Blueprint
 
FORM 6-K
 
 
SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549
 
 
Report of Foreign Issuer
 
 
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
 
 
 
For period ending 06 February 2019
 
GlaxoSmithKline plc
(Name of registrant)
 
 
 
980 Great West Road, Brentford, Middlesex, TW8 9GS
(Address of principal executive offices)
 
 
 
Indicate by check mark whether the registrant files or
will file annual reports under cover Form 20-F or Form 40-F
 
 
 
Form 20-F x     Form 40-F
 
--
 
Indicate by check mark whether the registrant by furnishing the
information contained in this Form is also thereby furnishing the
information to the Commission pursuant to Rule 12g3-2(b) under the
Securities Exchange Act of 1934.
 
 
 
Yes      No x
 
 
 
 
 
Issued: Wednesday, 6 February 2019, London U.K.
 
GSK delivers sales, earnings and cash flow growth in 2018
Total EPS 73.7p, +>100% AER, +>100% CER; Adjusted EPS 119.4p +7% AER, +12% CER
 
 
2018 financial, product and strategy highlights
 
Group sales £30.8 billion, +2% AER, +5% CER
Pharmaceuticals sales £17.3 billion, flat AER, +2% CER; Vaccines sales £5.9 billion, +14% AER, +16% CER; Consumer Healthcare sales £7.7 billion, -1% AER, +2% CER
Total new Respiratory product sales £2.6 billion, +35% AER, +38% CER
Total HIV sales £4.7 billion, +9% AER, +11% CER.  Dolutegravir-based regimens £4.4 billion, +14% AER, +16% CER
Shingrix sales £784 million, +>100% AER, +>100% CER
Total Group operating margin 17.8%, +4.3 percentage points AER, +5.0 percentage points CER
Adjusted Group operating margin 28.4%, flat AER, +0.5 percentage points CER.  (Pharmaceuticals: 33.3%; Vaccines 33.0%; Consumer Healthcare 19.8%)
Total EPS 73.7p, +>100% AER, +>100% CER, reflecting stronger operating performance, lower restructuring and impairment charges as well as a favourable comparison with impact of US tax reform in 2017
Adjusted EPS 119.4p, +7% AER, +12% CER, driven by improved operating margin and continued financial efficiencies
Net cash flow from operations £8.4 billion.  Free cash flow £5.7 billion, improvement reflecting greater focus on cash conversion, particularly working capital
23p dividend declared for the quarter; 80p for full year 2018
4 major transactions, including new Consumer Healthcare JV, announced in 2018 to support strategy and reshape of the Group's portfolio
 
2019 guidance
 
Expect Adjusted EPS to decline -5% to -9% CER reflecting recent approval of a generic competitor to Advair in the US.  Guidance also reflects expected impact of Tesaro acquisition and assumes Consumer Healthcare nutrition disposal and Consumer JV with Pfizer close as previously indicated
Expect 80p dividend for 2019
 
 
Pipeline update and newsflow
 
 
 
Rebuild of Pharmaceuticals pipeline continues with 33* of the 46* new medicines now in development targeting modulation of the immune system
Major progress made in immuno-oncology pipeline with 16* assets now in clinical development, reflecting organic progression, the Tesaro acquisition and the alliance with Merck KGaA, Darmstadt, Germany*
Major data readouts and other significant newsflow expected on multiple new medicines in HIV, Oncology, Immuno-inflammation and Respiratory in 2019:
 
-
FDA approval decision expected for dolutegravir + lamivudine in H1
 
-
FDA filings planned for long-acting injectable cabotegravir + rilpivirine in H1 and fostemsavir for highly treatment-experienced patients in H2
 
-
Pivotal stage data readouts expected for BCMA for 4L multiple myeloma, Zejula for 1L maintenance ovarian cancer and PD1 dostarlimab for endometrial cancer
 
-
Updated phase I PFS data from DREAMM-1 study for BCMA to be published in leading journal in H1
 
-
Phase III start planned for anti-GMCSF for treatment of rheumatoid arthritis in H2
 
-
Results of pivotal CAPTAIN study to support filing of Trelegy for use in asthma expected in H1
 
 
 
 
 
 
2018 results
 
2018
 
Growth
 
Q4 2018
 
Growth
 
£m
 
£%
 
CER%
 
£m
 
£%
 
CER%
 
 
 
 
 
 
 
 
 
 
 
 
Turnover
30,821 
 
2
 
5
 
8,197 
 
7
 
5
 
 
 
 
 
 
 
 
 
 
 
 
Total operating profit
5,483 
 
34
 
43
 
1,554 
 
>100
 
>100
Total earnings per share
73.7p
 
>100
 
>100
 
24.7p
 
>100
 
>100
 
 
 
 
 
 
 
 
 
 
 
 
Adjusted operating profit
8,745 
 
2
 
6
 
2,196 
 
8
 
4
Adjusted earnings per share
119.4p
 
7
 
12
 
31.2p
 
14
 
10
 
 
 
 
 
 
 
 
 
 
 
 
Net cash from operating activities
8,421 
 
22
 
 
 
4,119 
 
44
 
 
Free cash flow
5,692 
 
63
 
 
 
3,317 
 
83
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Total results are presented under 'Financial performance' on pages 6 and 22 and Adjusted results reconciliations are presented on pages 14, 15, 30 and 31.  Adjusted results are a non-IFRS measure that may be considered in addition to, but not as a substitute for, or superior to, information presented in accordance with IFRS.  Adjusted results are defined on page 4 and £% or AER% growth, CER% growth, free cash flow and other non-IFRS measures are defined on page 44.  GSK provides guidance on an Adjusted results basis only for the reasons set out on page 5.  All expectations, guidance and targets regarding future performance and dividend payments should be read together with "Outlook, assumptions and cautionary statements" on page 45. 
*
Includes M7824, the subject of the alliance with Merck KGaA, Darmstadt, Germany, expected to close in Q1 2019.
 
 
Emma Walmsley, Chief Executive Officer, GSK said:
 
"GSK delivered improved operating performance in 2018 with Group sales growth, strong commercial execution of new product launches, especially Shingrix, continued cost discipline and better cash generation.
 
"It was also a significant year for the Group strategically, with the launch of a new R&D strategy focused on immunology, genetics and new technologies, together with a series of transactions that support our strategy and reshape of the Group's portfolio.
 
"We are making good progress against our priority to rebuild our Pharmaceuticals pipeline, particularly in oncology.  Since July, we have doubled the number of oncology assets in clinical development to 16 through the advancement of our internal programmes and with targeted business development including the recently completed acquisition of Tesaro and our new alliance with Merck KGaA that is expected to close in Q1 2019.  During 2019, we expect to receive pivotal data on three new cancer medicines, all of which have the potential to be launched in the next two years.
 
"We are also focused on completing the transactions to divest our Consumer Healthcare nutrition business to Unilever; and the formation of our new joint venture with Pfizer that will create a new, world leading Consumer Healthcare company and which provides a unique opportunity to deliver substantial value for shareholders.
 
"Finally, I would like to thank all our customers, suppliers and employees for their support and hard work in 2018 and look forward to working with them in 2019, which will be an important year of execution for GSK."
 
 
2019 guidance
 
In 2019, we now expect Adjusted EPS to decline in the range of -5% to -9% at CER.  This guidance reflects the recent approval of a substitutable generic competitor to Advair in the US and the expected impact of the Tesaro acquisition and assumes that the proposed Consumer Healthcare nutrition disposal closes by the end of 2019 and the proposed Consumer Healthcare Joint Venture with Pfizer closes during H2 2019.
 
GSK expects to maintain the dividend for 2019 at the current level of 80p per share.
 
All expectations, guidance and targets regarding future performance and dividend payments should be read together with "Outlook, assumptions and cautionary statements" on page 45.
 
If exchange rates were to hold at the closing rates on 31 January 2019 ($1.31/£1, €1.14/£1 and Yen 143/£1) for the rest of 2019, the estimated positive impact on 2019 Sterling turnover growth would be less than 1% and if exchange gains or losses were recognised at the same level as in 2018, the estimated positive impact on 2019 Sterling Adjusted EPS growth would be around 1%.
 
 
Contents
Page
 
 
Total and Adjusted results
4
Financial performance - year ended 31 December 2018
6
Financial performance - three months ended 31 December 2018
22
Cash generation and conversion
37
Returns to shareholders
39
Research and development
40
Reporting definitions
44
Outlook, assumptions and cautionary statements
45
Contacts
46
 
 
Income statements
47
Statement of comprehensive income - year ended 31 December 2018
48
Statement of comprehensive income - three months ended 31 December 2018
49
Pharmaceuticals turnover - year ended 31 December 2018
50
Pharmaceuticals turnover - three months ended 31 December 2018
51
Vaccines turnover - year ended 31 December 2018
52
Vaccines turnover - three months ended 31 December 2018
52
Balance sheet
53
Statement of changes in equity
54
Cash flow statement - year ended 31 December 2018
55
Segment information
56
Legal matters
58
Taxation
58
Additional information
59
Reconciliation of cash flow to movements in net debt
63
Net debt analysis
63
Free cash flow reconciliation
63
Non-controlling interests in ViiV Healthcare
64
 
 
 
Brand names and partner acknowledgements
Brand names appearing in italics throughout this document are trademarks of GSK or associated companies or used under licence by the Group. Cialis is a trademark of Eli Lilly and Company and Gardasil is a trademark of Merck Sharp & Dohme Corp.
 
 
Total and Adjusted results
 
Total reported results represent the Group's overall performance.
 
GSK also uses a number of adjusted, non-IFRS, measures to report the performance of its business.  Adjusted results and other non-IFRS measures may be considered in addition to, but not as a substitute for or superior to, information presented in accordance with IFRS.  Adjusted results are defined below and other non-IFRS measures are defined on page 44.
 
GSK believes that Adjusted results, when considered together with Total results, provide investors, analysts and other stakeholders with helpful complementary information to understand better the financial performance and position of the Group from period to period, and allow the Group's performance to be more easily compared against the majority of its peer companies.  These measures are also used by management for planning and reporting purposes.  They may not be directly comparable with similarly described measures used by other companies.
 
GSK encourages investors and analysts not to rely on any single financial measure but to review GSK's quarterly results announcements, including the financial statements and notes, in their entirety.
 
GSK is committed to continuously improving its financial reporting, in line with evolving regulatory requirements and best practice and has made a number of changes in recent years.  In line with this practice, GSK expects in 2019 to continue to review its reporting framework (including, where relevant, the use of alternative performance measures).
 
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 goodwill
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 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
the impact of the enactment of the US Tax Cuts and Jobs Act in 2017
 
Costs for all other ordinary course smaller scale restructuring and legal charges and expenses are retained within both Total and Adjusted results.
 
As Adjusted results include the benefits of Major restructuring programmes but exclude significant costs (such as significant legal, major restructuring and transaction items) they should not be regarded as a complete picture of the Group's financial performance, which is presented in 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 has undertaken a number of Major restructuring programmes in recent years in response to significant changes in the Group's trading environment or overall strategy, or following material acquisitions, including the Novartis transaction in 2015.  Costs, both cash and non-cash, of these programmes are provided for as individual elements are approved and meet the accounting recognition criteria.  As a result, charges may be incurred over a number of years following the initiation of a Major restructuring programme.
 
Significant legal charges and expenses are those arising from the settlement of litigation or government investigations that are not in the normal course and materially larger than more regularly occurring individual matters.  They also include certain major legacy matters.
 
Reconciliations between Total and Adjusted results, providing further information on the key Adjusting items, are set out on pages 14, 15, 30 and 31.
 
GSK provides earnings guidance to the investor community on the basis of Adjusted results.  This is in line with peer companies and expectations of the investor community, supporting easier comparison of the Group's performance with its peers.  GSK is not able to give guidance for Total results as it cannot reliably forecast certain material elements of the Total results, particularly the future fair value movements on contingent consideration and put options that can and have given rise to significant adjustments driven by external factors such as currency and other movements in capital markets.
 
ViiV Healthcare
ViiV Healthcare is a subsidiary of the Group and 100% of its operating results (turnover, operating profit, profit after tax) are included within the Group income statement.  
 
Earnings are allocated to the three shareholders of ViiV Healthcare on the basis of their respective equity shareholdings (GSK 78.3%, Pfizer 11.7% and Shionogi 10%) and their entitlement to preferential dividends, which are determined by the performance of certain products that each shareholder contributed.  As the relative performance of these products changes over time, the proportion of the overall earnings allocated to each shareholder also changes.  In particular, the increasing sales of dolutegravir-containing products have 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 85% of the Total earnings and 82% of the Adjusted earnings of ViiV Healthcare for 2018. 
 
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, principally dolutegravir.  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.  At 31 December 2018, the liability, which is discounted at 8.5%, stood at £5,937 million, on a post-tax basis.
 
Cash payments to settle the contingent consideration are made to Shionogi by ViiV Healthcare each quarter, based on the actual sales performance 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 2018 were £793 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. 
 
Further explanation of the acquisition-related arrangements with ViiV Healthcare are set out on page 64.
 
 
Financial performance - 2018
 
Total results
 
 
2018
£m
 
2017
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
 
 
Turnover
30,821 
 
30,186 
 
 
 
 
 
 
 
 
 
 
Cost of sales
(10,241)
 
(10,342)
 
(1)
 
 
 
 
 
 
 
 
 
Gross profit
20,580 
 
19,844 
 
 
 
 
 
 
 
 
 
 
Selling, general and administration
(9,915)
 
(9,672)
 
 
Research and development
(3,893)
 
(4,476)
 
(13)
 
(12)
Royalty income
299 
 
356 
 
(16)
 
(17)
Other operating income/(expense)
(1,588)
 
(1,965)
 
 
 
 
 
 
 
 
 
 
 
 
Operating profit
5,483 
 
4,087 
 
34 
 
43 
 
 
 
 
 
 
 
 
Finance income
81 
 
65 
 
 
 
 
Finance expense
(798)
 
(734)
 
 
 
 
Profit on disposal of associates
3 
 
94 
 
 
 
 
Share of after tax profits of associates
  and joint ventures
31 
 
13 
 
 
 
 
 
 
 
 
 
 
 
 
Profit before taxation
4,800 
 
3,525 
 
36 
 
46 
 
 
 
 
 
 
 
 
Taxation
(754)
 
(1,356)
 
 
 
 
Tax rate %
15.7%
 
38.5%
 
 
 
 
 
 
 
 
 
 
 
 
Profit after taxation
4,046 
 
2,169 
 
87 
 
100 
 
 
 
 
 
 
 
 
Profit attributable to non-controlling
  interests
423 
 
637 
 
 
 
 
Profit attributable to shareholders
3,623 
 
1,532 
 
 
 
 
 
 
 
 
 
 
 
 
 
4,046 
 
2,169 
 
87 
 
100 
 
 
 
 
 
 
 
 
Earnings per share
73.7p
 
31.4p
 
>100 
 
>100 
 
 
 
 
 
 
 
 
 
 
Sales performance - 2018
 
Group turnover by business
2018
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Pharmaceuticals
17,269
 
 
2
Vaccines
5,894
 
14 
 
16
Consumer Healthcare
7,658
 
(1)
 
2
 
 
 
 
 
 
Group turnover
30,821
 
 
5
 
 
 
 
 
 
 
Group turnover was up 2% AER, 5% CER to £30,821 million.
 
Pharmaceuticals sales were flat at AER but up 2% CER, driven primarily by the growth in HIV sales and the new Respiratory products, Nucala and the Ellipta portfolio.  This was partly offset by lower sales of Seretide/Advair and Established Pharmaceuticals.  Overall Respiratory sales declined 1% AER but grew 1% CER.
 
Vaccines sales were up 14% AER, 16% CER, primarily driven by sales of Shingrix in the US and growth in influenza and Hepatitis vaccines, which also benefited from a competitor supply shortage, partly offset by declines in some Established Vaccines.
 
Consumer Healthcare sales declined 1% AER but grew 2% CER with broad-based growth in Oral health and Wellness partly offset by increased competitive pressures in Europe, the divestments of some smaller brands, including Horlicks and MaxiNutrition in the UK, as well as the impact of the implementation of the Goods & Services Tax (GST) in India.
 
Group turnover by geographic region
2018
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
US
11,982
 
 
Europe
7,973
 
 
(1)
International
10,866
 
(1)
 
 
 
 
 
 
 
Group turnover
30,821
 
 
 
 
 
 
 
 
 
US sales grew 6% AER, 9% CER, driven by the growth of Shingrix and Hepatitis vaccines as well as strong performances from HIV and Benlysta, offset by declines in Established Pharmaceuticals and Respiratory.
 
Europe sales were flat at AER, but declined 1% CER, as declines in Established Pharmaceuticals, older HIV products, Meningitis vaccines and Consumer Healthcare more than offset growth from Tivicay and Triumeqand the new Respiratory products.
 
In International, sales declined 1% AER, but grew 4% CER, reflecting strong growth in TivicayTriumeq and the Respiratory portfolio.  Sales in Emerging Markets declined 2% AER, but grew 4% CER.
 
 
Pharmaceuticals
 
 
2018
 
 
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Respiratory
6,928
 
(1)
 
HIV
4,722
 
 
11 
Immuno-inflammation
472
 
25 
 
28 
Established Pharmaceuticals
5,147
 
(7)
 
(4)
 
 
 
 
 
 
 
17,269
 
 
 
 
 
 
 
 
US
7,453
 
(2)
 
Europe
4,072
 
 
International
5,744
 
- 
 
5 
 
 
 
 
 
 
 
17,269
 
 
 
 
 
 
 
 
 
Pharmaceuticals turnover in the year was £17,269 million, flat at AER, but up 2% CER, driven primarily by the growth in HIV sales, which were up 9% AER, 11% CER, to £4,722 million, reflecting share growth over the year in the dolutegravir portfolio; TriumeqTivicay and Juluca.  Respiratory sales declined 1% AER, but grew 1% CER, to £6,928 million, with growth from the Ellipta portfolio and Nucala partly offset by lower sales of Seretide/Advair.  Sales of Established Pharmaceuticals were down 7% AER, 4% CER.
 
In the US, sales declined 2% AER but grew 1% at CER, with growth in the HIV portfolio and Benlysta offsetting declines in Established Pharmaceuticals and Respiratory.  In Europe, sales grew 2% AER, 1% CER, with growth in the Respiratory portfolio offsetting the continued impact of generic competition to Epzicom and Avodart.  International was flat at AER but grew 5% CER, with growth driven by HIV and the new Respiratory portfolio.
 
Respiratory
Total Respiratory sales declined 1% AER, but grew 1% CER, with the US down 5% AER, 3% CER.  In Europe, sales grew 5% AER, 4% CER and International grew 3% AER, 7% CER.  Growth from the Ellipta portfolio and Nucala was partly offset by lower sales of Seretide/Advair.
 
Sales of Nucala were £563 million in the year, up 64% AER, 66% CER, continuing to benefit from the global rollout of the product.  US sales of Nucala grew 44% AER, 48% CER to £341 million, despite increased competition, benefiting from continued market expansion.
 
Sales of Ellipta products were up 29% AER, 32% CER, driven by continued growth in all regions.  In the US, sales grew 24% AER, 27% CER, reflecting further market share gains, partly offset by the impact of continued competitive pricing pressures, particularly for ICS/LABAs.  In Europe, sales grew 42% AER, 41% CER.  Sales of Trelegy Ellipta, our new once-daily closed triple product, contributed £156 million to total Ellipta sales, benefiting from an expanded label in the US.
 
Relvar/Breo Ellipta sales grew 8% AER, 10% CER, to £1,089 million, primarily driven by growth in Europe, which was up 25% AER, 24% CER to £253 million, and in International, which was up 26% AER, 31% CER to £255 million.  In the US, Breo Ellipta sales declined 3% AER, 1% CER, with volume growth of 27%, reflecting continued market share growth, offset by the combined impact of prior period payer rebate adjustments and increased competitive pricing pressure.  Anoro Ellipta sales grew 39% AER, 42% CER to £476 million, driven primarily by share gains in the US.  All Ellipta products, BreoAnoroIncruseArnuity and Trelegy, continued to grow market share in the US during the year.
 
Sales of New Respiratory products, comprising Ellipta products and Nucala, grew 35% AER, 38% CER to £2,612 million.
 
Seretide/Advair sales declined 23% AER, 21% CER to £2,422 million.  Sales of Advair in the US declined 32% AER, 30% CER (9% volume decline and 21% negative impact of price) primarily reflecting increased competitive pricing pressures.  In Europe, Seretide sales were down 19% AER, 20% CER to £599 million (13% volume decline and a 7% price decline).  This reflected continued competition from generic products and the transition of the Respiratory portfolio to newer products.  In International, sales of Seretide were down 7% AER, 4% CER, to £726 million (5% volume decline and 1% positive impact of price), with declines in markets with generic competition partly offset by growth from other developing markets.
 
HIV
HIV sales increased 9% AER, 11% CER to £4,722 million in the year, with the US up 8% AER, 10% CER, Europe up 7% AER, 6% CER and International up 14% AER, 20% CER.
 
The growth was driven by the increase in market share over the year in the dolutegravir products which grew 14% AER, 16% CER.  This was partly offset by the decline in the established portfolio, particularly the impact of generic competition to Epzicom/Kivexa in Europe.  Triumeq, Tivicay and Juluca (which was approved in the US in November 2017), recorded sales of £2,648 million, £1,639 million and £133 million, respectively, in the year.  Epzicom/Kivexa sales declined 50% AER, 48% CER to £117 million.
 
Immuno-inflammation
Sales in the year were up 25% AER, 28% CER, primarily driven by Benlysta, which grew 26% AER, 29% CER to £473 million.  In the US, Benlysta grew 24% AER, 27% CER to £420 million, benefiting from the launch of the sub-cutaneous formulation in the third quarter.
 
Established Pharmaceuticals
Sales of Established Pharmaceuticals were £5,147 million, down 7% AER, 4% CER, reflecting efforts to maximise the value from this portfolio but also the benefit of certain post-divestment contract manufacturing sales and the first instalment of a 12-month Relenza supply contract in Europe.
 
The Avodart franchise was down 7% AER, 5% CER to £572 million, primarily due to the loss of exclusivity in Europe, with the US impact now broadly annualised.  Coreg franchise sales declined 63% AER, 63% CER following a generic Coreg CR entrant to the US market in Q4 2017.  Lamictal sales declined 5% AER, 3% CER to £617 million.
 
 
Vaccines
 
 
2018
 
 
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Meningitis
881
 
(1)
 
Influenza
523
 
 
10 
Shingles
784
 
>100 
 
>100 
Established Vaccines
3,706
 
(1)
 
 
 
 
 
 
 
 
5,894
 
14 
 
16 
 
 
 
 
 
 
US
2,701
 
45 
 
48 
Europe
1,561
 
(2)
 
(4)
International
1,632
 
(3)
 
 
 
 
 
 
 
 
5,894
 
14 
 
16 
 
 
 
 
 
 
 
Vaccines turnover grew 14% AER, 16% CER to £5,894 million, primarily driven by growth in sales of Shingrix, Hepatitis vaccines, which also benefited from a competitor supply shortage and higher sales of influenza products.  This was partly offset by lower sales of DTPa-containing vaccines (Infanrix, Pediarix and Boostrix) due to increased competitive pressures, particularly in Europe, and unfavourable year-on-year CDC stockpile movements in the US, together with lower Synflorix sales, reflecting lower pricing and demand in Emerging Markets.
 
Meningitis
Meningitis sales were down 1% AER but up 2% CER to £881 million.  Bexsero sales grew 5% AER, 9% CER driven by demand and share gains in the US, together with continued growth in private market sales in International, partly offset by the completion of vaccination of catch-up cohorts in certain markets in Europe.  Menveo sales declined 15% AER, 12% CER, primarily reflecting supply constraints in Europe and International as well as a strong comparator in 2017 and unfavourable year-on-year CDC stockpile movements in the US, partly offset by demand and share gains in the US.
 
Influenza
Fluarix/FluLaval sales grew 7% AER, 10% CER to £523 million, driven by strong sales execution in the US and improved sales in Europe, partly offset by increased price competition in the US.
 
Shingles
Shingrix recorded sales of £784 million, primarily in the US and Canada, driven by demand and share gains. US sales benefited from market growth in new patient populations now covered by immunisation recommendations and Shingrix has now achieved a 98% market share.  
 
Established Vaccines
Sales of DTPa-containing vaccines (Infanrix, Pediarix and Boostrix) were down 8% AER, 7% CER. Infanrix, Pediarix sales were down 8% AER, 7% CER to £680 million, reflecting increased competitive pressures in Europe as well as unfavourable year-on-year CDC stockpile movements in the US, partly offset by stronger demand in International.  Boostrix sales declined 8% AER, 7% CER to £517 million, primarily driven by the return to the market of a competitor in Europe and lower demand in International.
 
Hepatitis vaccines grew 17% AER, 19% CER to £808 million, benefiting from stronger demand in the US and Europe as well as a competitor supply shortage in the US.
 
Rotarix sales were down 1% AER but up 1% CER to £521 million, reflecting higher demand in Europe, partly offset by lower demand in International.
 
Synflorix sales declined 17% AER, 17% CER to £424 million, primarily impacted by lower pricing and demand in Emerging Markets.
 
 
Consumer Healthcare
 
 
2018
 
 
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Wellness
3,940
 
(2)
 
Oral health
2,496
 
 
Nutrition
643
 
(5)
 
Skin health
579
 
(4)
 
(1)
 
 
 
 
 
 
 
7,658
 
(1)
 
 
 
 
 
 
 
US
1,828
 
 
Europe
2,340
 
(1)
 
(2)
International
3,490
 
(2)
 
4 
 
 
 
 
 
 
 
7,658
 
(1)
 
 
 
 
 
 
 
 
Consumer Healthcare sales in the year declined 1% AER but grew 2% CER to £7,658 million, with broad-based growth in Oral health and Wellness partly offset by a decline in Panadol and lower sales of smaller brands.  International markets performed strongly, particularly India and Brazil, whilst Europe was impacted by intensifying competitive pressure in the second half of 2018.
 
The aggregate impact from generic competition on Transderm Scop in the US, the divestment of Horlicks and MaxiNutrition in the UK and other small non-strategic brands and implementation of the Goods & Service Tax (GST) in India was to reduce overall sales growth by approximately one percentage point.
 
Wellness
Wellness sales declined 2% AER but grew 1% CER to £3,940 million.  Respiratory sales grew in low single digits, led by Theraflu supported by a strong cold and flu season earlier in the year as well as the TherafluPowerPods launch in the US in the second half of the year.  Otrivin grew in mid single digits, benefiting from new variants, and Flonase returned to growth following a weaker allergy season earlier this year.
 
Pain relief sales were flat as low single-digit growth in Voltaren and double-digit growth in Fenbid were offset by a decline in Panadol sales due to a change in the route-to-market model in South-East Asia and the discontinuation of slow-release Panadol products in the Nordic countries.
 
Oral health
Oral health sales grew 1% AER, 4% CER to £2,496 million, as increased competitive pressures in Europe were offset by double digit growth from Sensodyne in a number of International markets, including India and Turkey, and strong single-digit growth in the US driven by Sensodyne Rapid.  Denture care grew in high single digits through the launch of Corega Max in Russia and Brazil and Gum health delivered double-digit growth with continued strong Parodontax performance in the US.  Growth was also partly impacted by de-stocking in International.
 
Nutrition
Nutrition sales declined 5% AER but grew 1% CER to £643 million.  The Nutrition business in India performed strongly across the product portfolio including new innovations such as Horlicks Protein+ which was launched earlier in the year.  The impact of divestments and India GST implementation on growth was approximately eight percentage points.
 
Skin health
Skin health sales were down 4% AER, 1% CER to £579 million, largely driven by a decline in Physiogel and the divestment of several small non-strategic brands in the US, which had a negative impact on growth of one percentage point.
 
 
Total results - 2018
 
Cost of sales
Cost of sales as a percentage of turnover was 33.2%, down 1.0 percentage points at AER and 1.4 percentage points in CER terms compared with 2017.  This primarily reflected a favourable comparison with £363 million of non-cash restructuring costs from the write-downs of assets in 2017 related to the decision to withdraw Tanzeum progressively.  The year also benefited from a more favourable product mix in Vaccines and Consumer Healthcare, particularly the launch of Shingrix, together with a further contribution from integration and restructuring savings.  This was partly offset by continued adverse pricing pressure in Pharmaceuticals, particularly in Respiratory, and in Established Vaccines, together with increased input costs and an adverse comparison with the benefit of a settlement for lost third party supply volume in 2017 in Vaccines.
 
Selling, general and administration
SG&A costs as a percentage of turnover were 32.2%, 0.1 percentage points higher than in 2017 at both AER and CER, reflecting growth of 3% AER, 5% CER.  The increase in SG&A costs primarily reflected higher restructuring costs, and investment in promotional product support, particularly for new launches in Respiratory, HIV and Vaccines, partly offset by tight control of ongoing costs, particularly in non-promotional and back office spending, across all three businesses.
 
Research and development
R&D expenditure was £3,893 million (12.6% of turnover), 13% AER, 12% CER lower than in 2017.  This reflected reduced restructuring costs primarily due to the comparison with the provision for obligations as a result of the decision to withdraw Tanzeum in 2017 and lower intangible impairments, a favourable comparison with the impact of the Priority Review Voucher purchased and utilised in H1 2017 and the benefit of the R&D prioritisation initiatives started in the second half of last year.  This was partly offset by increased investment in the progression of a number of mid and late-stage programmes, particularly in Oncology, as well as provisions for the costs payable to a third party relating to the use of a Priority Review Voucher awarded in 2018.
 
Royalty income
Royalty income was £299 million (2017: £356 million), down 16% AER and 17% CER, the reduction primarily reflecting the patent expiry of Cialis, partly offset by an increase in the Gardasil royalty.
 
Other operating income/(expense)
Other operating expense of £1,588 million (2017: £1,965 million) primarily reflected £1,846 million (2017: £1,517 million) of accounting charges 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, the value attributable to the Consumer Healthcare Joint Venture put option previously held by Novartis and the liabilities for the Pfizer put option and Pfizer and Shionogi preferential dividends in ViiV Healthcare.  The 2017 charges included the impact of US tax reform, which increased the fair value of these liabilities by £666 million.  This was partly offset by the profit on a number of asset disposals, including tapinarof, as well as a gain arising from the increase in value of the shares in Hindustan Unilever Limited to be received on the disposal of Horlicks and other Consumer Healthcare brands, net of disposal costs.
 
The accounting charges were driven primarily by a £758 million re-measurement of the contingent consideration liability due to Shionogi, largely related to the regular updates of exchange rate assumptions to period end rates and sales forecasts following a number of studies including the GEMINI study completed in Q2 2018, together with a £430 million unwind of the discount.  In addition, a net charge of £658 million reflected the re-measurement of the valuation of the Consumer Healthcare put option to reflect the price agreed with Novartis to acquire its shareholding, together with movements in exchange rates largely offset by gains on hedging contracts.
 
Operating profit
Total operating profit was £5,483 million in 2018 compared with £4,087 million in 2017.  The increase in operating profit primarily reflected a favourable comparison with charges of £666 million in 2017 arising from the impact of US tax reform on the valuation of the Consumer Healthcare and HIV businesses and reduced restructuring costs and asset impairments.  In addition, there was a contribution from sales growth, a more favourable mix, primarily in Vaccines and Consumer Healthcare, benefits from the prioritisation of R&D expenditure and comparison with the impact of the Priority Review Voucher utilised and expensed in 2017, alongside continued tight control of ongoing costs.  This was partly offset by the increased impact of accounting charges related to the re-measurement of the liabilities for contingent consideration, put options and preferential dividends, continuing pricing pressure, particularly in Respiratory, increased input costs, the comparison with the benefit in Q2 2017 of a settlement for lost third party supply volume in Vaccines, investments in new product support, particularly for launches in Respiratory, HIV and Vaccines and a reduction in royalty income.
 
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 2018 amounted to £1,137 million (2017: £685 million).  This included a cash milestone paid to Novartis of $450 million (£317 million) as well as cash payments made to Shionogi of £793 million (2017: £671 million).
 
Net finance costs
Net finance costs were £717 million compared with £669 million in 2017.  This reflected higher debt levels following the acquisition from Novartis of its stake in the Consumer Healthcare Joint Venture in June 2018 as well as additional interest on tax arising from a historic tax settlement, recorded in Q3 2018, and an adverse comparison with a provision release of £24 million in Q4 2017, partly offset by the benefit of a one-off accounting adjustment to the amortisation of long term bond interest charges of £20 million in Q1 2018, the benefit from older bonds being refinanced at lower interest rates and the translation impact of exchange rate movements on the reported Sterling costs of foreign currency denominated interest-bearing instruments.
 
Taxation
The charge of £754 million represented an effective tax rate on Total results of 15.7% (2017: 38.5%) and reflected the different tax effects of the various Adjusting items.  This includes the effect of a reduced estimate of the 2017 impact of US tax reform of £125 million, following additional guidance being released by the IRS and a re-assessment of estimates of uncertain tax positions following the settlement of a number of open issues with tax authorities.  The reduction from the prior year effective tax rate on Total profits was driven primarily by a favourable comparison with the impact of US tax reform, which resulted in a number of charges in Q4 2017.
 
Non-controlling interests
The allocation of earnings to non-controlling interests amounted to £423 million (2017: £637 million).  The reduction was primarily due to the lower allocation of Consumer Healthcare profits of £117 million (2017: £415 million) following the buyout of Novartis' interest.  This was partly offset by an increased allocation of ViiV Healthcare profits and higher net profits in some of the Group's other entities with non-controlling interests.
 
Earnings per share
Total earnings per share was 73.7p, compared with 31.4p in 2017.  The increase in earnings per share primarily reflected a favourable comparison with charges in 2017 arising from the impact of US tax reform, reduced restructuring costs and asset impairments, increased operating profits, a lower tax rate and a reduced non-controlling interest allocation of Consumer Healthcare profits, partly offset by higher transaction-related charges arising from increases in the valuation of the liabilities for contingent consideration, put options and preferential dividends.
 
Currency impact on 2018 results
The results for 2018 are based on average exchange rates, principally £1/$1.33, £1/€1.13 and £1/Yen 147.  Comparative exchange rates are given on page 59.  The period-end exchange rates were £1/$1.27, £1/€1.11 and £1/Yen 140.
 
In 2018, turnover increased 2% in AER terms and 5% CER.  Total EPS was 73.7p compared with 31.4p in 2017.  The negative currency impact primarily reflected the strength of Sterling, particularly against the US Dollar, Yen and Emerging Market currencies, relative to 2017. 
 
 
Adjusting items
The reconciliations between Total results and Adjusted results for 2018 and 2017 are set out below.
 
Year ended 31 December 2018
 
 
Total
results
£m
Intangible
amort-
isation
£m
Intangible
impair-
ment
£m
Major
restruct-
uring
£m
Transaction-
related
£m
Divestments,
significant
legal and
other items
£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)
 
2 
315 
98 
38 
(9,462)
Research and development
(3,893)
44 
45 
49 
 
20 
(3,735)
Royalty income
299 
 
 
 
 
 
299 
Other operating income/(expense)
(1,588)
 
 
2 
1,864 
(278)
- 
 
------------
------------
------------
------------
------------
------------
------------
Operating profit
5,483 
580 
116 
809 
1,977 
(220)
8,745 
 
 
 
 
 
 
 
 
Net finance costs
(717)
 
 
4 
(3)
18 
(698)
Profit on disposal of associates
3 
 
 
 
 
(3)
- 
Share of after tax profits of
  associates and joint ventures
31 
 
 
 
 
 
31 
 
------------
------------
------------
------------
------------
------------
------------
Profit before taxation
4,800 
580 
116 
813 
1,974 
(205)
8,078 
 
 
 
 
 
 
 
 
Taxation
(754)
(109)
(19)
(170)
(239)
(244)
(1,535)
Tax rate %
15.7%
 
 
 
 
 
19.0%
 
------------
------------
------------
------------
------------
------------
------------
Profit after taxation
4,046 
471 
97 
643 
1,735 
(449)
6,543 
 
------------
------------
------------
------------
------------
------------
------------
Profit attributable to
  non-controlling interests
423 
 
 
 
251 
 
674 
 
 
 
 
 
 
 
 
Profit attributable to
  shareholders
3,623 
471 
97 
643 
1,484 
(449)
5,869 
 
------------
------------
------------
------------
------------
------------
------------
 
 
 
 
 
 
 
 
Earnings per share
73.7p
9.6p
2.0p
13.1p
30.2p
(9.2)p
119.4p
 
------------
------------
------------
------------
------------
------------
------------
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Weighted average number of
  shares (millions)
4,914 
 
 
 
 
 
4,914 
 
------------
 
 
 
 
 
------------
 
 
Year ended 31 December 2017
 
 
Total
results
£m
Intangible
amort-
isation
£m
Intangible
impair-
ment
£m
Major
restruct-
uring
£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)
 
 
248 
 
83 
 
(9,341)
Research and
  development
(4,476)
45 
288 
263 
 
18 
 
(3,862)
Royalty income
356 
 
 
 
 
 
 
356 
Other operating income/
  (expense)
(1,965)
 
 
 
1,519 
(220)
666 
- 
 
------------
------------
------------
------------
------------
------------
------------
------------
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 
793 
 
 
 
 
 
 
 
 
 
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 
 
------------
 
 
 
 
 
 
------------
 
Intangible asset amortisation and impairment
Intangible asset amortisation was £580 million compared with £591 million in 2017.  Intangible asset impairments related to commercial and Pharmaceuticals R&D development assets were £116 million (2017: £688 million).  The 2017 charge included impairments related to the withdrawal of Tanzeum and a number of other commercial and Pharmaceuticals R&D development assets.  These charges were non-cash items.
 
Major restructuring and integration
Within the Pharmaceuticals sector, the highly regulated manufacturing operations and supply chains and long lifecycle of the business mean that restructuring programmes, particularly those that involve the rationalisation or closure of manufacturing or R&D sites, are likely to take several years to complete.
 
Major restructuring costs are those related to specific Board approved Major restructuring programmes.  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.
 
The Board approved a new Major restructuring programme in July 2018, which is 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.
 
Total Major restructuring charges incurred in 2018 were £809 million (2017: £1,056 million), analysed as follows:
 
 
2018
 
2017
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash
£m
 
Non-cash
£m
 
Total
£m
 
Cash
£m
 
Non-cash
£m
 
Total
£m
 
 
 
 
 
 
 
 
 
 
 
 
Combined restructuring and
  integration programme
330
 
110
 
440
 
531
 
525
 
1,056
2018 major restructuring
  programme
279
 
90
 
369
 
-
 
-
 
-
 
 
 
 
 
 
 
 
 
 
 
 
 
609
 
200
 
809
 
531
 
525
 
1,056
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-cash charges arising under the existing Combined restructuring and integration programme primarily related to the write-down of assets as part of the announced plans to reduce the manufacturing network.  Cash charges arose from restructuring in the Europe and International Pharmaceuticals commercial operations and some manufacturing sites.  Non-cash charges under the 2018 major restructuring programme primarily related to announced plans to restructure the manufacturing network and cash charges to date under the 2018 major restructuring programme primarily related to restructuring in the US Pharmaceuticals commercial operation, as well as some manufacturing sites and central functions. 
 
Total cash payments for the two programmes made in the year were £537 million (2017: £555 million).
 
The analysis of major restructuring charges by business was as follows:
 
 
2018
£m
 
2017
£m
 
 
 
 
Pharmaceuticals
563
 
682
Vaccines
104
 
177
Consumer Healthcare
72
 
137
 
 
 
 
 
739
 
996
Corporate & central functions
70
 
60
 
 
 
 
Total Major restructuring costs
809
 
1,056
 
 
 
 
 
The analysis of Major restructuring charges by Income statement line was as follows:
 
 
2018
£m
 
2017
£m
 
 
 
 
Cost of sales
443
 
545
Selling, general and administration
315
 
248
Research and development
49
 
263
Other operating income/(expense)
2
 
-
 
 
 
 
Total Major restructuring costs
809
 
1,056
 
 
 
 
 
The Combined restructuring and integration programme delivered incremental annual cost savings in the year of £0.3 billion.  Given its relatively recent launch, the benefit delivery this year from the 2018 major restructuring programme was not material.
 
The analysis of incremental annual cost savings in the year by Income statement line was as follows:
 
 
2018
£bn
 
2017
£bn
 
 
 
 
Cost of sales
0.2
 
0.2
Selling, general and administration
0.1
 
0.4
Research and development
-
 
0.1
 
 
 
 
Total Major restructuring savings
0.3
 
0.7
 
 
 
 
 
Total cash charges for the Combined restructuring and integration programme are now expected to be approximately £4.1 billion with non-cash charges up to £1.6 billion.  The programme has now delivered approximately £3.9 billion of annual savings, including an estimated currency benefit of £0.3 billion.  The programme is now expected to deliver by 2020 total annual savings of £4.4 billion on a constant currency basis, including an estimated benefit of £0.4 billion from currency on the basis of 2018 average exchange rates.
 
The 2018 major restructuring programme is expected to cost £1.7 billion over the period to 2021, with cash costs of £0.8 billion and non-cash costs of £0.9 billion, and is expected to deliver annual savings of around £400 million by 2021 (at 2018 rates).  These savings will be fully re-invested to help fund targeted increases in R&D and commercial support of new products.
 
Transaction-related adjustments
Transaction-related adjustments resulted in a net charge of £1,977 million (2017: £1,599 million).  This primarily reflected £1,846 million of accounting charges 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, the value attributable to the Consumer Healthcare Joint Venture put option held by Novartis and the liabilities for the Pfizer put option and Pfizer and Shionogi preferential dividends in ViiV Healthcare.
 
Charge/(credit)
2018
£m
 
2017
£m
 
 
 
 
Consumer Healthcare Joint Venture put option
658 
 
986 
Contingent consideration on former Shionogi-ViiV Healthcare
  Joint Venture (including Shionogi preferential dividends)
1,188 
 
556 
ViiV Healthcare put options and Pfizer preferential dividends
(58)
 
(126)
Contingent consideration on former Novartis Vaccines business
58 
 
101 
Other adjustments
131 
 
82 
 
 
 
 
Total transaction-related charges
1,977 
 
1,599 
 
 
 
 
 
A net charge of £658 million relating to the Consumer Healthcare Joint Venture represented the re-measurement of the valuation of the Consumer Healthcare put option to the agreed valuation of $13 billion (£9.2 billion on signing), together with an increase due to movements in exchange rates, which was largely offset by gains on hedging contracts.
 
The £1,188 million charge relating to the contingent consideration for the former Shionogi-ViiV Healthcare Joint Venture represented a £758 million increase in the valuation of the contingent consideration due to Shionogi, primarily as a result of updated exchange rate assumptions and sales forecasts following the GEMINI study completed in Q2 2018, together with a £430 million unwind of the discount.
 
Other adjustments included a £51 million charge reflecting the release of an indemnity asset relating to the tax treatment of inventory acquired as part of the Novartis Vaccines acquisition, with a corresponding offset in tax, as well as acquisition costs relating to the acquisition of Tesaro completed in January 2019 and the announced agreement with Pfizer to combine our consumer healthcare businesses.
 
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 the year amounted to £1,137 million (2017: £685 million).  This included a cash milestone paid to Novartis of $450 million (£317 million) as well as cash payments made by ViiV Healthcare to Shionogi in relation to its contingent consideration liability (including preferential dividends) which amounted to £793 million (2017: £671 million).
 
An explanation of the accounting for the non-controlling interests in ViiV Healthcare is set out on page 64.
 
Divestments, significant legal charges and other items
Divestments and other items included the profit on a number of asset disposals, including tapinarof, a gain arising from the increase in value of the shares in Hindustan Unilever Limited to be received on the disposal of Horlicks and other Consumer Healthcare brands, which is expected to complete by the end of 2019, net of disposal costs, as well as equity investment impairments and certain other adjusting items.  A charge of £33 million (2017: £68 million) for significant legal matters included the benefit of the settlement of existing matters as well as provisions for ongoing litigation.  Significant legal cash payments were £39 million (2017: £192 million).
 
 
Adjusted results
The reconciliations between Total results and Adjusted results for 2018 and 2017 are set out on pages 14 and 15.
 
 
2018
 
 
 
 
 
 
 
 
 
£m
 
% of
turnover
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
 
 
Turnover
30,821 
 
100 
 
 
 
 
 
 
 
 
 
 
Cost of sales
(9,178)
 
(29.8)
 
5 
 
6 
Selling, general and administration
(9,462)
 
(30.7)
 
1 
 
4 
Research and development
(3,735)
 
(12.1)
 
(3)
 
(2)
Royalty income
299 
 
1.0 
 
(16)
 
(17)
 
 
 
 
 
 
 
 
Adjusted operating profit
8,745 
 
28.4 
 
 
 
 
 
 
 
 
 
 
Adjusted profit before tax
8,078 
 
 
 
2 
 
6 
Adjusted profit after tax
6,543 
 
 
 
5 
 
9 
Adjusted profit attributable to shareholders
5,869 
 
 
 
7 
 
12 
 
 
 
 
 
 
 
 
Adjusted earnings per share
119.4p
 
 
 
 
12 
 
 
 
 
 
 
 
 
 
Operating profit by business
2018
 
 
 
 
 
 
 
 
 
£m
 
% of
turnover
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
 
 
Pharmaceuticals
8,420 
 
48.8 
 
(3)
 
Pharmaceuticals R&D*
(2,676)
 
 
 
(2)
 
(1)
 
 
 
 
 
 
 
 
Total Pharmaceuticals
5,744 
 
33.3 
 
(3)
 
Vaccines
1,943 
 
33.0 
 
18 
 
25 
Consumer Healthcare
1,517 
 
19.8 
 
10 
 
15 
 
 
 
 
 
 
 
 
 
9,204 
 
29.9 
 
 
Corporate & other unallocated costs
(459)
 
 
 
22 
 
15 
 
 
 
 
 
 
 
 
Adjusted operating profit
8,745 
 
28.4 
 
 
 
 
 
 
 
 
 
 
 
*
Operating profit of Pharmaceuticals R&D segment, which is the responsibility of the President, Pharmaceuticals R&D.  It excludes ViiV Healthcare R&D expenditure, which is reported within the Pharmaceuticals segment.  A more detailed breakdown of R&D expenses is set out on page 40.
 
Operating profit
Adjusted operating profit was £8,745 million, 2% higher at AER compared with 2017 and 6% higher at CER on a turnover increase of 5%.  The Adjusted operating margin of 28.4% was flat at AER compared with 2017 but 0.5 percentage points higher on a CER basis.  This reflected the benefit from sales growth at CER in all three businesses, a more favourable mix, primarily in Vaccines and Consumer Healthcare, the benefits of prioritisation of R&D expenditure and the comparison with the impact of the Priority Review Voucher utilised and expensed in 2017 as well as continued tight control of ongoing costs across all three businesses.  This was partly offset by continuing pricing pressure, particularly in Respiratory, increased input costs, the comparison with the benefit in Q2 2017 of a settlement for lost third party supply volume in Vaccines, investments in promotional product support, particularly for new launches in Respiratory, HIV and Vaccines and a reduction in royalty income.
 
Cost of sales
Cost of sales as a percentage of turnover was 29.8%, up 0.7 percentage points at AER, and 0.4 percentage points in CER terms compared with 2017.  This primarily reflected continued adverse pricing pressure in Pharmaceuticals, particularly in Respiratory, and Established Vaccines, as well as increased input costs and an adverse comparison with the benefit of a settlement for lost third party supply volume in 2017 in Vaccines.  This was partly offset by a more favourable product mix in Vaccines and Consumer Healthcare, particularly with the launch of Shingrix, as well as a further contribution from integration and restructuring savings in all three businesses.
 
Selling, general and administration
SG&A costs as a percentage of turnover were 30.7%, 0.2 percentage points lower at AER than in 2017 and 0.3 percentage points lower on a CER basis.  This reflected an increase of 1% AER, 4% CER, primarily resulting from increased investment in promotional product support, particularly for new launches in Respiratory, HIV and Vaccines, partly offset by tight control of ongoing costs, particularly in non-promotional and back office spending, across all three businesses.
 
Research and development
R&D expenditure was £3,735 million (12.1% of turnover), 3% AER, 2% CER lower than 2017, primarily reflecting the favourable comparison with the impact of the Priority Review Voucher purchased and utilised in 2017 and the benefit of the prioritisation initiatives started in the second half of 2017.  This was partly offset by increased investment in the progression of a number of mid and late-stage programmes, particularly in Oncology, as well as the provision for the costs payable to a third party relating to the use of a Priority Review Voucher awarded and utilised in 2018.
 
Royalty income
Royalty income was £299 million (2017: £356 million), the reduction primarily reflecting the patent expiry of Cialis, partly offset by an increase in the Gardasil royalty.
 
Operating profit by business
Pharmaceuticals operating profit was £5,744 million, down 3% AER but flat at CER on a turnover increase of 2% CER.  The operating margin of 33.3% was 1.0 percentage points lower at AER than in 2017 and 0.9 percentage points lower on a CER basis.  This primarily reflected the continued impact of lower prices, particularly in Respiratory, and the broader transition of the Respiratory portfolio, increased investment in new product support and a reduction in royalty income.  This was partly offset by the benefits of prioritisation within R&D and a favourable comparison with the impact of the Priority Review Voucher purchased in 2017.
 
Vaccines operating profit was £1,943million, 18% AER, 25% CER higher than in 2017 on a turnover increase of 16% CER.  The operating margin of 33.0% was 1.1 percentage points higher at AER than in 2017 and 2.5 percentage points higher on a CER basis.  This was primarily driven by enhanced operating leverage from strong sales growth, an improved product mix, including the impact of the launch of Shingrix, together with further restructuring and integration benefits.  This was partly offset by the comparison with the benefit of a settlement for lost third party supply volume recorded in 2017, increased supply chain costs and increased SG&A investments to support new launches and business growth.
 
Consumer Healthcare operating profit was £1,517 million, up 10% AER, 15% CER on a turnover increase of 2% CER.  The operating margin of 19.8% was 2.1 percentage points higher than in 2017 and 2.2 percentage points higher on a CER basis.  This primarily reflected improved product mix and manufacturing restructuring and integration benefits, as well as continued tight control of promotional and other operating expenses.
 
Net finance costs
Net finance costs were £698 million compared with £657 million in 2017.  The increase reflected higher debt levels following the acquisition from Novartis of its stake in the Consumer Healthcare Joint Venture in June 2018 as well as a £23 million increase in interest on tax arising from settlement of a historic tax matter in Q3 2018 and an adverse comparison with a provision release of £23 million in Q4 2017.  This was partly offset by the benefit of a one-off accounting adjustment to the amortisation of long term bond interest charges of £20 million in Q1 2018, the benefit from older bonds and the facilities utilised to fund the acquisition of Novartis' stake in the Consumer Healthcare JV being refinanced at lower interest rates and fair value gains on hedging instruments.
 
Taxation
Tax on Adjusted profit amounted to £1,535 million and represented an effective Adjusted tax rate of 19.0% (2017: 21.0%).  The reduction in the effective Adjusted tax rate in 2018 is primarily driven by the reduction in the US federal tax rate.  See 'Taxation' on page 58 for further details.
 
Non-controlling interests
The allocation of Adjusted earnings to non-controlling interests amounted to £674 million (2017: £793 million).  The reduction was primarily due to the lower allocation of Consumer Healthcare profits of £118 million (2017: £344 million) following the buyout of Novartis' interest.  This was partly offset by an increased allocation of ViiV Healthcare profits of £501 million (2017: £414 million), and the changes in the proportions of preferential dividends due to each shareholder based on the relative performance of different products, as well as increases in the allocation due to higher net profits in some of the Group's other entities with non-controlling interests.
 
Earnings per share
Adjusted EPS of 119.4p was up 7% AER, 12% CER, compared with a 6% CER increase in Adjusted operating profit, primarily as a result of a reduced non-controlling interest allocation of Consumer Healthcare profits and a lower Adjusted tax rate.
 
Currency impact on 2018 results
The results for 2018 are based on average exchange rates, principally £1/$1.33, £1/€1.13 and £1/Yen147.  Comparative exchange rates are given on page 59.  The period-end exchange rates were £1/$1.27, £1/€1.11 and £1/Yen140.
 
In 2018, turnover increased 2% in AER terms and 5% CER.  Adjusted EPS was 119.4p compared with 111.8p in 2017, up 7% AER, 12% CER.  The negative currency impact primarily reflected the strength of Sterling, particularly against the US Dollar, Yen and Emerging Market currencies, relative to 2017.  Exchange gains or losses on the settlement of intercompany transactions had a negligible impact on the negative currency impact of five percentage points on Adjusted EPS.
 
 
Financial performance - Q4 2018
 
Total results
 
The Total results for the Group are set out below.
 
 
Q4 2018
£m
 
Q4 2017
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
 
 
Turnover
8,197 
 
7,639 
 
 
 
 
 
 
 
 
 
 
Cost of sales
(2,904)
 
(2,558)
 
14 
 
13 
 
 
 
 
 
 
 
 
Gross profit
5,293 
 
5,081 
 
 
 
 
 
 
 
 
 
 
Selling, general and administration
(2,620)
 
(2,533)
 
 
Research and development
(1,076)
 
(1,209)
 
(11)
 
(14)
Royalty income
79 
 
69 
 
14 
 
Other operating income/(expense)
(122)
 
(896)
 
 
 
 
 
 
 
 
 
 
 
 
Operating profit
1,554 
 
512 
 
>100 
 
>100 
 
 
 
 
 
 
 
 
Finance income
24 
 
16 
 
 
 
 
Finance expense
(209)
 
(154)
 
 
 
 
Profit on disposal of associates
- 
 
66 
 
 
 
 
Share of after tax profits of associates
  and joint ventures
5 
 
 
 
 
 
 
 
 
 
 
 
 
 
Profit before taxation
1,374 
 
442 
 
>100 
 
>100 
 
 
 
 
 
 
 
 
Taxation
(74)
 
(805)
 
 
 
 
Tax rate %
5.4%
 
>100%
 
 
 
 
 
 
 
 
 
 
 
 
Profit/(loss) after taxation
1,300 
 
(363)
 
>100 
 
>100 
 
 
 
 
 
 
 
 
Profit attributable to non-controlling
  interests
85 
 
183 
 
 
 
 
Profit/(loss) attributable to shareholders
1,215 
 
(546)
 
 
 
 
 
 
 
 
 
 
 
 
 
1,300 
 
(363)
 
>100 
 
>100 
 
 
 
 
 
 
 
 
Earnings/(loss) per share
24.7p
 
(11.2)p
 
>100 
 
>100 
 
 
 
 
 
 
 
 
 
 
Sales performance - Q4 2018
 
Group turnover by business
Q4 2018
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Pharmaceuticals
4,810
 
6
 
4
Vaccines
1,479
 
22
 
18
Consumer Healthcare
1,908
 
1
 
1
 
 
 
 
 
 
Group turnover
8,197
 
7
 
5
 
 
 
 
 
 
 
Group turnover was up 7% AER, 5% CER to £8,197 million, with growth delivered by all three businesses.
 
Pharmaceuticals sales grew 6% AER, 4% CER, with growth in all therapy areas.  HIV sales were up 10% AER, 6% CER to £1,276 million, reflecting strong performances by Tivicay and Juluca.  Respiratory sales were up 5% AER, 2% CER to £1,991 million, with growth from the Ellipta portfolio and Nucala.
 
Vaccines sales were up 22% AER, 18% CER, driven primarily by growth in sales of Shingrix in the US and influenza products, partly offset by declines in Meningitis and Established Vaccines.
 
Consumer Healthcare sales grew 1% AER, 1% CER reflecting growth in Oral health and Wellness, partly offset by increased competitive pressures in Europe and by a decline in Nutrition and Skin health, primarily following the divestments of some smaller brands, including Horlicks and MaxiNutrition in the UK.
 
Group turnover by geographic region
Q4 2018
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
US
3,274
 
15
 
8
Europe
2,030
 
2
 
1
International
2,893
 
3
 
6
 
 
 
 
 
 
Group turnover
8,197
 
7
 
5
 
 
 
 
 
 
 
US sales grew 15% AER, 8% CER driven by strong performances from Shingrix, HIV products, Benlysta and new Respiratory products.
 
Europe sales grew 2% AER, 1% CER as growth from HIV and the new Respiratory products was partly offset by a decline in Consumer Healthcare sales and a decrease in Bexsero sales, largely due to the completion of the vaccination of catch-up cohorts in certain markets that benefited Q4 2017.
 
In International, sales grew 3% AER, 6% CER reflecting strong growth in the new Respiratory products as well as HIV and Established Pharmaceutical sales.  Sales in Emerging Markets grew 1% AER, 5% CER, driven by strong growth of Horlicks in India, Panadol in Latin America and respiratory products.
 
 
Pharmaceuticals
 
 
Q4 2018
 
 
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Respiratory
1,991
 
5
 
HIV
1,276
 
10
 
Immuno-inflammation
136
 
40
 
34 
Established Pharmaceuticals
1,407
 
1
 
 
 
 
 
 
 
 
4,810
 
6
 
 
 
 
 
 
 
US
2,119
 
4
 
(1)
Europe
1,110
 
7
 
International
1,581
 
7
 
 
 
 
 
 
 
 
4,810
 
6
 
 
 
 
 
 
 
 
Pharmaceuticals turnover in the quarter was £4,810 million, up 6% AER, 4% CER, with growth in all therapy areas.  HIV sales were up 10% AER, 6% CER, to £1,276 million, reflecting continued growth of the dolutegravir portfolio, particularly Tivicay and Juluca.  Respiratory sales were up 5% AER, 2% CER, to £1,991 million, with growth from the Ellipta portfolio and Nucala more than offsetting lower sales of Seretide/Advair.  Sales of Established Pharmaceuticals grew 1% AER, 1% CER to £1,407 million.
 
In the US, sales grew 4% AER, but declined 1% CER, with growth in HIV, Benlysta and new Respiratory products more than offset by declines in Advair and Established Products.  In Europe, sales grew 7% AER, 6% CER, with strong growth in the Respiratory and HIV portfolios, as well as the benefit of the first instalment of a 12-month Relenza supply contract.  International grew 7% AER, 9% CER, with growth in HIV, Respiratory and Established Pharmaceuticals.
 
Respiratory
Total Respiratory sales were up 5% AER, 2% CER.  Growth from the Ellipta portfolio and Nucala more than offset lower sales of Seretide/Advair which declined 18% AER, 20% CER globally.  The US was up 2% AER but down 3% CER as the decline in Advair sales exceeded the growth in the new Respiratory products in the quarter.  In Europe, sales grew 9% AER, 7% CER and International grew 9% AER, 10% CER, including Japan, up 7% AER, 5% CER.
 
Sales of Nucala were £173 million in the quarter and grew 43% AER, 38% CER, continuing to benefit from the global rollout of the product.  US sales of Nucala grew 29% AER, 23% CER to £107 million.
 
Sales of Ellipta products were up 36% AER, 33% CER to £654 million driven by continued growth in all regions.  In the US, sales grew 33% AER, 28% CER, reflecting further market share gains, partly offset by the impact of continued competitive pricing pressures, particularly for ICS/LABAs.  In Europe, sales grew 52% AER, 51% CER.  Sales of Trelegy Ellipta, our new once-daily closed triple product, were £77 million in the quarter, continuing to benefit from an expanded label in the US.
 
Relvar/Breo Ellipta sales grew 13% AER, 9% CER, to £333 million, with growth in Europe, which was up 31% AER, 28% CER to £71 million and in International, which was up 25% AER, 26% CER to £76 million.  In the US, Relvar/Breo was up 3% AER, but down 2% CER to £186 million, with volume growth of 16% reflecting continued market share growth, offset by the impact of competitive pricing pressures in the ICS/LABA market.  Anoro Ellipta sales grew 32% AER, 28% CER to £144 million, driven by gains in the US.  All Ellipta products, BreoAnoroIncruseArnuity and Trelegy, continued to grow market share in the US during the quarter.
 
Sales of New Respiratory products, comprising Ellipta products and Nucala, grew 38% AER, 34% CER to £827 million.
 
Seretide/Advair sales declined 18% AER, 20% CER to £647 million.  Sales of Advair in the US declined 27% AER, 31% CER (15% volume decline and 16% negative impact of price) primarily reflecting increased competitive pricing pressures.  In Europe, Seretide sales were down 18% AER, 20% CER to £150 million (17% volume decline and a 3% price decline).  This reflected continued competition from generic products and the transition of the Respiratory portfolio to newer products.  In International, sales of Seretide were up 1% AER, 2% CER, to £198 million (2% volume decline and 4% positive impact of price), with decline in markets with generic competition offset by growth from other developing markets.
 
HIV
HIV sales increased 10% AER, 6% CER to £1,276 million in the quarter, with the US up 10% AER, 3% CER, Europe up 9% AER, 7% CER and International up 15% AER, 18% CER. US growth in the quarter was adversely impacted by year end stocking patterns compared to 2017.
 
The growth was driven by the dolutegravir portfolio which grew 14% AER, 9% CER.  Triumeq ,Tivicay and Juluca sales were £691 million, £452 million and £62 million, respectively, in the quarter.  The growth was partly offset by the decline in the established portfolio and, in particular, Epzicom/Kivexa, which declined 29% AER, 31% CER to £30 million, reflecting ongoing generic competition.
 
Immuno-inflammation
Sales in the quarter were up 40% AER, 34% CER, primarily driven by Benlysta which grew 42% AER, 34% CER to £138 million.  In the US, Benlysta grew 39% AER, 31% CER to £121 million, benefiting from the launch of the sub-cutaneous formulation in the third quarter of 2017.
 
Established Pharmaceuticals
Sales of Established Pharmaceuticals in the quarter were £1,407 million, up 1% AER, 1% CER, reflecting efforts to maximise the value from this portfolio but also the benefit of certain post-divestment contract manufacturing sales and the first instalment of a 12-month Relenza supply contract in Europe. 
 
The Avodart franchise was flat at AER but declined 1% CER to £149 million, primarily due to the loss of exclusivity in Europe, with the US impact now broadly annualised.  Coreg franchise sales declined 39% AER, 43% CER following a generic Coreg CR entrant to the US market in Q4 2017.  Lamictal sales declined 5% AER, 8% CER to £159 million.
 
 
Vaccines
 
 
Q4 2018
 
 
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Meningitis
188
 
(6)
 
(9)
Influenza
193
 
74 
 
69 
Shingles
221
 
>100 
 
>100 
Established Vaccines
877
 
- 
 
(3)
 
 
 
 
 
 
 
1,479
 
22 
 
18 
 
 
 
 
 
 
US
666
 
78 
 
65 
Europe
377
 
(2)
 
(4)
International
436
 
(3)
 
(2)
 
 
 
 
 
 
 
1,479
 
22 
 
18 
 
 
 
 
 
 
 
Vaccines turnover grew 22% AER, 18% CER to £1,479 million, primarily driven by growth in Shingrix, and strong performances by influenza products.  Meningitis vaccines declined 6% AER, 9% CER driven primarily by an adverse comparison with prior year CDC stockpile movements on Menveo in the US.  Established Vaccines were flat at AER but declined 3% CER, reflecting increased competition to Cervarix and supply phasing in China, competitive pressures particularly in the EU on DTPa-containing vaccines (InfanrixPediarixand Boostrix), partly offset by higher sales of Hepatitis vaccines.
 
Meningitis
Meningitis sales declined 6% AER, 9% CER to £188 million.  Bexsero sales declined 1% AER, 3% CER largely due to the completion of vaccination of catch-up cohorts in certain markets in Europe which benefited 2017, partly offset by demand and share gains in the US.  Menveo sales were down 32% AER, 37% CER, primarily reflecting the comparison with strong growth in Q4 2017, which included favourable CDC stockpile movements in the US.
 
Influenza
Fluarix/FluLaval sales were up 74% AER, 69% CER to £193 million, primarily reflecting strong sales execution in the US and improved sales in Europe.
 
Shingles
Shingrix recorded sales of £221 million in the quarter, primarily in the US and Canada.  US sales of Shingrixbenefited from market growth in new patient populations now covered by immunisation recommendations.
 
Established Vaccines
Sales of DTPa-containing vaccines (Infanrix, Pediarix and Boostrix) were up 4% AER but flat at CER.  Infanrix, Pediarix sales were up 5% AER, 1% CER to £165 million, reflecting the benefit of US channel stocking movements, partly offset by increased competitive pressures, particularly in Europe.  Boostrix sales were up 4% AER but down 1% CER to £139 million, primarily driven by the return to the market of a competitor in Europe, partly offset by stronger demand in the US.
 
Hepatitis vaccines grew 18% AER, 14% CER to £190 million, driven by stronger demand and competitor supply shortage in the US and Europe, favourable year-on-year CDC stockpile movements in the US, partly offset by supply constraints in International.
 
Rotarix sales increased 6% AER, 4% CER to £134 million, mainly driven by favourable phasing of tenders in Emerging Markets, partly offset by lower CDC purchases in the US.
 
Synflorix sales were down 5% AER, 6% CER to £106 million, mainly due to lower tender volumes in Europe, and unfavourable year-on-year phasing in International.
 
Cervarix sales declined 76% AER, 81% CER to £15 million, primarily reflecting increased competition and year-on-year supply phasing in China.
 
 
Consumer Healthcare
 
 
Q4 2018
 
 
 
 
 
 
 
£m
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
Wellness
1,005
 
 
Oral health
623
 
 
Nutrition
154
 
(6)
 
(2)
Skin health
126
 
(6)
 
(5)
 
 
 
 
 
 
 
1,908
 
 
 
 
 
 
 
 
US
489
 
11 
 
Europe
543
 
(5)
 
(6)
International
876
 
- 
 
3 
 
 
 
 
 
 
 
1,908
 
 
 
 
 
 
 
 
 
Consumer Healthcare sales grew 1% AER, 1% CER in the quarter to £1,908 million as growth in Oral health and Wellness was partly offset by declines in Nutrition and Skin health, primarily following the disposal of a number of products.  Growth in the US and International markets was partly offset by a decline in Europe.  The decline in Europe was mainly driven by a slowdown in consumption and increased competitive pressures.
 
The negative impact of the divestments of Horlicks and MaxiNutrition in the UK and other smaller brands earlier in the year was offset by growth in Transderm Scop in the US, which benefited from supply shortages faced by the generic competition.
 
Wellness
Wellness sales grew 1% AER, 1% CER to £1,005 million.  Respiratory sales grew in mid-single digits, mainly driven by Flonase consumption and Theraflu, which was supported by the US launch of Theraflu PowerPods.  Growth was partly offset by a decline in Pain relief, mainly the result of lower volumes shipped for Voltaren to rebalance the distribution channel, while Excedrin was impacted by a strong comparative performance in Q4 2017.  Panadol grew in double digits in Latin America but this was offset by the change in the route-to-market model in South-East Asia and the discontinuation of slow-release Panadol products in the Nordic countries.
 
Oral health
Oral health sales grew 3% AER, 3% CER to £623 million, mainly driven by Denture care and Sensodyne.  Denture care grew high single-digit, mainly in International markets, while Parodontax delivered broad-based double digit growth.  Strong momentum on Sensodyne in the quarter in the US and India was largely offset as we made executional adjustments to our marketing campaigns in Europe in response to intensified competitor promotional activity in the category and completed the last of the de-stocking in International markets.  Oral Health growth was also tempered by a decline in non-strategic brands.
 
Nutrition
Nutrition sales declined 6% AER, 2% CER to £154 million.  The Horlicks and MaxiNutrition divestments in the UK impacted growth by three percentage points.  The Nutrition business in India continued to grow in mid single digits, partly offset by a weaker performance in the Middle East.
 
Skin health
Skin health declined 6% AER, 5% CER to £126 million due to a weak quarter for Physiogel and divestments of small non-strategic brands in the US, which had a negative impact on growth of three percentage points.
 
 
Total results - Q4 2018
 
Cost of sales
Cost of sales as a percentage of turnover was 35.4%, 1.9 percentage points higher at AER and 2.6 percentage points higher in CER terms compared with Q4 2017.  This primarily reflected an increase in the costs of manufacturing restructuring programmes and a higher proportion of tenders and post-divestment contract manufacturing business in the quarter, together with continued adverse pricing pressure in Pharmaceuticals, particularly in Respiratory, and Established Vaccines and an unfavourable product mix in Pharmaceuticals, primarily as a result of the growth in some lower margin Established products and increased input costs.  This was partly offset by a more favourable product mix in Vaccines and Consumer Healthcare, particularly the impact of higher Vaccines sales, and a further contribution from integration and restructuring savings in all three businesses.
 
Selling, general and administration
SG&A costs as a percentage of turnover were 32.0%, 1.2 percentage points lower compared with Q4 2017 at AER and 1.2 percentage points lower on a CER basis.  The growth in SG&A costs of 3% AER, 1% CER reflected increased investment in promotional product support, particularly for new launches in Vaccines, Respiratory and HIV and targeted priority markets, and a charge arising from the equalisation of UK Guaranteed Minimum Pensions, as well as acquisition costs for Tesaro and the announced agreement with Pfizer to combine our consumer healthcare businesses.  This was partly offset by the tight control of ongoing costs, particularly in non-promotional spending across all three businesses, and reduced restructuring costs.
 
Research and development
R&D expenditure was £1,076 million (13.1% of turnover), down 11% AER, 14% CER, primarily reflecting lower intangible asset impairments and the benefits of the re-prioritisation of the R&D portfolio as well as the phasing of investment in late-stage programmes, particularly in HIV.  This was partly offset by increased investment in the progression of a number of mid and late-stage programmes, particularly in Oncology.
 
Royalty income
Royalty income was £79 million (Q4 2017: £69 million), up 14% AER, 6% CER, primarily reflecting increased royalties on sales of Gardasil.
 
Other operating income/(expense)
Net other operating expense of £122 million (Q4 2017: £896 million) reflected £229 million (Q4 2017: £884 million) of accounting charges 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.
 
The largest element was a re-measurement of £261 million for the contingent consideration liability due to Shionogi, primarily arising from changes in exchange rate assumptions and the unwind of the discount.  The 2017 charges included the impact of US tax reform, which increased the fair value of these liabilities by £666 million.  This was partly offset by the profit on a number of asset disposals and a gain arising from the increase in value of the shares in Hindustan Unilever Limited to be received on the disposal of Horlicks and other Consumer Healthcare brands, net of disposal costs.
 
Operating profit
Total operating profit was £1,554 million in Q4 2018 compared with an operating profit of £512 million in Q4 2017.  The increase in operating profit reflected lower net other operating expenses compared with the charges of £666 million in Q4 2017 arising from the impact of US tax reform on the valuation of the Consumer Healthcare and HIV businesses, as well as the benefit from sales growth in all three businesses, a more favourable mix in Vaccines and Consumer Healthcare, continued tight control of ongoing costs across all three businesses, reduced intangible asset impairments, profit on a number of asset disposals and a gain arising from the increase in value of the shares in Hindustan Unilever Limited to be received on the disposal of Horlicks and other Consumer Healthcare brands, net of disposal costs.  This was partly offset by increased restructuring costs compared with Q4 2017, continuing price pressure, particularly in Respiratory, increased input costs, an unfavourable product mix in Pharmaceuticals, primarily as a result of a higher proportion of lower margin tenders and post-divestment contract manufacturing and investments in promotional product support, particularly for new launches in Vaccines, Respiratory and HIV.
 
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 the quarter amounted to £222 million (Q4 2017: £193 million).  This included cash payments made to Shionogi of £209 million (Q4 2017: £186 million).
 
Net finance costs
Net finance costs were £185 million compared with £138 million in Q4 2017.  The increase primarily reflected higher debt levels following the acquisition from Novartis of its stake in the Consumer Healthcare Joint Venture in June 2018 as well as an adverse comparison to a provision release for interest on tax of £24 million in Q4 2017.
 
Taxation
The charge of £74 million represented an effective tax rate on Total results of 5.4% (Q4 2017: >100%) and reflected the different tax effects of the various Adjusting items.  This includes the effect of a reduced estimate of the 2017 impact of US tax reform of £101 million, following additional guidance being released by the IRS and a re-assessment in the quarter of estimates of uncertain tax positions following the settlement of a number of open issues with tax authorities.  The reduction from the Q4 2017 effective tax rate (>100%) was driven primarily by a favourable comparison with the impact of US tax reform, which resulted in a number of charges in Q4 2017.
 
Non-controlling interests
The allocation of earnings to non-controlling interests amounted to £85 million (Q4 2017: £183 million).  The reduction was primarily due to the ending of the allocation of Consumer Healthcare profits (Q4 2017: £218 million) following the buyout of Novartis' interest.  This was partly offset by an increased allocation of ViiV Healthcare profits as well as higher net profits in some of the Group's other entities with non-controlling interests.
 
Earnings per share
Total earnings per share was 24.7p, compared with a loss per share of 11.2p in Q4 2017.  The increase in earnings per share primarily reflected a favourable comparison with charges in 2017 arising from the impact of US tax reform as well as an improved trading performance, the reduced non-controlling interest allocation of Consumer Healthcare profits and a lower tax rate.
 
Currency impact on Q4 2018 results
The Q4 2018 results are based on average exchange rates, principally £1/$1.27, £1/€1.13 and £1/Yen144.  Comparative exchange rates are given on page 59.  The period-end exchange rates were £1/$1.27, £1/€1.11 and £1/Yen140.
 
In the quarter, turnover increased 7% AER, 5% CER.  Total EPS was 24.7p compared with a loss per share of 11.2p in Q4 2017.  The positive currency impact primarily reflected the weakness of Sterling, particularly against the US Dollar, partly offset by weakness in emerging market currencies, relative to Q4 2017.  
 
 
Adjusting items
The reconciliations between Total results and Adjusted results for 2018 and 2017 are set out below.
 
Three months ended 31 December 2018
 
 
Total
results
£m
Intangible
amort-
isation
£m
Intangible
impair-
ment
£m
Major
restruct-
uring
£m
Transaction-
related
£m
Divestments,
significant
legal and
other items
£m
Adjusted
results
£m
 
------------
------------
------------
------------
------------
------------
------------
Turnover
8,197 
 
 
 
 
 
8,197 
Cost of sales
(2,904)
136 
 
232 
4 
 
(2,532)
 
------------
------------
------------
------------
------------
------------
------------
Gross profit
5,293 
136 
 
232 
4 
 
5,665 
 
 
 
 
 
 
 
 
Selling, general and administration
(2,620)
 
 
48 
37 
6 
(2,529)
Research and development
(1,076)
14 
12 
22 
 
9 
(1,019)
Royalty income
79 
 
 
 
 
 
79 
Other operating income/(expense)
(122)
 
 
1 
230 
(109)
- 
 
------------
------------
------------
------------
------------
------------
------------
Operating profit
1,554 
150 
12 
303 
271 
(94)
2,196 
 
 
 
 
 
 
 
 
Net finance costs
(185)
 
 
2 
(3)
13 
(173)
Profit on disposal of associates
- 
 
 
 
 
 
- 
Share of after tax losses of
  associates and joint ventures
 
 
 
 
 
5 
 
------------
------------
------------
------------
------------
------------
------------
Profit before taxation
1,374 
150 
12 
305 
268 
(81)
2,028 
 
 
 
 
 
 
 
 
Taxation
(74)
(24)
(4)
(48)
(38)
(167)
(355)
Tax rate %
5.4%
 
 
 
 
 
17.5%
 
------------
------------
------------
------------
------------
------------
------------
Profit after taxation
1,300 
126 
8 
257 
230 
(248)
1,673 
 
------------
------------
------------
------------
------------
------------
------------
Profit attributable to
  non-controlling interests
85 
 
 
 
54 
 
139 
 
 
 
 
 
 
 
 
Profit attributable to
  shareholders
1,215 
126 
8 
257 
176 
(248)
1,534 
 
------------
------------
------------
------------
------------
------------
------------
 
 
 
 
 
 
 
 
Earnings per share
24.7p
2.6p
0.2p
5.2p
3.6p
(5.1)p
31.2p
 
------------
------------
------------
------------
------------
------------
------------
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Weighted average number of
  shares (millions)
4,920 
 
 
 
 
 
4,920 
 
------------
 
 
 
 
 
------------
 
 
Three months ended 31 December 2017
 
 
Total
results
£m
Intangible
amort-
isation
£m
Intangible
impair-
ment
£m
Major
restruct-
uring
£m
Transaction-
related
£m
Divestments,
significant
legal and
other items
£m
US tax
reform
£m
Adjusted
results
£m
 
------------
------------
------------
------------
------------
------------
------------
------------
Turnover
7,639 
 
 
 
 
 
 
7,639 
Cost of sales
(2,558)
136 
66 
79 
19 
- 
 
(2,258)
 
------------
------------
------------
------------
------------
------------
------------
------------
Gross profit
5,081 
136 
66 
79 
19 
- 
 
5,381 
 
 
 
 
 
 
 
 
 
Selling, general and
  administration
(2,533)
 
 
96 
 
17 
 
(2,420)
Research and
  development
(1,209)
11 
201 
10 
 
(5)
 
(992)
Royalty income
69 
 
 
 
 
 
 
69 
Other operating income/
  (expense)
(896)
 
 
(1)
222 
9 
666 
- 
 
------------
------------
------------
------------
------------
------------
------------
------------
Operating profit
512 
147 
267 
184 
241 
21 
666 
2,038 
 
 
 
 
 
 
 
 
 
Net finance costs
(138)
 
 
1 
 
2 
 
(135)
Profit on disposal of
  associates
66 
 
 
 
 
(66)
 
- 
Share of after tax profits
  of associates and joint
  ventures
 
 
 
 
 
 
2 
 
------------
------------
------------
------------
------------
------------
------------
------------
Profit before taxation
442 
147 
267 
185 
241 
(43)
666 
1,905 
 
 
 
 
 
 
 
 
 
Taxation
(805)
(34)
(51)
40 
(467)
(142)
1,078 
(381)
Tax rate %
>100%
 
 
 
 
 
 
20.0%
 
------------
------------
------------
------------
------------
------------
------------
------------
(Loss)/profit after
  taxation
(363)
113 
216 
225 
(226)
(185)
1,744 
1,524 
 
------------
------------
------------
------------
------------
------------
------------
------------
Profit attributable to
  non-controlling interests
183 
 
 
 
(105)
 
114 
192 
 
 
 
 
 
 
 
 
 
(Loss)/profit attributable
  to shareholders
(546)
113 
216 
225 
(121)
(185)
1,630 
1,332 
 
------------
------------
------------
------------
------------
------------
------------
------------
 
 
 
 
 
 
 
 
 
(Loss)/earnings per
  share
(11.2)p
2.3p
4.4p
4.6p
(2.5)p
(3.7)p
33.3p
27.2p
 
------------
------------
------------
------------
------------
------------
------------
------------
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Weighted average
  number of shares
  (millions)
4,891 
 
 
 
 
 
 
4,891 
 
------------
 
 
 
 
 
 
------------
 
Intangible asset amortisation and impairment
Intangible asset amortisation was £150 million compared with £147 million in Q4 2017.  There were also intangible asset impairments of £12 million (Q4 2017: £267 million) relating to R&D assets.  Both of these charges were non-cash items.
 
Major restructuring and integration
Within the Pharmaceuticals sector, the highly regulated manufacturing operations and supply chains and long lifecycle of the business mean that restructuring programmes, particularly those that involve the rationalisation or closure of manufacturing or R&D sites are likely to take several years to complete.
 
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.
 
The Board approved a new Major restructuring programme in July 2018, which is 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.
 
Total Major restructuring charges incurred in the quarter were £303 million (Q4 2017: £184 million), analysed as follows:
 
 
Q4 2018
 
Q4 2017
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash
£m
 
Non-cash
£m
 
Total
p
 
Cash
£m
 
Non-cash
£m
 
Total
p
 
 
 
 
 
 
 
 
 
 
 
 
Combined restructuring and
  integration programme
52
 
10
 
62
 
34
 
150
 
184
2018 major restructuring
  programme
151
 
90
 
241
 
-
 
-
 
-
 
 
 
 
 
 
 
 
 
 
 
 
 
203
 
100
 
303
 
34
 
150
 
184
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-cash charges arising under the existing Combined restructuring and integration programme primarily related to the write-down of assets as part of the announced plans to reduce the manufacturing network.  Cash charges arose from restructuring of the manufacturing organisation and some administrative functions.  Non-cash charges under the 2018 major restructuring programme primarily related to announced plans to restructure the manufacturing network, and cash charges arose from restructuring in some manufacturing sites and some administrative functions. 
 
Total cash payments for the two programmes made in the quarter were £184 million, £175 million for the existing Combined restructuring and integration programme (Q4 2017: £106 million) and £9 million under the 2018 major restructuring programme including the settlement of certain charges accrued in previous quarters.
 
The analysis of Major restructuring charges by business was as follows:
 
 
Q4 2018
£m
 
Q4 2017
£m
 
 
 
 
Pharmaceuticals
269 
 
55
Vaccines
28 
 
62
Consumer Healthcare
(28)
 
42
 
 
 
 
 
269 
 
159
Corporate & central functions
34 
 
25
 
 
 
 
Total Major restructuring costs
303 
 
184
 
 
 
 
 
The credit of £28 million in Consumer Healthcare includes a profit on disposal of several manufacturing sites in the quarter.
 
The analysis of Major restructuring charges by Income statement line was as follows:
 
 
Q4 2018
£m
 
Q4 2017
£m
 
 
 
 
Cost of sales
232
 
79 
Selling, general and administration
48
 
96 
Research and development
22
 
10 
Other operating income/(expense)
1
 
(1)
 
 
 
 
Total Major restructuring costs
303
 
184 
 
 
 
 
 
The Combined restructuring and integration programme delivered incremental annual cost savings in the quarter of less than £0.1 billion.  Given its relatively recent launch, the benefit delivery in the quarter from the 2018 major restructuring programme was not material.
 
Transaction-related adjustments
Transaction-related adjustments resulted in a net charge of £271 million (Q4 2017: £241 million).  This primarily reflected £229 million of accounting charges for the re-measurement of the contingent consideration liabilities related to the acquisitions of the former Shionogi-ViiV Healthcare joint venture and the former Novartis Vaccines business and the liabilities for the Pfizer put option and Pfizer and Shionogi preferential dividends in ViiV Healthcare.
 
Charge/(credit)
Q4 2018
£m
 
Q4 2017
£m
 
 
 
 
Consumer Healthcare Joint Venture put option
- 
 
163 
Contingent consideration on former Shionogi-ViiV Healthcare Joint Venture
  (including Shionogi preferential dividends)
261 
 
151 
ViiV Healthcare put options and Pfizer preferential dividends
(40)
 
(40)
Contingent consideration on former Novartis Vaccines business
8 
 
(56)
Other adjustments
42 
 
23 
 
 
 
 
Total transaction-related charges
271 
 
241 
 
 
 
 
 
The £261 million charge relating to the contingent consideration for the former Shionogi-ViiV Healthcare Joint Venture represented £145 million arising primarily from updated exchange rate assumptions, together with a £116 million unwind of the discount.  A credit of £40 million relating to a decrease in the put option liability to Pfizer primarily reflected adjustments to the current multiples of market comparables, partly offset by revised exchange rate assumptions.
 
Other adjustments included acquisition costs relating to the acquisition of Tesaro completed in January 2019 and the announced agreement with Pfizer to combine our consumer healthcare businesses.
 
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 the quarter amounted to £222 million (Q4 2017: £193 million).  This included cash payments made by ViiV Healthcare to Shionogi in relation to its contingent consideration liability (including preferential dividends) which amounted to £209 million (Q4 2017: £186 million).
 
An explanation of the accounting for the non-controlling interests in ViiV Healthcare is set out on page 64.
 
Divestments, significant legal charges and other items
Divestments and other items included the profit on a number of asset disposals, and a gain arising from the increase in value of the shares in Hindustan Unilever Limited to be received on the disposal of Horlicks and other Consumer Healthcare brands, which is expected to complete by the end of 2019, net of disposal costs, as well as equity investment impairments and certain other Adjusting items.  A charge of £4 million (Q4 2017: £8 million ) for significant legal matters included the benefit of the settlement of existing matters as well as provisions for ongoing litigation.  Significant legal cash payments were £15 million (Q4 2017: £8 million).
 
 
Adjusted results
The reconciliations between Total results and Adjusted results for 2018 and 2017 are set out on pages 30 and 31.
 
 
Q4 2018
 
 
 
 
 
 
 
 
 
£m
 
% of
turnover
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
 
 
Turnover
8,197 
 
100 
 
 
 
 
 
 
 
 
 
 
Cost of sales
(2,532)
 
(30.9)
 
12 
 
12 
Selling, general and administration
(2,529)
 
(30.9)
 
5 
 
3 
Research and development
(1,019)
 
(12.4)
 
3 
 
(1)
Royalty income
79 
 
1.0 
 
14 
 
6 
 
 
 
 
 
 
 
 
Adjusted operating profit
2,196 
 
26.8 
 
 
 
 
 
 
 
 
 
 
Adjusted profit before tax
2,028 
 
 
 
6 
 
2 
Adjusted profit after tax
1,673 
 
 
 
10 
 
6 
Adjusted profit attributable to shareholders
1,534 
 
 
 
15 
 
11 
 
 
 
 
 
 
 
 
Adjusted earnings per share
31.2p
 
 
 
14 
 
10 
 
 
 
 
 
 
 
 
 
Operating profit by business
Q4 2018
 
 
 
 
 
 
 
 
 
£m
 
% of
turnover
 
Growth
£%
 
Growth
CER%
 
 
 
 
 
 
 
 
Pharmaceuticals
2,340 
 
48.6 
 
 
(3)
Pharmaceuticals R&D*
(778)
 
 
 
9 
 
5 
 
 
 
 
 
 
 
 
Total Pharmaceuticals
1,562 
 
32.5 
 
(2)
 
(6)
Vaccines
420 
 
28.4 
 
82 
 
71 
Consumer Healthcare
352 
 
18.4 
 
17 
 
14 
 
 
 
 
 
 
 
 
 
2,334 
 
28.5 
 
10 
 
Corporate & other unallocated costs
(138)
 
 
 
50 
 
36 
 
 
 
 
 
 
 
 
Adjusted operating profit
2,196 
 
26.8 
 
 
 
 
 
 
 
 
 
 
 
*
Operating profit of Pharmaceuticals R&D segment, which is the responsibility of the President, Pharmaceuticals R&D.  It excludes ViiV Healthcare R&D expenditure, which is reported within the Pharmaceuticals segment.  A more detailed breakdown of R&D expenses is set out on page 40.
 
Operating profit
Adjusted operating profit was £2,196 million, 8% higher than Q4 2017 at AER and 4% higher at CER on a turnover increase of 5% CER.  The Adjusted operating margin of 26.8% was 0.1 percentage points higher at AER but 0.4 percentage points lower on a CER basis than in Q4 2017.  This primarily reflected an increase in cost of sales due to continuing pricing pressure, particularly in Respiratory, increased input costs, an unfavourable product mix in Pharmaceuticals, primarily as a result of a higher proportion of tenders and post-divestment contract manufacturing business in the quarter, together with investments in promotional product support, particularly for new launches in Vaccines, Respiratory and HIV.  This was partly offset by the benefit from sales growth in all three businesses, a more favourable mix in Vaccines and Consumer Healthcare and continued tight control of ongoing costs across all three businesses.
 
Cost of sales
Cost of sales as a percentage of turnover was 30.9%, up 1.3 percentage points at AER, and 1.9 percentage points higher at CER compared with Q4 2017.  This primarily reflected continued adverse pricing pressure in Pharmaceuticals, particularly in Respiratory, and Established Vaccines, an unfavourable product mix in Pharmaceuticals, primarily as a result of the growth in some lower margin Established products, and increased input costs.  This was partly offset by a more favourable product mix in Vaccines and Consumer Healthcare, particularly the impact of higher Vaccines sales, and a further contribution from integration and restructuring savings in all three businesses.
 
Selling, general and administration
SG&A costs as a percentage of turnover were 30.9%, 0.8 percentage points lower at AER than in Q4 2017 and 0.8 percentage points lower on a CER basis.  The 5% AER, 3% CER increase in SG&A costs primarily reflected increased investment in promotional product support, particularly for new launches in Vaccines, Respiratory and HIV and targeted priority markets and a charge arising from the equalisation of UK Guaranteed Minimum Pensions, partly offset by tight control of ongoing costs, particularly in non-promotional spending, across all three businesses.
 
Research and development
R&D expenditure was £1,019 million (12.4% of turnover), 3% higher at AER, but 1% lower at CER  than Q4 2017, primarily reflecting the benefits of the re-prioritisation of the R&D portfolio as well as the phasing of  investment in late-stage programmes, particularly HIV, partly offset by increased investment in the progression of a number of early and mid stage programmes, particularly in Oncology.
 
Royalty income
Royalty income was £79 million (Q4 2017: £69 million), an increase of 14% AER, 6% CER, primarily reflecting increased royalties on sales of Gardasil.
 
Operating profit by business
Pharmaceuticals operating profit was £1,562 million, down 2% AER, 6% CER on a turnover increase of 4% CER.  The operating margin of 32.5% was 2.7 percentage points lower at AER than in Q4 2017 and 3.3 percentage points lower on a CER basis.  This primarily reflected the growth in cost of sales due to the continued impact of lower prices, particularly in Respiratory, an unfavourable product mix primarily as a result of the growth in some lower margin established products and increased input costs, together with investment in new product support and targeted priority markets and lower royalty income, partly offset by continued tight control of ongoing costs and the benefits of re-prioritisation of the R&D portfolio.
 
Vaccines operating profit was £420 million, 82% higher than Q4 2017 at AER and 71% higher at CER on a turnover increase of 18% CER.  The operating margin of 28.4% was 9.3 percentage points higher than in Q4 2017 at AER and 8.5 percentage points higher on a CER basis.  This was primarily driven by enhanced operating leverage from strong sales growth, improved product mix and higher royalty income, with higher SG&A investment increased broadly in line with sales to support new launches and business growth.
 
Consumer Healthcare operating profit was £352 million, up 17% AER, 14% CER, on a turnover increase of 1% CER.  The operating margin of 18.4% was 2.5 percentage points higher than in Q4 2017 at AER, and 2.0 percentage points higher on a CER basis.  This primarily reflected continued manufacturing restructuring and integration benefits and improved product mix as well as tight control of promotional and other operating expenses compared with Q4 2017.
 
Net finance costs
Net finance costs were £173 million compared with £135 million in Q4 2017.  The increase primarily reflected higher debt levels following the acquisition from Novartis of its stake in the Consumer Healthcare Joint Venture in June 2018, as well as an adverse comparison to a provision release for interest on tax of £23 million in Q4 2017.
 
Taxation
Tax on Adjusted profit amounted to £355 million and represented an effective Adjusted tax rate of 17.5% (Q4 2017: 20.0%).  The reduction in the effective Adjusted tax rate in Q4 2018 is primarily driven by the reduction in the US federal tax rate.  See 'Taxation' on page 58 for further details.
 
Non-controlling interests
The allocation of Adjusted earnings to non-controlling interests amounted to £139 million (Q4 2017: £192 million).  The reduction was primarily due to the ending of the allocation of Consumer Healthcare profits (Q4 2017: £85 million) following the buyout of Novartis' interest.  This was partly offset by an increased allocation of ViiV Healthcare profits of £130 million (Q4 2017: £103 million), including the impact of changes in the proportions of preferential dividends due to each shareholder based on the relative performance of different products in the quarter.
 
Earnings per share
Adjusted EPS of 31.2p was up 14% AER, 10% CER, compared with a 4% CER increase in Adjusted operating profit, primarily as a result of the reduced non-controlling interest allocation of Consumer Healthcare profits and a lower Adjusted tax rate.
 
Currency impact on Q4 2018 results
The Q4 2018 results are based on average exchange rates, principally £1/$1.27, £1/€1.13 and £1/Yen144.  Comparative exchange rates are given on page 59.  The period-end exchange rates were £1/$1.27, £1/€1.11 and £1/Yen140.
 
In the quarter, turnover increased 7% AER, 5% CER.  Adjusted EPS was 31.2p compared with 27.2p in Q4 2017, up 14% AER, 10% CER.  The positive currency impact primarily reflected the weakness of Sterling, particularly against the US Dollar, partly offset by weakness in emerging market currencies, relative to Q4 2017.  Exchange gains or losses on the settlement of intercompany transactions had a negligible impact on the positive currency impact of four percentage points on Adjusted EPS.
 
 
Cash generation and conversion
 
Cash flow and net debt
 
 
2018
 
2017
(revised)
 
Q4 2018
 
 
 
 
 
 
Net cash inflow from operating activities (£m)
8,421 
 
6,918 
 
4,119 
Free cash flow* (£m)
5,692 
 
3,485 
 
3,317 
Free cash flow growth (%)
63%
 
6%
 
83%
Free cash flow conversion* (%)
>100%
 
>100%
 
>100%
Net debt** (£m)
21,621 
 
13,178 
 
21,621 
 
*
Free cash flow and free cash flow conversion are defined on page 44.
As announced at Q2 2018, with the introduction of the new R&D strategy, GSK has revised its definition of free cash flow to include proceeds from disposals of intangible assets, as set out on page 63.  Comparative figures have been revised accordingly.
 
 
**
Net debt is analysed on page 63.
 
2018
The net cash inflow from operating activities for the year was £8,421 million (2017: £6,918 million).  The increase primarily reflected improved operating profits, a smaller increase in working capital as a result of a reduction of inventory balances and a strong focus on collections, the favourable timing of payments for returns and rebates, and reduced legal settlement and restructuring payments, partly offset by a negative currency impact on operating profit.
 
Total cash payments to Shionogi in relation to the ViiV Healthcare contingent consideration liability in the year were £793 million (2017: £671 million), of which £703 million was recognised in cash flows from operating activities and £90 million was recognised in contingent consideration paid within investing cash flows.  These payments are deductible for tax purposes.
 
Free cash flow was £5,692 million for the year (2017: £3,485 million).  The increase primarily reflected improved operating profits, a smaller increase in working capital following a reduction of inventory balances and a strong focus on collections, the favourable timing of payments for returns and rebates, reduced legal settlement costs and restructuring payments, lower capital expenditure, including a favourable comparison with the impact of the Priority Review Voucher in 2017, increased disposals of intangible assets of £256 million (2017: £48 million), primarily relating to the disposal of tapinarof, and reduced dividend payments to non-controlling interests.  This was partly offset by a negative currency impact on operating profit and increased contingent consideration payments including the $450 million (£317 million) milestone to Novartis paid in Q1 2018.
 
Q4 2018
The net cash inflow from operating activities for the quarter was £4,119 million (Q4 2017: £2,869 million).  The increase primarily reflected improved operating profits, including a positive currency impact, a larger seasonal reduction in working capital following a strong focus on collections and a reduction of inventory balances, the favourable timing of payments for returns and rebates and the phasing of tax payments, partly offset by increased restructuring payments.
 
Total cash payments to Shionogi in relation to the ViiV Healthcare contingent consideration liability in the quarter were £209 million, of which £186 million was recognised in cash flows from operating activities and £23 million was recognised in contingent consideration paid within investing cash flows.  These payments are deductible for tax purposes.
 
Free cash flow was £3,317 million for the quarter (Q4 2017: £1,817 million).  The increase primarily reflected improved operating profits, including a positive currency impact, a larger seasonal reduction in working capital following a strong focus on collections and a reduction of inventory balances, the favourable timing of payments for returns and rebates, the phasing of tax payments and reduced dividend payments to non-controlling interests.  This was partly offset by increased restructuring payments.
 
Net debt
At 31 December 2018, net debt was £21.6 billion, compared with £13.2 billion at 31 December 2017, comprising gross debt of £26.1 billion and cash and liquid investments of £4.5 billion, including £0.5 billion reported within Assets held for sale.  Net debt increased due to the £9.3 billion acquisition from Novartis of the remaining stake in the Consumer Healthcare Joint Venture in June 2018, the £0.2 billion acquisition of the investment in 23andMe, £0.8 billion of unfavourable exchange impacts from the translation of non-Sterling denominated debt, and dividends paid to shareholders of £3.9 billion, partly offset by increased free cash flow of £5.7 billion after the milestone payment to Novartis.
 
At 31 December 2018, GSK had short-term borrowings (including overdrafts) repayable within 12 months of £5.8 billion with loans of £1.8 billion repayable in the subsequent year.
 
Working capital
 
 
31 December
2018
 
30 September
2018
 
30 June
2018
 
31 March
2018
 
31  December
2017
 
 
 
 
 
 
 
 
 
 
Working capital conversion cycle* (days)
201
 
230
 
223
 
204
 
191
Working capital percentage of turnover (%)
23
 
29
 
26
 
24
 
22
 
 
 
 
 
 
 
 
 
 
 
*
Working capital and working capital conversion cycle are defined on page 44.
 
The increase of 10 days in 2018 compared with 2017 was predominately due to an adverse impact from exchange of approximately five days as well as a reduced denominator due to lower restructuring and impairment costs in 2018.  Excluding these factors, significant improvements were made in working capital relative to the growth in the business, with reduced inventory as a result of tight control of inventory levels and stronger collections of receivables.
 
 
Returns to shareholders
 
Quarterly dividends
The Board has declared a fourth interim dividend for 2018 of 23 pence per share (Q4 2017: 23 pence per share).
 
GSK recognises the importance of dividends to shareholders and 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.
 
The Board intends to maintain the dividend for 2019 at the current level of 80p per share, subject to any material change in the external environment or performance expectations.  Over time, as free cash flow strengthens, it intends to build free cash flow cover of the annual dividend to a target range of 1.25-1.50x, before returning the dividend to growth.
 
Payment of dividends
The equivalent interim dividend receivable by ADR holders will be calculated based on the exchange rate on 9 April 2019.  An annual fee of $0.03 per ADS (or $0.0075 per ADS per quarter) (2018: $0.02 per ADS; $0.005 per ADS per quarter) is charged by the Depositary.
 
The ex-dividend date will be 21 February 2019, with a record date of 22 February 2019 and a payment date of 11 April 2019.
 
 
Paid/
payable
 
Pence per
share
 
£m
 
 
 
 
 
 
2018
 
 
 
 
 
First interim
12 July 2018
 
19
 
934
Second interim
11 October 2018
 
19
 
934
Third interim
10 January 2019
 
19
 
935
Fourth interim
11 April 2019
 
23
 
1,132
 
 
 
 
 
 
 
 
 
80