly, this market continues to grow robustly around 5% or 6% in 2015. We're seeing something around 5% as a kind of continuing growth rate. So we've got good market growth. We're taking good share. What we're seeing is a very good stabilization and even growth from where we were a year ago in terms of the Advair plus Breo share, obviously, that's crucial in terms of the business. In terms of absolute volumes, we're now up to more than 35,000 prescriptions a week. As you can see from the slide, we've got a good access position locked in for this year. If we go to slide 7, you will see the similar type of data for Anoro and Incruse, again, you see very strong TRx/NRx share. Good market growth continued in this market. I've included NBRx here. I know not everybody on the call is a fan of NBRx, but it is a very clear leading indicator of the respiratory market. You can see here extraordinary NBRx share. You can also start to see how the TRx and NRx are now beginning to track just behind the NBRx shares. As of this morning, we had another very significant jump on the Anoro/Incruse combined NBRx numbers. We're now basically just under 30% NBRx share. That would lead you to expect, all else equal, that the NRx/TRx shares would get there over the next few months. Again, good formulary access position; we feel like we've got very good strong momentum in this particular business. Nucala, on page 8, was introduced into the U.S. just in the final few days of last financial year and just begun to be rolled out this week in Europe. We've just launched in Germany this week, for example. Initial feedback on Nucala is extremely encouraging. It takes, like for all of these new biological products, is a period of maybe three to four weeks of time through which people have to go through the various qualifying blood test, for example and then insurance qualification. But most of those inquiries are coming through our hub - specialized hub which we've built on the back of what we learned with Benlysta. We're seeing very, very strong engagement from patients. We're seeing very strong engagement from customers. I think we're - we feel as if we're off to a very good start; albeit, of course, in 2015, very limited sales numbers given. It was literally just a stock loading before the end of the year. So, progress here looks good. The feedback from the marketplace, very resonant with the label of the product, very - it's very clear, the indication of the product is in the right place. So we look good for Nucala, on top of Anoro, Breo, Incruse. We continue to be extremely positive about our short, medium and long-run respiratory growth opportunities. If we move to slide 9, HIV, a very strong positive performance for the Company during the year. You see here the - right now, dolutegravir combinations is really vying for being one of the best ever HIV launches. Obviously, we've just seen Gilead introduce a new product. But as you have heard from Gilead and we certainly would agree with it, the absolutely overwhelming majority of any switching that's going on is within the Gilead portfolio. We're continuing to see very good volume growth from the dolutegravir-based regimens. If we go to slide 10, simply to remind you of the progress that we've made on the meningitis portfolio. I think, if ever there was a good example of who is the right owner of an asset, I think us acquiring a vaccine asset like meningitis B has been very powerful. We've very quickly been able to open up a national public health tender programs and also private markets. You can see the growth that we're delivering there. Of course, we'd expect to see that expand. Then on the right-hand side of the slide, just to remind you of the Shingrix data. Again, we feel very excited about this vaccine. We're assembling the registration dossiers for filing later in the year. We see this as a major opportunity. I would just take the point, that we've used the transaction with Novartis to make some very fundamental long-term investments in the business for vaccines, particularly around R&D. So instead of R&D being just located in Belgium as it has been historically, we're maintaining the bacterial vaccine research team in Siena in Italy which came from of course Novartis. We're commissioning a new research team in the U.S. in Rockville, Maryland, obviously very close to FDA and NIH and BARDA. This will focus on vaccines particularly for the U.S. marketplace and also for bio preparedness which is a proposal which right now has sat in front of a number of governments. We think that's going to be a very, very competitive long-term research network. We've been investing over the last couple of years and continuing this year and next year in proactive upgrades of our manufacturing network. That has allowed us to be able to respond much more quickly to the flu opportunity in 2014, but it also gives us confidence for long-term supply capability. Again, it's in what has always a tightening regulatory environment. If we go to slide 11, for consumer, as you've seen from the release, we delivered 6% net sales pro forma growth. 14% of that comes from new products. So again, we're keeping a very close eye on innovation, of course, Flonase is an important part of that. We've gained share in the majority of our categories in which we compete. We feel very good about the performance of this business. I'll give you a little more detail on that on the next slide. In terms of integration we're on or ahead of track. Actually in terms of integration, I would say that's true for all of the key businesses. So the transfer to Novartis of the ontology business is more or less done. The vaccine integration on track. The consumer business integration on track, if not a little bit ahead. A very substantial proportion of appointments done and finished; I'd say well into the 90% plus territory. Site consolidations behind us. We start to see some very good movement in the margin. Obviously, that's something we're very focused on. We've laid out a goal to really take our margin up to at least to 20% over the next five years. At CER, we made some good progress, 180 bps in 2015. Some of that knocked back by currency. But actually if you look in Q4, we were up, I think, 320 bps. So it's a very, very good real-world movement in terms of margin progression, well on the way to the goal that we set ourselves in 2020. Work to do, but definitely on the way. On the next slide, that's page 12, it gives you a little bit more detail on the consumer business. If you just look across the top, you'll see where the business is split by a major category. Obviously, there are a lot of consumer companies in the world which aren't as big as even just our wellness division. This is a very, very big business now. It's very substantial in all of its key divisions - sorry, categories. Then, across the bottom, I've listed out seven major brands. For your information, these seven brands account for about 40% of the consumer revenue of the Group. So these brands really are the majority. I've just listed out for you there, the in-market Nielsen consumption data. So this shows you what the growth rates are for these products in the marketplace. It's not our reported sales, but it gives you a sense of competitiveness. I'm sure those of you who are consumer watchers will be very familiar with this sort of data from consumer peers. Importantly, when you look across there, you see with all of the products significant growth. I'll just call out maybe, Sensodyne. In the middle - just over to - sort of slight of right of center. Sensodyne, 10% growth in consumption. Tracking now towards being a GBP1 billion brand globally. Interestingly enough, if you look at Japan, for example, it's the number one selling toothpaste of all toothpastes, including the more everyday commodity type toothpaste class. But we're now the number one toothpaste in Japan. Over the last 12 weeks, we have been the fastest-growing toothpaste in the world of all toothpastes. If you look then, just one further to the right on India, in a very challenging world, a very difficult world for emerging markets, I've just come back from India over the weekend. If there's one country you want to be in this year in the emerging markets, it's India. When you look at the size of our consumer business and our pharmaceutical business - consumer business really led by our Horlicks business. You can see great growth potential there as well. So the consumer business looks very good. We feel like we've got very strong traction around our key bands. We feel very good about the framework of expectations we've laid out, both for its ability to grow the top line and expand margin over the next few years. We've got more integration work to do and to really drive out the margin benefits over this year and next year in particular. But I think we're off to a very, very good start. Morale in that organization is excellent. We feel pretty good about it. If we move now to slide 13, it just recaps a little bit what you heard from the team, inclusive of course of Patrick and Moncef at R&D Day last November. These are our focus areas, so we've essentially got our R&D focused on the six areas we're making progress on the pipeline that we described to you. We think 80% of what we have coming is going to be first-in-class because we're focused on where we believe the science is innovative. We've just updated our rate of return calculation and believe that it is still at around the 13% level. If you want to get into more detail of that, we're more than happy to but we feel pretty confident about that. Next slide 14, really just again summarizes some of the statistics around our pipeline. As you know, over the last several years, we've had a very significant number of products approved by FDA, the highest level in the industry. I'm very proud of the fact that they've all been approved first-pass approval which a very strong signal of quality of research and regulatory dossier compilation. We have a very good now, strong sales contribution from that portfolio. We've got a very significant number of assets coming through behind. We talked to you about 40 of them or so at the R&D Day in November. 80% have the potential to be first-in-class. You can see on the right-hand side of slide 14, the kind of flow of milestones which we're expecting as we go through this year. Products like Shingrix, among that sirukumab in RA, the more advanced stages. The PI3K-delta program, I think, is a very interesting program. A bit further back, the RIP kinase program is an extraordinary program that moves into advanced development over the next year or two. We'll start to see real clinical data in psoriasis probably as early as the end of this year. So, whether you're in the more advanced phase, middle or earlier phases, I think we've got some very interesting assets coming through. If we go then to slide 15, this just really summarizes at a very high level, the framework that we're working toward. We've obviously given you a framework of expectations through 2020. I'm very happy that 2015 has delivered ahead of our expectations within that framework. I'm very happy that we're able to confirm to you that we expect to exceed our new product sales contribution. What we've built and what we will continue to develop is a three-growth business organization. We actually think in the world that we're now moving into, this is more right than it's ever been in terms of the appropriateness of the various challenges that exist in the world, particularly in areas like the U.S., where there is risk around pricing over the next three to five years. We've got a very balanced geographic exposure for the organization. We're focused 100% on finishing the execution of the transaction, driving our new product momentum and bringing more new products to market in all of our divisions, but of course, the pharma vaccine division in particular. We believe, despite much commentary, that we have really established some significant leadership positions in terms of our new commercial model. They are now beginning to clearly deliver differentiated position floors in the marketplace and helping to drive new products at an industry-leading rate. Of course, we want to continue to deliver the next wave of pipeline. With that, I will hand over to Simon to update you more fully on some of the numbers and to confirm for you our various guidance points which essentially haven't really changed from when we talk to you back in May as far as 2016 is concerned which is of course to deliver an EPS growth rate which we expect to reach double-digits at CER. Simon?