Do More, Feel Better, Live Longer - GSK

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Corporate Responsibility Report 2012Do more, feel better, live longerHealth for allOur behaviourOur peopleOur planet

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet1Governance and engagementAbout GSKAt GSK our mission is to improve thequality of human life by enabling peopleto do more, feel better and live longer.This report describes the progress weare making and how we are operatingour business responsibly.Front cover imageWe donated anti-parasitic treatmentsfor over 120 million school-agechildren in the developing world in2012, helping to combat the effectsof intestinal worms and the cycleof poverty to which they contribute.Intestinal worms are just one of theneglected tropical diseases we aretargeting through research, funding,partnerships and a dedicatedoperating unit established this year.How to use this reportThis interactive pdf allows you to find informationand navigate around the report more easily.Where relevant, it links you to additional usefulinformation, including our policy positions, onour website gsk.comIf you are interested in getting just a summaryof our responsible business performance, we suggestyou read the overview at the beginning of eachsection. You can find these summary pages here.Go to the Overview sections summaryGuide to the navigation buttonsGo to main contents pageSearch this PDFPrintGo to preceding pageGo to next pageReturn to last page visitedPrint-friendly PDFLinksThe print icon in the navigation allowsyou to print the whole document in aseparate, print-friendly PDF.Dynamic links within the text are indicatedby an icon or by text shown in the sectioncolour. Clicking on these will take youto further information within the document,or, if a web address, to a related online site(opens in a new window).Full screen modeThe PDF is set up to view in full screenmode. To turn this off, e.g. to zoom inor to print, press Esc, and the full toolbaris revealed. To return to full screen mode,press Ctrl-L.Navigation tabsClicking on one of the tabs at the topleft of each page will take you to the startof that section.

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet2Governance and engagementInside this reportOur approachOur approachHealth for allHealth for allOur behaviourOur behaviourOur peopleOur peopleOur planetOur planetGovernanceManagingourand engagementresponsibilitiesLearn about who we areand what we do, andread the Q&A withour Chairman andChief Executive.Find out how we aredeveloping innovativeproducts and improvingaccess to healthcare forpatients around the world.Learn how we areembedding our valuesto behave ethicallyand responsibly ineverything we do.Find out how we helpour people thrive bycreating an inspiringand supportiveworking environment.Read about howwe are managing ourenvironmental impactsand working towards acarbon-neutral value chain.Find out about ourcorporate responsibilitygovernance andhow we engage withour nce72Ethical standards and principles35Talent and development54Carbon64Stakeholder engagement73Inclusion and diversity55Water and waste66About our reporting73Who we are3OverviewHow we create value4Improving healthcare:a global challenge13Sales and marketing3814Working withhealthcare professionalsEngaging employees57Managing other impacts684018Health, safety and well-being58Engagement69Research practices41Diseases of the developing world 24Reward and recognition60Data summary70Manufacturing and supply chain45Health and well-beingin our communities27Public policyand patient advocacySummary ofassurance statement7148HIV/AIDS30Our approach to tax50Q&A with the Chairmanand Chief Executive Officer6Our progress in 20127Innovative scienceto create value for allCommitments moving forward8Access to healthcare Go to Our approach sectionSee page 3 Go to Health for all sectionSee page 911 Go to Our behaviour sectionSee page 32 Go to Our people sectionSee page 51 Go to Our planet sectionSee page 61G o to Governance andengagement sectionSee page 72

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet3Governance and engagementWho we areGSK is a science-led globalhealthcare company, makinga range of products that helppeople do more, feel betterand live longer.Our values are transparency,respect for people, integrityand patient focus.Our commercial successdepends on growing a diversebusiness, creating innovativenew products people value,making them widely accessible,and operating efficiently.By doing this, we will be ableto grow our business andprovide benefits to patients,consumers, our employees,our shareholders and society.What we doWe have three primary areas of business:Pharmaceuticals, Vaccines and Consumer Healthcare.Pharmaceuticals 18.0bnTurnover68%of GroupVaccinesWe develop and make medicinestreating a range of conditionsincluding: respiratory disease,cancer, heart disease, epilepsy,bacterial and viral infections suchas HIV, lupus and skin conditionslike psoriasis.Consumer Healthcare 3.3bnWe research and make vaccinesfor children and adults thatprotect against infectiousdiseases, including: influenza,rotavirus, cervical cancer, measles,mumps, rubella, hepatitis, polio,tetanus and meningitis.Turnover13%of Group 5.1bnTurnover19%of GroupWe make innovative consumerproducts in four categoriesof Total Wellness, Oral Care,Nutrition and Skin Health. Ourportfolio includes well-knownbrands such as: Sensodyne,Panadol and Horlicks.Where we areWe operate in more than 115 countries,with a network of over 70 manufacturingsites and large R&D centres in the UK,USA, Spain, Belgium and China.Turnover by region5Employees by region14 5 142231 USA2 Europe3 EMAP4 Japan5 Other m8,4467,3206,7802,2251,66031 USA2 Europe3 EMAP4 Japan5 OtherNo.17,20138,78836,7383,5153,246

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet4Governance and engagementHow we create valueBy delivering innovationand expanding accessto our products we willcreate value to societyand our shareholders.The contextWe see both opportunities and challengesin our operating environment. Scientificresearch is continuously uncovering newunderstandings about disease processesand technologies.Meanwhile, the world’s populationcontinues to grow as do pressures onhealthcare costs, with a notable intensificationin developed markets following the recentmacro-economic downturn.InnovationAt the core of our business model is the useof knowledge and development of intellectualproperty. We create value by researching,manufacturing and making available productsthat improve people’s health and well-being.A healthier society enables people to livelife to its fullest, allowing them and theircommunities to prosper. A sustained flowof innovative products enables our businessto grow profits and deliver improved returnsto our shareholders.We aim to develop new products that offersignificant improvements over existingtreatment options and therefore provide valueto patients and those who pay for them suchas governments, insurers or other third parties.In 2012, we invested 3.5 billion in coreresearch and development of new medicines,vaccines and consumer products and we arecurrently evaluating around 50 investigationalmedicines for diseases such as cancer, diabetes,heart disease and respiratory illnesses. Overthe next three years, we have the potential tobring around 15 new medicines to patients.AccessWe manufacture and distribute more thanfour billion packs of products to over150 countries around the world. With thisextensive global presence, we are strivingto make our products as widely accessibleas possible.In Western markets, we have developed newreimbursement approaches for our medicines,where we agree risk-sharing arrangementswith payers.We have adopted more flexible pricingapproaches to reflect countries’ wealth andability to pay. This has resulted in significantincreases in demand for our products inemerging economies.To increase access to our products in the world’sleast-developed countries, we have held theprice of our patented medicines in this regionat no more than 25% of our developed worldprices and we reinvest a fifth of the profits wemake from sales in these territories back intolocal healthcare infrastructure projects.SustainableDeveloping a new medicine takes many yearsand substantial investment. We are able to bringthe scale, significant resources and expertiserequired. Each successful medicine will requiresignificant investment over a 10-12 year period.Sustainability in our business performance iscritically important if we are to deliver continuedinnovation and access to our products. We mustproduce profitable performance to ensure weremain competitive and have the funds to investin our people and assets. A key element of this isan environment that appropriately rewardsinnovation across both patent-protected andbranded products.How we do itWe can only achieve our objectives by utilisingour assets, executing our strategic prioritiesand operating our business responsibly.In the past five years, we have madesignificant progress in the delivery of ourstrategic priorities.We have developed a balanced business withgeographic diversity and new platforms forgrowth, in particular through advancementof our late-stage pipeline and changes to ourR&D model. At the same time, we have alsosimplified our business to reduce costs andensure we retain long-term competitiveness.Our commitment to be a responsible, valuesbased business underlies everything we do.Our values are applied across the Group andwe are focused on integrating them into ourculture, decision-making and how we work.These values are to operate with transparency,demonstrate respect for people, act withintegrity and be patient-focused. We ask everyone of our employees to embody these values.

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet5Governance and engagementHow we create value continuedHow we create valueWider contributionsOur assetsShareholder returnsIntellectual property, peopleand infrastructureOur strategic prioritiesGrow, Deliver, Simplify Deliver innnovativeproducts and expandaccess to them Our valuesTransparency, Respect,Integrity, Patient focusedRe-investmentAmount returned to shareholdersvia dividends and buybacksover past five yearsWe have a global and diverse employee baseconsisting of close to 100,000 employees, andwe contract goods and services on a significantscale. Last year, GSK spent around 9 billionwith 6,000 suppliers across 73 countries.The company also contributes to the countriesin which we operate through the tax system.In 2012, the charge for taxation on our profitsamounted to 1.95 billion. Direct contributionsto support the health and well-being of localcommunities relevant to GSK are also madevia our global community programmes whichamount to over 200 million per year.Finally, we believe we can create value byacting as a catalyst or partner for otherorganisations. We value the new and differentperspectives that other groups can bring toour thinking. We are open to working withresearch charities, academia, companies andnon-governmental organisations.Progress highlights 25bnBenefits to patients,consumers and societyWhile our primary contribution is to developnew products that improve people’s health,we also create value as a global companyby making direct and indirect economicand social contributions in the countries inwhich we operate.1stin Access to Medicines Index23Number of new productapprovals in the USA andEurope in the past five years

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet6Governance and engagementQ&A with the Chairman and Chief Executive OfficerDespite a challengingenvironment, we havedelivered resilientperformance, enhancedreturns to shareholders,and made substantivemoves to increase accessand transparency.Q How is operating responsibly tiedin with GSK’s commercial success?AW Our commercial success is inextricablylinked to operating in a trustworthy andresponsible way. Our strategy is to generatediversified sales growth, develop innovativeproducts and make these accessible to as manypeople who can benefit from them as possible.And we will do this in a way that is alignedwith our values of transparency, respect,integrity and always putting patients orconsumers needs first. By doing this we willbring positive returns to our shareholders andbenefits to patients and wider society. This isreal shared value.Q What progress is the companymaking to deliver long-term value?AW R&D made significant progress in 2012with six new products now under regulatoryreview. Over the next three years, GSK has thepotential to launch around 15 new productsglobally – a good platform for growth andpatient benefit. We have also continued todevelop our portfolios and expand ourfootprint in emerging markets.Sir Christopher GentChairmanSir Andrew WittyChief Executive OfficerQ Where did GSK see strongresponsible performance in 2012?AW Our 2012 commitments to increasetransparency of clinical trials data demonstratethe values at the heart of our company. Inaddition to sharing information about thedesign and results of all of our clinical trials,we are setting up a new system to allowresearchers to request access to anonymisedpatient-level data. People participate in ourresearch trials in the hope they might helpbring advances in healthcare. Our plansrecognise this commitment and reflect ourdesire to ensure their contribution can leadto health gains. Building on this, we were alsothe first pharmaceutical company to sign upto the AllTrials campaign for clinical trialtransparency and to commit to make ourClinical Study Reports publicly available.We hope these initiatives will help furtherscientific understanding, inform medicaljudgement and ultimately improve patient care.2012 also saw another milestone in ourjourney towards a malaria vaccine, publishinglate stage clinical trial results showing that ourRTS,S vaccine candidate can help protectAfrican infants against malaria.CG I was delighted to see GSK recognised asfirst in the Access to Medicines Index in 2012,sustaining the top spot from previous years.Such independent and credible assessment ofour work to improve access to medicines andvaccines lets us know we are on the right track.In July 2012, the Group successfully resolveda series of long-standing legal matters withthe US Government. These primarily relatedto historical sales and marketing practices.The Board recognises that these matters donot reflect the company that GSK is today.The company continues to take action at alllevels to improve procedures for compliance,marketing and selling and embed a valuesbased culture in GSK.Q What issues will be addressed in2013 and beyond?AW We will see through the implementationof our commitments on transparencyof clinical trials data, continue with ourcommitments on pricing, and look to furtherharness manufacturing technologies toimprove our carbon footprint.Q How does the Board assess GSK’sresponsible performance?CG The Corporate Responsibility Committee(CRC), which I chair, meets four times a yearand receives reports on progress in the fourareas outlined in this report – health for all,our behaviour, our people and our planet. TheBoard continues to constructively challenge andadvise on the executive team’s thinking anddecisions as they seek to deliver the company’sstrategic priorities in a responsible way.Q Why is GSK setting longer-termcommitments this year?AW These new commitments signal GSK’s longterm and strategic intent to play our part andcreate shared value. They span our entirebusiness, are fully aligned to our strategyand build on our established track record.CG It is important that those outside thecompany can understand our priorities andcan hold us to account effectively. These newcommitments do that, while helping uscommunicate how we are delivering.

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet7Governance and engagementOur progress in 2012We report our responsiblebusiness performanceeach year as part of ourcommitment to transparency.Our approach and theprogress we are makingto operate our businessresponsibly is reportedacross four areas.Shared value progress 2012Health for allOur behaviourTopped the Access to MedicinesIndex for the third time.1stSee page 18Over the next three years we have thepotential to bring around 15 newmedicines and vaccines to patients.15See page 14Delivered our vaccine to the world’slargest mass vaccination programmeagainst pneumococcal disease.The GAVI-led introduction of thepneumococcal vaccine in Pakistan isexpected to protect up to 4.8 millionchildren a year.See page 19m4.8Our peopleCommitted to provide accessto anonymised trial data frompublished clinical trials of ourauthorised medicines.Maintained a rate of 85% ofemployees saying they are proudto work at GSK.See page 57See page 41This is in addition to disclosing theresults of our research on our publiclyaccessible Clinical Studies Registerwebsite which receives an average ofalmost 11,000 visitors a month.See page 3311,000Revised our Code of Conduct.Our planet85%Enabled 91 employee volunteersto work in 22 countries throughour PULSE assignments.See page 5491Increased the proportion of womenin management to 40%, up from39% in 2011.See page 35See page 5540%Despite reducing our carbon fromenergy use by 15% since 2010, our totalcarbon footprint (excluding that fromraw materials) has increased by 7% from2010 driven by higher inhaler sales.i 7%See page 64Reduced water consumption in ourown operations by 14% comparedto 2010.See page 66Cut total waste by 9%compared to 2010.See page 6614%ii9%External recognitionWe have received external recognition for our responsible business approach.Vigeo World,European and UK indexesRanked second in the worldfor environmental, social andgovernance in this new ranking.FTSE4Good IndexAccess to Medicines IndexWe have been in theFTSE4Good Index since 2004.Ranked top for the third time.Carbon DisclosureProject Leadership IndexDow JonesSustainability IndexFour consecutive years in theFTSE 350 Carbon DisclosureLeadership index (2009-2012)and highest scoring healthcarecompany in the FTSE 350 (2012).We are disappointed notto be included in the DowJones Sustainability Indexesthis year and are reviewingour performance againstthe criteria for inclusion.

GSK Corporate Responsibility Report 2012Our approachHealth for allCommitmentsmoving forwardDuring 2012, we developedforward-looking commitmentsthat reflect global healthneeds and are alignedwith our strategic prioritiesand values.These commitments1 were developedfollowing significant engagement from acrossthe business. We also consulted a broad rangeof external stakeholders such as global publichealth experts, non-governmental organisationsand socially responsible investors. Thesecommitments will guide our work in theseareas in the coming years, enabling us to buildon previous achievements and to measure andcommunicate our progress more effectively.We will begin reporting progress against ournew commitments in our next report.Our behaviourHealth for allOur people Invest in the development of vaccines that don’t require continuousrefrigeration, making distribution easier and less expensive. Continue to build a core range of products and formats to better meetthe needs of people across the globe, including those less able to accessand afford our products. Further embed our flexible pricing strategy and innovative businessmodels for our prescription medicines and vaccines, to increase usageamong those less able to access and afford our products. Continue to invest in innovative cross-sector partnershipsto reduce child mortality.Putting the interests of patients andconsumers first, driven by our values ineverything we do and backed by robustpolicies and strong compliance processes. C ontinue to drive a values-based approach to sales and marketing practicesacross the world, with the interests of consumers and patients at its core. Continue to ensure the interests and safety of patients and consumersare of paramount importance in the way we design and undertakeour clinical trials, our product quality assurance and our monitoring andreporting of adverse events in ongoing product usage. Rigorously challenge the need for animal studies and work to minimisethe impact on animal welfare, by investing in the development of alternativestudies and sharing animal-based data. Address the UN Guiding Principles on Human Rights and Business acrossour own operations and our supplier relationships. Be as transparent as possible with our clinical trial data, including publishingclinical study reports (without patient-level data) for all outcome trials ofmedicines conducted by GSK and, within an appropriate process, makingavailable to researchers access to anonymised patient-level data to furtherscientific enquiry.1 All commitments are subject to any significantlegal or intellectual property restraints.Governance and engagementInnovating to address currently unmet health needs;improving access to our products, irrespective of where people live or their ability to pay;and controlling or eliminating diseases affecting the world’s most vulnerable people. Adapt the open innovation R&D model, currently used for diseasesof the developing world, to apply to other areas of great unmetmedical need and scientific challenge, including infectious diseaseand Alzheimer’s disease, by 2015.Our behaviourOur planet8 Demonstrate that all GSK interactions with patient advocacy groups andpolitical stakeholders are conducted appropriately, ethically and transparently. Continue to work with partners to support the strengthening of healthcareinfrastructure. We anticipate this could improve access to healthcare for20 million under-served people by 2020 (vs 2012). Through ViiV Healthcare, continue to increase access to our medicines andcare for adults and children living with HIV around the world. We will helpWHO and UNAIDS achieve their goal of reaching 15 million people globallywith antiretroviral treatment by 2015. Build on our 30-year commitment to contribute to the fight against malariathrough continued R&D investment and partnerships on the ground. Help eliminate and control ten neglected tropical diseases that affect1.4 billion people, by 2020 – including the elimination of lymphatic filariasis,through our continued investment in R&D, ongoing product donations andour contribution to the London Declaration on Neglected Tropical Diseases. Continue to support the WHO objective of eradicating polio by 2018by providing vaccines to UNICEF until this is achieved.Our peopleEnabling our people to thriveand develop as individuals to deliverour mission. C ontinue to promote inclusion and diversity globally at GSK. Continue to create a working environment that inspires people to growand perform in a healthy and resilient way. Extend volunteering opportunities to bring about positive changeto communities and global health while providing individual development.Our planetGrowing our business while reducingour environmental impact across ourvalue chain. Reduce our overall carbon footprint by 25% by 2020 (vs. 2010) and havea carbon-neutral value chain by 2050. By 2020, reduce our water impact across the value chain by 20% (vs. 2010). By 2020, reduce our operational waste by 50% (vs. 2010). Build sustainable supply lines for our nutrition portfolio and work withlocal farmers to improve their agricultural practices, and improve their yields,their competitiveness and their livelihoods.

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet9Governance and engagementHealth for allIn this sectionIn focusGiving children a better startin life through deworming.Read more on page 10Overview11Improving healthcare: a global challenge13Innovative science to create value for all14Access to healthcare18Diseases of the developing world24Health and well-being in our communities27HIV/AIDS30

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet10Governance and engagementHealth for allWe want to make our productsaccessible and affordable for the peoplewho need them while generatingthe returns we need to invest in R&Dand grow our business.In focusGivingchildren abetter startin life throughdewormingThe need for new and existing treatments is increasing as the world’spopulation grows and ages. Many millions of people in developingcountries still have little or no access to basic healthcare and rising costsare a significant concern everywhere. We continue to evolve our businessmodel to address these global challenges and ensure our businessis sustainable.GSK contributes to improving health by developing innovative andvalued products, and supporting disease prevention. Our R&D is focusedon meeting unmet medical needs and helping to control and eliminatediseases affecting the world’s most vulnerable people.We are investing to expand our portfolio in new ways and partneringwith others to tackle issues outside our core business such as the lackof healthcare infrastructure.We aspire to be a catalyst for change beyond our company. Many ofthe changes we have made in our own business – from creating newmodels of open innovation to more flexible pricing – have alreadycontributed to wider change in the industry.GSK is playing a leading role in a globalcoalition of pharmaceutical companies,non-government organisations, governmentsand global health organisations, committedto work together to control or eliminate10 of the 17 of the WHO’s neglected tropicaldiseases by 2020.As part of this commitment, GSK will donateup to 600 million treatments of our antiparasitic treatment, albendazole, each yearto help eliminate lymphatic filariasis (LF), andup to 400 million treatments to fight intestinalworms in school age children. We havealready donated over three billion albendazoledoses to fight these two devastating diseases.Intestinal worms affect more than 1.5 billionpeople worldwide and are one of the biggestcauses of ill health in school-age children withan estimated 890 million children at risk.by controlling worms inchildren you are investingin their futureThe effects – including stomach pains, sickness,malnutrition – are painful and debilitating.Intestinal worms can cause stuntingphysical growth, and affect long-termbrain development. Infected children oftenstruggle to attend or stay alert at school,hindering their education and prospects.In 2012, we provided albendazole treatmentsfor over 120 million school age children.Deworming helps to break the cycle inthe developing world. Healthier childrenare more likely to attend school and geta better education – giving them a betterchance of getting good jobs. As theheadmistress of a local school in Ghanasays,“by controlling worms in children youare investing in their future”.

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planet11Governance and engagementOverview2012 at a glanceInnovative science to create value for allAccess to healthcareDiseases of the developing worldInvested 3.5 billion in global research anddevelopment. We have over 50 investigationalmedicines in development, including thosetargeting cancer, diabetes and heart disease.Delivered our vaccine to the world’s largestmass vaccination programme againstpneumococcal disease. The GAVI-ledintroduction of Synflorix in Pakistanis expected to protect up to 4.8 millionchildren a year.Initiated and joined the LondonDeclaration to control or eliminateten neglected tropical diseases by 2020.See page 14 3.5bnPut into the public domain 177 compoundsshowing promising starting points for newTB medicines, following a screening of ourentire pharmaceutical library of more thantwo million compounds.See page 17177Committed a further 5 million to theTres Cantos Open Lab Foundation, doubling itsfunding for independent research into diseasesof the developing world at GSK’s Open Lab.See page 19m4.8Since our Developing Countries and MarketAccess unit was established in 2010, thevolume of medicines we supply to LeastDeveloped Countries has increased by nearly50% from 55 million units in 2010 to82.5 million in 2012.See page 24Committed to meeting at least 30% of theGlobal Polio Eradication Initiative’s poliovaccine requirements, procured throughUNICEF and will continue to support theinitiative until every country in the worldis declared ‘polio free’.See page 25Donated our three billionth albendazoletablet to fight lymphatic filariasis andintestinal worms, and pledged to donateup to a further one billion tablets a year.See page 24Health and well-beingin our communitiesDonated 206 million to promotethe health and well-being ofcommunities through productand financial donationsSee page 27See page 18 206mHIV/AIDSSee page 17Established programmes trainingcommunity health workers in 34 LeastDeveloped Countries, meeting ourcommitment to reinvest 20% of profitsmade in those countries back intodeveloping health infrastructure.See page 2234Published late-stage clinical trialresults showing that our RTS,S vaccinecandidate can help protect Africaninfants against malaria.See page 26ViiV Healthcare submitted regulatoryapplications for the investigationalintegrase inhibitor dolutegravirand spearheaded a first-of-its-kindpublic-private partnership to producea new combination HIV medicine forpaediatric use in resource-limited settings.See page 30

GSK Corporate Responsibility Report 2012Our approachHealth for allOur behaviourOur peopleOur planetGovernance and

to do more, feel better and live longer. This report describes the progress we are making and how we are operating our business responsibly. About GSK Front cover image We donated anti-parasitic treatments for over 120 million school-age children in the developing world in 2012, helping to combat the effects of intestinal worms and the cycle