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ConvaTec Group

ctec.l · LSE Healthcare
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Ticker ctec.l
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Industry Medical - Instruments & Supplies
Employees 5001-10,000
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FY2021 Annual Report · ConvaTec Group
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Pioneering trusted medical 
solutions to improve the 
lives we touch

ConvaTec Group Plc
Annual Report and Accounts 2021

 “During 2021 we have made good progress 
pivoting the business to sustainable and 
profitable growth. 

We have continued to execute our ‘FISBE’ 
strategy and have strengthened the Group 
through both organic investments and 
through acquisitions. 

The performance of the Group continued 
to improve although the financial progress 
in 2021 was moderated by foreign 
exchange and inflationary headwinds.”

Karim Bitar
Chief Executive Officer

Overview
01  2021 highlights
02  At a glance 

Strategic report
04   Chairman’s statement
06   Chief Executive Officer’s review
09   Our market environment
12   Our strategy
18   Our key performance indicators
20   Our business model
22   Section 172 and non-financial information statements
23  Operational review
32  Responsible business review
60  TCFD Disclosure 
64  Risk management 
68  Principal risks 
74  Viability statement 
77  Financial review 

Governance
86  Governance report at a glance
87   Board statements
88  Chairman’s governance letter
90  How we have applied the Code’s core principles
94  Board of Directors
96  ConvaTec Executive Leadership Team (“CELT”)
98  How we are governed
100  Board activity and actions
107  Nomination Committee report
110  Audit and Risk Committee report
122  Directors’ Remuneration report
146  Directors’ report
149  Directors’ responsibilities statement

Financial statements
150  Consolidated Financial Statements 
198  ConvaTec Group Plc Financial Statements
207  Non-IFRS financial information
211 

Independent auditor’s report

Additional information
220  Additional information
223  Glossary

 
2021 highlights

Financial highlights1

Revenue ▲7.6%

2021

2020

Adjusted EBIT margin 

 80bps 

$2,038m

$1,894m

2021

2020

Operating profit  3.5%

Basic earnings per share ▲3.6%

2021

2020

$204m

$211m

2021

2020

Adjusted EBIT2 ▲3.3%

Adjusted basic earnings per share ▲8.3%

2021

2020

$362m

$350m

2021

2020

17.7%

18.5%

5.9c

5.7c

13.1c

12.1c

1.    Certain financial measures in this Annual Report and Accounts, including adjusted performance measures above, are not prepared in accordance with IFRS.  

  All adjusted performance measures are reconciled to the most directly comparable measure prepared in accordance with IFRS on pages 207 to 210.

2.   Adjusted EBIT is equivalent to adjusted operating profit as reconciled on page 208. 

Strategic ‘FISBE’ highlights

Focus
 – Revenue in our top 12 markets grew revenue by 7.9% on 

a constant currency basis3

 – Acquired Cure Medical and Patient Care Medical strengthening 

our continence business

Build
 – Salesforce Centre of Excellence (“CoE”) rolled out single 
Customer Relationship Management (“CRM”) platform 
across Europe and North America

 – Marketing CoE established and good progress building 

digital capabilities

 – Professional Education CoE trained >300k healthcare 

professionals globally

Innovate
 – Invested $95m in R&D (2020: $82m)
 – Rolled out consistent new product development/launch process 

across all business units 

 – Launched Extended Wear Infusion Set in Europe 

Simplify
 – Further expanded Global Business Service Centre in Lisbon 
 – Continued to rationalise Ostomy product portfolio

3.  Revenue growth is stated at constant currency (CER).

Execute
 – Embedded Transformation Execution Office (“TEO”)
 – Increasing focus on operational transformation initiatives
 – Expanded ‘Ability2Execute’ training to instil execution excellence 

mindset, with 77% of senior managers having already participated 
in training

Responsible business highlights
 – Set up Executive-level Environmental, Social and Governance 

(“ESG”) Steering Committee, chaired by the CEO and created new 
‘ConvaTec Cares’ ESG framework

 – Developed new company-wide Diversity, Equity & Inclusion and 

Wellbeing approach, programmes and commitments

 – Launched our Green Design Guidelines tool to enhance 

sustainable product design

 – Delivered a further 9.5% reduction in Scope 1 and 2 greenhouse 
gas (“GHG”) emissions (from 2018 baseline) and committed to 
Science Based Targets initiative

01
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220At a glance

What we do
We develop and produce innovative 
medical solutions that give people living 
with chronic conditions confidence, 
freedom and mobility. We offer a range 
of services to support these people and 
the healthcare professionals who care 
for them. 

We market and sell our solutions and 
services in four categories: Advanced 
Wound Care, Ostomy Care, Continence & 
Critical Care, and Infusion Care. We have 
a direct presence in certain markets 
and an extensive network of wholesalers 
and distributors. 

Our vision
Pioneering trusted medical solutions to 
improve the lives we touch.

Scale of our business

Group reported revenue by category

1.   Advanced Wound Care:  

1.

29.0% $592m 
2.  Ostomy Care:  
26.8% $546m

3.   Continence & Critical Care:  

26.6% $543m
4.  Infusion Care:  
17.6% $357m

Group reported revenue by geography

1.  Europe:  
  36.4% $742m
2.   North America:  
50.1% $1,022m
3. Rest of World:  
13.5% $274m

4.

$2,038m

2.

3.

1.

3.

$2,038m

2.

Our values

Key facts

Number of countries where our products are available

100+
12Key Markets
10,100+
9Number of manufacturing operations

Number of employees

02
ConvaTec Group Plc
Annual Report and Accounts 2020

 
Our categories

Advanced Wound Care (“AWC”)
Advanced dressings for the management of acute and chronic 
wounds resulting from ongoing conditions, such as diabetes, 
and acute conditions resulting from traumatic injury and burns. 

Ostomy Care (“OC”)
Devices, accessories and services for people with a stoma (a 
surgically-created opening where bodily waste is discharged), 
commonly resulting from causes such as colorectal cancer, 
inflammatory bowel disease and bladder cancer.

Continence & Critical Care (“CCC”)
Products and services for people with urinary continence issues 
related to spinal cord injuries, multiple sclerosis, spina bifida and 
other causes. Plus devices and products used in intensive care units 
and hospital settings.

Infusion Care (“IC”)
Disposable infusion sets for diabetes insulin pumps, or for pumps 
used in continuous subcutaneous infusion treatments for 
conditions such as Parkinson’s disease.

03
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Chairman’s statement

Dear Shareholder
As COVID-19 continued to impact the operating environment last 
year, I am encouraged by how our people have continued to navigate 
changes in all our lives, against a tightening economic backdrop, 
shifting societal norms and the impacts on healthcare markets that 
create both opportunities and challenges for the Group.

Our success this year is reflected in our financial performance and 
the progress we are making towards our strategic goals, as well as 
in the way our people have continued to adapt and respond to the 
continuing changes brought by the pandemic. By focusing on our 
people and culture, we have been able to continue to serve and 
support customers and patients who use our products and services, 
enabling continued strategic progress, as we pivot towards 
sustainable and profitable growth. Additionally during 2021, 
we have further strengthened our Continence and Critical Care 
business by the acquisition of Cure Medical and of Patient Care 
Medical. We also improved our balance sheet, extending our 
maturity profile and diversifying our debt, though a successful debut 
bond issue for ConvaTec. 

On behalf of the Board, I would like to thank all our people for their 
hard work, dedication and resilience. 

2021 performance
Revenue of $2,038 million increased 7.6% on a reported basis 
and 5.8% on a constant currency basis. Operating profit was 
$204 million on a reported basis (2020: $211 million) and 
$362 million on an adjusted basis (2020: $350 million). Adjusted 
EBIT margin declined c.80bps to 17.7%, largely because of foreign 
exchange. The constant currency adjusted margin was broadly 
flat year-on-year notwithstanding the strategic investments made 
and significant inflation headwinds. Cash flow from operations 
remained robust and the leverage reduced from 2.0x to 1.9x net 
debt/adjusted EBITDA.

Dividend
Despite the impact of currency fluctuation and inflation, we are 
pleased with our financial progress and the potential for growth over 
the medium to long term. Accordingly, the Board is proposing a final 
dividend of 4.154 cents per share which brings the 2021 full year 
dividend to 5.871 cents per share, a 3% increase over the 2020 full 
year dividend, subject to shareholder approval at our Annual General 
Meeting on 12 May 2022. This level is at the top of our stated 
dividend policy of 35% to 45% of adjusted net profit and reflects the 
Board’s confidence in the future growth prospects of the Group, its 
underlying financial strength, realised distributable reserves position, 
cash generation and liquidity.

Board changes and governance
There have been a number of changes to the composition of the 
Board and Board committees during the year, and since the year 
end. In December 2021 we announced the succession of our Chief 
Financial Officer, Frank Schulkes, who is stepping down from the 
Board on 11 March 2022. Frank has made a valuable contribution 
to the Group and provided strong leadership during our 
transformation. We wish Frank every success for the future.

Jonny Mason was appointed as CFO Designate with effect from 
31 January 2022 and will become CFO and a Director of the 
Company on 12 March 2022. Jonny has an impressive track 
record as a CFO and brings a wealth of relevant strategic and 
operational experience. 

On 1 February 2022, we welcomed Kimberly (“Kim”) Lody as a 
Non-Executive Director. Since 2019, Kim has been the President and 
Chief Executive Officer of Sonida Senior Living Corporation, one of 
the US’s largest owner-operators of senior housing communities. 
Kim has an extensive background in international, multi-cultural 
environments with more than 25 years of healthcare experience 
including alternate site healthcare services, durable medical 
equipment and medical devices. Kim has joined our Nomination 
and Remuneration Committees.

On 28 February 2022, we announced the appointment of Sharon 
O’Keefe as a Non-Executive Director with effect from 1 March 2022. 
Sharon has over 40 years’ experience in the healthcare sector and 
was until 2020, President and COO of U Chicago Medicine, a US 
nationally-ranked medical centre, with a network of physicians and 
clinics with over 10,000 employees, and revenue in excess of 
$2 billion. Sharon joined our Nomination and Remuneration 
Committees on the same date. Also, on 28 February we announced 
that Rick Anderson, Non-Executive Director, would be resigning 
from the Board with effect from 3 March 2022. Rick has made a 
significant contribution to the Group since 2016 and we wish Rick 
every success for the future.

We also announced that Professor Constantin Coussios, Non-
Executive Director, became a member of our Remuneration and 
Nomination Committees on 27 January 2022. Further biographical 
information on Board members, including those referred to above, 
is set out on pages 94 and 95.

Recognising that directors with diverse backgrounds and experience 
bring a valuable range of perspectives to the Board’s deliberations, 
I am pleased that following the recent changes to the composition 
of our Board we have now achieved gender diversity of 45% female 
directors. Below Board level, we are equally ambitious about 
Diversity, Equity, Inclusion and Wellbeing and we have made 
significant progress in bringing in new leadership talent to the 
business over the past year, accelerating the work we are doing to 
build a high-performance culture and deliver our FISBE strategy. 

Stakeholder perspectives and responsible business
This year’s report includes extended commentary about our 
Responsible Business programme, including the development of 
our new Environmental, Social and Governance framework (ESG), 
ConvaTec Cares, outlined on page 33. We established our new 
ESG Steering Committee, chaired by the CEO, and including six 
Executive Committee (CELT) members. The Committee completed 
a wide-ranging peer review, gap analysis and approved a new 
materiality matrix (see page 32) to inform and validate the new 
framework. The Board will closely monitor progress on ESG 
regularly throughout the year, and we will continue to ensure that 
our Board discussions (including those regarding ESG progress) 
take account of our stakeholders’ interests. 

04
ConvaTec Group Plc
Annual Report and Accounts 2021

Looking forward
In a rapidly evolving environment, we have continued to 
strengthen our chronic care offerings with strong brands and 
differentiated products, holding leading market positions in 
large and structurally-growing markets. I want to thank all the 
employees of ConvaTec for their hard work and progress toward 
achieving our strategic ambitions. 

Finally, I would also like to acknowledge and thank our investors 
for their confidence in and support of the Group as we continue 
our path to sustainable and profitable growth.

Dr John McAdam CBE
Chairman
7 March 2022

Dr John McAdam CBE
Chairman

 “During 2021, ConvaTec 
continued pivoting to sustainable 
and profitable growth. Revenue 
of $2,038 million increased 7.6% 
on a reported basis and 5.8% on 
a constant currency basis.”

05
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Chief Executive Officer’s review

 “ConvaTec’s competitive position 
continues to strengthen as we 
successfully execute our FISBE 
strategy. Our strategic 
transformation investments 
over the past few years have 
significantly enhanced the quality 
of our business and position us 
well for future growth.”

Karim Bitar
Chief Executive Officer

Strategic transformation – FISBE – pivoting to sustainable & profitable growth

Focus
on key categories 
and markets

Innovate
in our work and 
trusted solutions

Simplify
our organisation  
and operations

Build
core  
capabilities

Execute
with  
excellence

Sustainable and 
Profitable Growth

06
ConvaTec Group Plc
Annual Report and Accounts 2020

Our growth prospects are attractive
We remain excited about the growth potential of the categories in 
which we operate. Our four categories are in structurally-growing 
chronic care markets where there is long-term demand for our 
products and services. We expect our overall market to grow at 
approximately 4% per annum. Through our strategic transformation, 
the Group expects to grow revenue in line with or faster than this on 
a sustainable basis. 

Trends that are being seen in the wider healthcare markets create 
both opportunities and challenges for the Group. COVID-19 has 
accelerated some of these trends, notably patient-centric homecare 
and digitisation. We are constantly monitoring our markets and 
looking to create differentiated offerings which enable us to seize 
opportunities, mitigate risks and, most importantly, deliver for our 
patients and customers. For example, during 2021, we continued to 
leverage our Home Services Group (“HSG”) offering, introduced 
digital apps and adopted a hybrid sales approach in AWC. 

The diverse set of chronic care markets we serve provide resilience 
and are also synergistic, notably in areas such as: customer 
understanding, biomaterial sciences, human factor design, product 
and clinical development and innovation, high-quality and high-
volume automated manufacturing, shared supply chain capabilities, 
and common geographic presence. Consistent with our FISBE 
strategy we are building capabilities in these synergistic areas and 
are investing to expand capacity and increase resilience.

We are pivoting to sustainable and profitable growth
During 2021 we continued to invest, both organically and 
inorganically, and further improved ConvaTec’s competitive position 
and strengthened the business for the future. 

Shortly after I joined, in 2020, we set out our FISBE strategy and in 
last year’s Annual Report we highlighted our priorities for 2021 and I 
am pleased to report that we have executed as planned. The scale of 
change within the Group over the last few years has been significant 
and it is testament to the talent and dedication of our ConvaTec 
colleagues that we have succeeded in executing so many key initiatives.

We continued to invest organically during 2021. Our Technology & 
Innovation function continued to strengthen and our CoEs are 
already gaining traction. This coupled with operational improvement, 
particularly in our 12 key markets, is driving improvements in 
our performance. 

During 2021 we built capabilities and processes in Corporate 
Development and have utilised our cash for strategic acquisitions 
– spending a total of $114 million to strengthen our US continence 
business and, since the year end, we have also announced the 
proposed acquisition of Triad Life Sciences which will enable us to 
enter the attractive Wound Biologics1 segment while leveraging our 
innovation and commercial capabilities. 

Further details on the progress made under each pillar of our FISBE 
strategy are outlined on pages 12 to 17.

Our financial performance continued to strengthen
Group reported revenue of $2,038 million (2020: $1,894 million) 
rose 7.6% year-on-year. Adjusting for foreign exchange and M&A 
activity, revenue grew 5.3% on an organic basis. 

Reported operating profit was $204 million (2020: $211 million). The 
year-on-year decline principally reflected the foreign exchange and 
inflationary headwinds, continued strategic investment, amortisation 
of acquisition intangibles and acquisition and divestiture related costs 
partially offset by the positive revenue growth. Adjusted EBIT rose 
3.3% to $362 million (2020: $350 million) with an adjusted EBIT 
margin of 17.7% (2020: 18.5%). The adverse foreign exchange 
translation impact was $7 million and on a constant currency basis 
adjusted EBIT rose 5.4%, with the constant currency adjusted EBIT 
margin broadly flat at 18.4%, in line with our expectations. The strong 
growth in revenue and productivity improvements were offset by 
inflationary headwinds and the cost of continued strategic investments 
to further strengthen the core capabilities within the Group. 

Adjusted net profit rose 9.4% to $263 million (2020: $241 million) 
with the growth in the adjusted EBIT bolstered by $6 million 
reduction in finance expense and $11 million reduction in adjusted 
tax expense. 

Basic adjusted EPS was 13.1 cents (2020: 12.1 cents) and the diluted 
adjusted EPS was 13.0 cents (2020: 12.0 cents) based on basic 
weighted average ordinary shares of 2.009 billion (2020: 1.992 billion) 
and 2.026 billion diluted shares (2020: 2.007 billion) respectively.

Reported net profit was $118 million (2020: $113 million) generating 
basic reported EPS of 5.9 cents (2020: 5.7 cents).

The adjusted cash conversion was 72% (2020: 90%). This reduction 
in conversion reflects an increase in working capital, partially 
associated with improving resilience and planned higher levels of 
capex investment. Reported cash conversion was 73% (2020: 99%). 

Net debt (excluding lease liabilities) reduced to $881 million (2020: 
$891 million) this coupled with an increase in adjusted EBITDA 
resulted in an improvement in the Group’s net debt/adjusted 
EBITDA ratio to 1.9x (2020: 2.0x.) 

Delivering continued strategic progress
As we drive towards our vision of pioneering trusted medical 
solutions to improve the lives we touch, we continued to execute our 
FISBE strategy. Notwithstanding the persistence of the pandemic 
we made further strategic progress this year. 

On pages 12 to 17 you can read about the progress we have made 
with each our strategic pillars and our priorities for 2022.

In total we invested $171 million in our strategic transformation in 
2021, comprising: 
 – $30 million of non-recurring operational investment 

(2020: $51 million)

 – $72 million of recurring operational investment 

(2020: $42 million)

 – An additional $4 million of costs to be excluded from adjusted 

EBIT (2020: $12 million)

 – $65 million of capex (2020: $26 million)

We also invested $14 million in MDR during the year 
(2020: $14 million).

1.   Wound Biologics segment as defined by SmartTRAK. Includes skin substitutes, 

active collagen dressings and topical drug delivery.

07
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Chief Executive Officer’s review
continued

→
Our strategy
See pages 12 to 17.

Going forward, given the non-recurring elements will be 
substantially reduced, we do not intend to disclose transformation 
investments separately, except where excluded from adjusted EBIT, 
in compliance with our Alternative Performance Measures policy. 
Additional investments will be part of the ongoing growth strategy 
and operational decisions of the business as we continue to pivot to 
sustainable and profitable growth.

Ukraine situation 
While we do not have teams in Ukraine, we do have teams in 
neighbouring countries. In 2021 we had c.$45 million of revenue 
produced or sold in Belarus and Russia. We are not currently 
experiencing any material disruption to our operations but continue 
to closely monitor the evolving situation and we are evaluating all 
options as we develop appropriate response plans. 

2022 outlook
The fundamentals of our business are attractive. The Group is 
principally a diversified chronic care business with strong brands and 
differentiated products, holding leading market positions in large and 
structurally-growing markets.

In 2022 we expect to achieve organic revenue growth of 4.0-5.5%. 
We expect continued good growth in AWC although it will reflect 
the relatively tougher comparatives versus 2020. Growth in OC 
is expected to be similar to 2021. In CCC, we anticipate more 
significant declines in Critical Care as COVID continues to normalise 
and demand for ICU products falls; however this is expected to 
be more than offset by improved growth in Continence Care. 
IC is expected to deliver another strong year of growth ahead of 
the market.

We expect to improve our underlying EBIT margin. Notwithstanding 
the current inflationary backdrop we expect our constant currency 
adjusted EBIT margin to increase to at least 18% compared to 17.7% 
in 2021.

In 2022, based on prevailing rates, we expect interest expense of 
c.$50-55 million and an effective tax rate of between 18-20%. 
We also expect capital expenditure to be $100-120 million as we 
continue to add manufacturing capacity, further increase the level 
of automation, continue to invest in IT/digital and prepare to launch 
new products. 

We are excited about the opportunities available to the Group and 
remain committed to pivoting to sustainable and profitable growth. 
In 2021, we made good strategic and financial progress, and we 
strengthened the Group’s foundations. In 2022, we will continue 
to focus on delivering future sustainable revenue growth and 
accelerating operating profit growth. Longer term we remain 
confident in our ability to continue to improve margin progression. 
I look forward to updating you further later in the year.

Karim Bitar
Chief Executive Officer
7 March 2022

We are making progress on our ESG journey
Our approach to Environmental, Social and Governance (ESG) 
aims to drive actions that advance our vision and help us pivot to 
sustainable and profitable growth, delivering better for our patients, 
care-givers, customers, colleagues and the communities in which 
we operate. We seek to add value through our products and 
services as well as through the way we operate, whilst also 
engendering trust and confidence among all our stakeholders. 

During 2021 we made important progress across a range of ESG 
topics, including the development of our new ESG framework, 
“ConvaTec Cares”. We established our new ESG Steering 
Committee which includes six ConvaTec Executive Leadership Team 
members. The Committee completed a wide-ranging peer review 
and gap analysis, and refreshed the materiality matrix to inform and 
validate the new framework. This work has culminated in the launch 
of a new set of ESG Targets that articulate short, medium and 
long-term commitments aligned to topics and activities which are 
most material to our stakeholders and impactful on the Group. As 
part of this work, we confirmed our commitment to the Science 
Based Targets initiative and to reach net zero by 2045.

ConvaTec Executive Leadership Team (“CELT”) changes
In December we announced that Frank Schulkes will be stepping 
down as Chief Financial Officer on 11 March 2022. I want to thank 
Frank for the important contribution he made to the Group during 
his four-year tenure and for his support and leadership during our 
transformation. I would also like to take this opportunity to welcome 
Jonny Mason as Frank’s successor. Jonny is a seasoned CFO with an 
extensive track record in publicly listed and international businesses 
and brings strong experience in strategic enterprise transformation 
and customer orientation.

The CELT has continued to evolve following expected retirements. 
John Lindskog recently retired and Kjersti Grimsrud, who previously 
led our Continence Care business and has over two decades of 
experience in diabetes care, has taken over to lead our Infusion Care 
business. Consequently, Seth Segel has added Continence Care to 
his existing responsibilities for the Home Services Group, where 
there is natural synergy. Supratim Bose also retired during the 
period and Bruno Pinheiro, who for the last three years has been 
leading our impressive LATAM business, has stepped up to act as 
Interim President and COO of GEM. Finally, Adam Deutsch left the 
Group and Evelyn Douglas has therefore assumed additional 
responsibility for legal, compliance and Company Secretariat given 
her significant experience in corporate legal roles. I would like to 
take this opportunity to thank John, Supratim and Adam for their 
significant contribution to the Group and its transformation. 

08
ConvaTec Group Plc
Annual Report and Accounts 2021

Our market environment

We have established positions in attractive, 
growing markets. These markets are being 
impacted by global megatrends coupled with 
an evolution of the healthcare landscape. 
This is shaping the way we do business.

Chronic care – global market size1

Expected CAGR1 of Advanced Wound Care, Ostomy Care and 
Continence & Critical Care markets

c.$14bn
+c.4%
+c.7%

Expected CAGR1 of the Infusion Care market

→
For more detail about the market size and growth rates for 
each category please visit pages 24 to 30. 

1.   Market size and growth information contained on this page are segmental 
estimates and are based on internal analysis and publicly available sources, 
including SmartTRAK and Global Industry Analysts Inc. reports.

09
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220What does this mean for ConvaTec?
Demand for our products is growing, driven by the increasing 
prevalence of long-term chronic conditions such as:
 – Diabetes (AWC & IC)
 – Vascular diseases (AWC)
 – Chronic ulcers (AWC)
 – Colorectal and bladder cancers (OC)
 – Crohn’s disease (OC)
 – Ulcerative colitis (OC)
 – Multiple sclerosis (CCC)
 – Benign prostatic hyperplasia (CCC)

There is a strong correlation between age and the incidence of 
chronic conditions which is fuelling demand for our products. 

Many patients may need to use our products throughout their lives 
so the increasing average life expectancy may also generate 
long-term demand for our medical solutions.

The megatrends being seen drive our strategic desire to FOCUS 
on our four key chronic care categories of Advanced Wound Care, 
Ostomy Care, Continence and Critical Care and Infusion Care. 
Under that same strategic pillar we also recognise the importance 
of investing to support growth in different geographies, including 
the Emerging Markets. China, Brazil and Columbia are amongst 
the top 12 key markets where we are focusing investment. 

Our market environment
continued

Mega-trends driving demand for our products
Three global trends are driving structural  
growth in our markets and increasing  
demand for our products and technologies.

Megatrends
An ageing population
Global population aged 60+

1.0bn 

2020 

2.1bn

2050

Source: United Nations, World Population Prospects, 2019 revision. 

Chronic conditions are on the increase

~1 in 3

of all adults globally suffer from multiple chronic conditions.

Source: The global burden of multiple chronic conditions, Cother Hajat and 
Emma Stein (2019).

700m

adults globally with diabetes by 2045, up from 463m in 2019.

Source: IDF Diabetes Atlas, 9th Edition 2019.

50m

globally reported cases of patients suffering from  
hard-to-heal wounds. 

Source: Frost & Sullivan. 

People are living longer
Average life expectancy in the world

47yrs 

1950 

73yrs

2020

Source: United Nations Population Divisions estimates.

10
ConvaTec Group Plc
Annual Report and Accounts 2021

 
 
 
Dynamics shaping our business
An evolving healthcare landscape.

Dynamics
Growing healthcare cost pressures

$15tn by 2050

Projected global health spending.

Source: Global Burden of Disease Health Financing Collaborator Network.

Cost pressures on healthcare systems are prompting initiatives to reduce 
overall spending including:
 – Greater emphasis on value-based healthcare solutions which deliver 

better outcomes at lower costs

 – Increasing price pressures
 – More outpatient care

High-growth in the Emerging Markets 

$2.4tn 

2020 
Global Emerging Markets healthcare spending

2030

$6.2tn

Source: WHO – Global Health Expenditure Database, FrontierView 

Global Emerging Markets continue to grow faster given population 
dynamics, increased government healthcare spending, greater access to 
healthcare and expanding middle classes with access to health insurance 
are increasing demand for healthcare products and services. 

Homecare, patient-centric and digitally-enabled ecosystem 
has accelerated during the pandemic 

What does this mean for ConvaTec?
We are continually responding to the evolving healthcare 
landscape.  

We are investing to ensure we deliver trusted medical solutions 
that provide optimal outcomes and enable healthcare providers 
to deliver their services in the most cost-effective way. We are 
increasing the number of studies supporting our new products 
and in-market solutions which provide meaningful evidence 
for our customers and patients and valuable insight for 
product enhancements. 

We are investing resources in key markets including China, Brazil 
and Colombia.  

We are continuing to invest in our Home Services Group plus other 
platforms, such as me+™, which directly support our customers in 
their home environments. We regularly engage with the people 
who use our products and utilise their feedback in our innovation 
process to ensure we understand and meet their personal 
preferences, emotional and lifestyle needs.  

64% 

of EU health providers increased 
adoption of digital technologies to 
provide virtual support during 2021.

Source: Global Burden of Disease Health 
Financing Collaborator Network.

Tech-enabled innovation is affecting all types of disease 
management and digitisation in particular is enabling remote 
management of therapies and real-time monitoring. We are 
therefore focused on developing differentiated solutions that 
utilise smart technologies and data and meet the distinct needs 
of our customers. We have been investing in digital tools and 
omnichannel solutions for our patients. 

+c.7%

growth in US home  
health 2019-2028.

Source: National Health Expenditure 
projections, CMS 

76% 

of institutional decision-makers 
believe interactions with MedTech 
companies will be more digital post 
COVID-19.

Source: ConvaTec New Normal Customer 
Survey (2020).

Increase in patient/consumer influence

76%

of consumers prefer digital solutions making digital a core part of 
healthcare delivery.

Source: 2020 Mckinsey Consumer Health Insights Survey.

Patients are increasingly comparing healthcare companies to customer 
experience leaders. They are becoming more engaged in their healthcare 
and are actively seeking out products and technologies that address their 
needs in a convenient way that fits with their lifestyle.

We are also looking to support healthcare providers and have 
embraced virtual webinars to provide value-added solutions, 
support and advice to healthcare practitioners (“HCPs”) – during 
2021 more than 300k HCPs participated in ConvaTec’s Medical 
Education programme.

Furthermore, given the impact of COVID-19 on patient care and 
the way the healthcare systems are operating, we have simplified 
our business to ensure patient-centricity and increase agility. 
We have, for example, structured our salesforce to enable 
engagement in an in-person or virtual setting.  

11
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Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
 
 
 
 
 
Our strategy

During 2021 we have made good progress with our 
strategic transformation. We have strengthened 
the Group’s foundations and begun pivoting to 
sustainable and profitable growth.

Key objectives

Our strategic pillars
Through implementation of our five-pillar strategy we are  
focused on pivoting to sustainable and profitable growth.

Our vision

Pioneering trusted medical solutions to 
improve the lives we touch

Our strategic intent

To pivot to sustainable and 
profitable growth

Our strategy

“FISBE” is the strategy we are adopting to 
enable us to deliver on this intent.

We have, over the last three years, been
making good progress:
– We have stabilised the business
–  We have been investing in our core 

capabilities

–  We have been strengthening our internal and 

external innovation pipeline 

→
KPIs
On pages 18 to 19 you can see the Key Performance Indicators 
we use to measure progress with our strategy. 

Focus
Focus on key categories and 
markets.

Innovate
Invest in our R&D capabilities to 
develop trusted medical solutions 
that customers need most. Our 
innovation will focus on providing 
differentiated, patient-centric as 
well as digital solutions delivered 
across products and services.

Simplify
Simplify and strengthen our 
operations by having a more 
customer-centric and agile 
operating model with improved 
productivity.

Build
Build critical core capabilities 
across the value chain via centres 
of excellence, including salesforce 
effectiveness and quality.

Execute
Execute with excellence across the 
Group by instilling a culture of 
operational discipline.

12
ConvaTec Group Plc
Annual Report and Accounts 2021

 
Becoming more focused

We are focusing on four categories in 12 key markets 
that include the US and China. 

Progress in 2021 
During 2021 we strengthened our position in two 
of the four categories ConvaTec is focused on. 

In Q1 we enhanced our US continence business 
(part of CCC) with the acquisition of Cure Medical. 
In Q2 we enhanced our AWC portfolio by signing 
a collaboration agreement with RLS Global to 
commercialise the Chlorasolv® wound debrider as 
part of ConvaTec’s Wound Hygiene™ Protocol. Then 
in the second half we acquired Patient Care Medical 
and divested lower-margin incontinence activities, 
both impacting CCC. 

We also continued to focus and invest in our 12 key 
markets which cumulatively delivered constant 
currency revenue growth of 7.9%. 

Priorities for 2022
One of our main priorities in 2022 will be to 
complete the acquisition of, and integrate, Triad Life 
Sciences into our AWC business. The acquisition, 
announced on 28 January 2022, represents an 
exciting opportunity for ConvaTec to enter the 
highly attractive wound biologics1 segment, which is 
worth c.$1.8 billion and growing at high single digits 
percentage each year. The transaction is subject to 
regulatory approvals and customary closing 
conditions and is expected to close in March. 

In 2022 we shall also focus on continuing to invest to 
grow our 12 key markets, particularly the US, and will 
continue to evaluate potential M&A opportunities to 
further strengthen the Group.

1.    Wound Biologics segment as defined by SmartTRAK. Includes 
skin substitutes, active collagen dressings and topical drug 
delivery. Based on 5-year CAGR.

13
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Our strategy
continued

Enhancing our R&D capabilities

We are investing to strengthen our R&D capabilities.

Progress in 2021 
We continued to step up our investment in 
innovation – increasing R&D spend by a further 
14.7% to $95 million (2020: $82 million.) This 
represented 4.6% of 2021 revenue. Some of this 
expense related to continued MDR spend of 
$14 million (2020: $14 million). Where appropriate 
we will continue to increase our investment to 
strengthen our product pipeline and innovation 
capabilities and to improve our cycle time. 

During 2021 we continued to strengthen our R&D 
competencies, particularly in areas such as process 
development, clinical and regulatory. We delivered 
good momentum in the pipeline with the launch, in 
April, of the innovative Extended Wear Infusion Set 
in Europe and secured US FDA clearance. We also 
made good progress with the development of the 
six other new products in the pipeline. During the 
year we also successfully rolled out a consistent new 
product development and launch process across the 
entire Group (called “IDEAL”). This is expected to 
improve the flow and efficiency of innovation as well 
as accelerating the cycle time. 

Priorities for 2022
Looking forward, in 2022 we shall focus on 
successfully launching and scaling up three of our 
new products: the GC AirMale compact catheter 
(CCC) in Q2/Q3, the EWIS (IC) in the US market 
during the year and finally ConvaFoam™ (AWC) 
at the end of the year. 

Another key priority will be embedding our new 
Green Design Guidelines and associated tools, 
which allow us to examine the green credentials 
of potential ingredients, into our new product 
development process. 

14
ConvaTec Group Plc
Annual Report and Accounts 2021

Simplifying our business

We introduced a more customer-centric and agile 
operating model to improve accountability and 
strengthen our organisation.

Progress in 2021 
We have been migrating from a complex country-led 
matrix organisation to a category-led operating model 
which offers closer proximity to the patient and care 
givers, supported by global functional expertise. 

During the year we further expanded our Global 
Business Services (“GBS”) centre in Lisbon, Portugal, 
migrating additional financial processes and certain 
IT expertise. 

We have also been simplifying the business from 
a commercial perspective and continued to make 
progress with our Ostomy Care portfolio 
rationalisation programme – removing a further 
550 SKUs to bring the figure to c.1800. 

Priorities for 2022
During 2022 we will continue to migrate finance 
and IT related activities into the GBS, and commence 
moving certain HR activities. 

The Ostomy Care rationalisation programme 
will continue. 

15
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Our strategy
continued

Building core capabilities

We are building critical core capabilities across 
the Group. 

Progress in 2021 
During 2021 we continued to develop the senior 
leadership team with exciting new hires, for example, 
in business development, marketing and quality.

During the period we also continued to develop our 
CoEs. Under our Salesforce Excellence CoE we have 
now rolled out a single CRM platform across Europe 
and North America providing improved insight and 
better targeting, and we are driving enhanced 
productivity. Our Pricing CoE, which provides 
improved discipline on price using data, training and 
tools, also delivered a good performance. Finally 
during the year we began leveraging our Marketing 
CoE, established a Quality CoE and began executing 
our people strategy. 

Priorities for 2022
During 2022 we will continue to strengthen our 
sales and marketing activities with a particular focus 
on digital interactions. We will expand our common 
CRM platform into GEM and will embed our 
Professional Education CoE.

16
ConvaTec Group Plc
Annual Report and Accounts 2021

Executing with excellence

We are instilling execution discipline via our 
Transformation Execution Office (“TEO”).

Progress in 2021 
Our Transformation Execution Office is now well 
established and during 2021 we continued to embed 
the execution methodology we use to develop and 
monitor major initiatives. 

To ensure the execution mindset pervades the 
organisation we have continued our roll out of 
“Ability to Execute” training modules – with 77% 
of senior managers having already participated in 
the training. 

As well as rolling out our IDEAL new launch process, 
described above, we introduced a new Corporate 
Development process to identify and execute on 
inorganic opportunities.

Priorities for 2022
Looking forward, 2022 priorities include further 
integrating ESG into our strategic planning process, 
delivering manufacturing scale-up projects for 
Infusion Care and introducing more automation. 

17
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Our key performance indicators

We use a mix of financial and non-financial 
metrics to measure delivery of our strategy.

Group revenue growth1
$m

Adjusted EBIT margin2 
%

2021

2020

2019

$2,038.3m

$1,894.3m

$1,827.2m

+5.8%

+4.0%

+2.4%

2021

2020

2019

17.7%

18.5%

19.4%

Metric
Group revenue growth compares the revenue generated from the 
sale of the Group’s products in the current year with the prior year.

Metric
Adjusted EBIT margin is equivalent to adjusted operating profit 
margin as reconciled on page 208.

Target: gradual improvement in the margin over time

Relevance to strategy 
Group revenue performance reflects the growth of our business 
and our progress towards achieving our ambition of delivering 4%+ 
revenue growth year-on-year.

Relevance to strategy 
Adjusted EBIT margin reflects how effectively we are running 
our business – a key factor if we are to deliver sustainable and 
profitable growth.

Focus 

Innovate 

Build

Focus 

Innovate 

Build

2021 performance
 – 5.8% increase on constant currency basis. 
 – AWC revenues grew 5.5% driven by strong growth over the 

relatively weak 2020 comparative partially offset by the impact 
of the US Skin Care disposal

 – OC revenues grew 1.7%, driven by strong performance 
in APAC, Latin America and Europe, partially offset by 
rationalisation headwind

 – CCC revenues grew 7.9% primarily driven by Cure Medical 
acquisition, although supported by good organic growth in 
Continence Care and stable demand for Critical Care products
 – IC revenues grew 9.6% driven by continued growth in the use 

of our innovative infusion sets by diabetes patients

2021 performance
 – Adjusted EBIT margin declined by c.80bps to 17.7%.
 – Revenue growth and improvement in gross margin more than 
offset by foreign exchange and inflationary headwinds coupled 
with continued strategic investments

 – Constant currency adjusted EBIT margin was broadly flat at 

18.4%, in line with guidance

1.  Revenue growth is stated at constant currency (CER).

18
ConvaTec Group Plc
Annual Report and Accounts 2021

2.   Certain financial measures in this Annual Report and Accounts, including the adjusted 
performance measure above, are not prepared in accordance with IFRS. All adjusted 
performance measures are reconciled to the most directly comparable measure 
prepared in accordance with IFRS on pages 207 to 210. 

 
 
 
 
Adjusted free cash flow2
$m

2021

2020

2019

$274.7m

$347.4m

$396.8m

Quality 
(complaints per million (“CPM”) products sold)

2021

2020

2019

47

53

63

-11.3%

-15.9%

0.0%

Metric
Adjusted free cash flow is adjusted net cash less tax paid.

Metric
CPM measures the number of complaints we receive per million 
products sold.

Relevance to strategy 
Adjusted free cash flow reflects how effectively we are able to 
convert the profit we generate into available cash (after accounting 
for working capital movements, making capital investments and 
paying tax). By simplifying our organisation, and executing with 
excellence, we can enable greater investment in innovation, to 
deliver the trusted medical solutions our customers need most.

Relevance to strategy 
CPM is a strong indication of our manufacturing quality and 
is key to ensuring that we develop trusted medical solutions. 
It is also a reflection of our core capabilities and our ability to 
execute effectively.

Focus 

Innovate 

Simplify 

Execute

Innovate 

Build 

Execute

2021 performance
 – Adjusted free cash flow has reduced by $72.7m (-20.9%) 

year-on-year.

 – Principally reflecting increase in working capital and 

capital expenditure.

2021 performance
 – Established Quality CoE in 2021. 
 – Overall year-on-year reduction of 11.3% across all categories.
 – Driven by implementation of continuous improvement across 

our manufacturing and quality operations.

19
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
 
 
Our business model

Our FISBE strategy is aligned to our Company 
purpose and is designed to enable us to realise our 
vision and continually strengthen our business model.

Our resources and 
relationships

How we create value

Our FISBE strategy
More on page 12

Identify 
customer 
need

Reinvest and 
distribute 

Human
factor 
design

Our vision
Pioneering trusted medical solutions to 
improve the lives we touch.

Our values
Our vision and values shape our culture and 
behaviours, determine how we do business 
and underpin our strategy. 
– Do what’s right
– Improve care
– Deliver results
– Own it
– Grow together

Process 
product 
development

Clinical
development

Generate 
profit and 
revenue

Manufacture 
with quality 
at a scale

Commercialise 
globally

Regulatory
submission

More on page 33

–  A talented and diverse

workforce

–  Category knowledge
and understanding

–  Innovation and

intellectual property

–  Relationships with

patients and
healthcare
professionals

–  A robust quality

function and supply
chain

–  Strong brands

–  Global sales and

marketing platform

→
See page 2 and 3 for further 
information about our business. 

→
See pages 9 to 11 for information 
about our marketplace. 

→
ConvaTec Cares, page 33

20
ConvaTec Group Plc
Annual Report and Accounts 2021

Creating stakeholder value

Patients
Solutions to improve the lives we touch

Healthcare professionals
Providing value-added solutions, support 
and advice

>1bn 

products shipped

>300k 

HCPs participated in ConvaTec 
medical Education

Health plan contracts
Enabling healthcare systems to reduce costs 
and increase efficiency

Employees
Providing employment and  
development opportunities

~1,700 

Health plan contracts

10,100+

Shareholders
Generating returns for investors

Society
Making a positive contribution through 
community engagement and paying tax

$85.8m 

Cash dividends paid to shareholders

$59.2m 

Corporate tax paid

21
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Section 172 and Non-financial information statements

Section 172 statement
Information about our stakeholders and how we engage with them 
is set out on pages 36 and 37.

Section 172 of the Companies Act 2006 requires each of our 
Directors to act in a way that he or she considers, in good faith, 
would most likely promote ConvaTec’s long-term success for the 
benefit of its shareholders and other stakeholders. In doing this, 
section 172 requires our Directors to have regard, amongst other 
matters, to the:

a) Likely consequences of any decisions in the long term.
b) Interests of the company’s employees.
c)  Need to foster the company’s business relationships with 

suppliers, customers and others.

d)  Impact of the company’s operations on the community and 

environment. An example of this is given on page 58, ESG report.

e)  Desirability of the company maintaining a reputation for high 
standards of business conduct. An example of this is given on 
page 51, behaving ethically and transparently.

f)  Need to act fairly between members of the company. An example 

of this is given on page 146, dividend policy.

On pages 102 to 103 (which should be read in conjunction with this 
statement) we explain how our Board gains an understanding of 
stakeholder issues and, during the year, discharged its section 172 
duty by factoring the matters highlighted (a) to (f), into the Board 
discussions and decision-making process.

The Directors also have regard to other factors which they consider 
relevant to the decision being made, acknowledging that every 
decision made will not necessarily result in a positive outcome for 
all stakeholders. However by considering our vision and values, 
together with our strategic priorities, and having a process in place 
for decision making, the Board aims to make sure that all decisions 
are consistent and well-considered.

This approach ensures that we continue to serve and support the 
people who rely on our products and services. It also supports our 
ambition to become a “destination employer” and our strategy to 
pivot to sustainable and profitable growth.

Non-financial information statement
In accordance with the requirements of section 414CB of the Companies Act 2006, the information below is provided to help our 
stakeholders understand our position in relation to key non-financial matters including, where appropriate, the relevant policies and 
processes we operate.

Policies and processes we implement
Climate change and environmental strategy
Our vision and values
Code of Conduct
Diversity, Equity & Inclusion and 
Wellbeing Policy
Our people strategy
Employee induction, training and 
development programmes
Employee engagement 
Diversity targets and review of metrics
Human Rights and Labour Standards Policy
Modern Slavery Act statement

Community engagement
Supplier Code of Conduct
Compliance Helpline and web link
–
–
–

Information 
Pages 53 to 57
Page 2
Page 50
Page 45
Page 43
Page 44

Page 44
Page 48

Page 50
Page 50

Page 59
Page 51
Page 51
Pages 68 to 73
Page 19
Page 20 

Key non-financial matter
Environmental matters 
Employees

Human rights

Social and community matters
Anti-corruption and anti-bribery

Principal risks and impact of business activity
Non-financial key performance indicators
Our business model

22
ConvaTec Group Plc
Annual Report and Accounts 2021

Operational review 

 “The implementation of our 
FISBE strategy is delivering 
improved performance across 
each of our four categories.”

Karim Bitar
Chief Executive Officer

23
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Advanced Wound Care

David Shepherd
President and Chief Operating Officer, Global Advanced Wound Care

2021 revenue

Category position

$592m 

Market size1

c. $8.0bn

Market growth

c. 4%

Key competitors
 – 3M
 – Smith & Nephew 
 – Mölnlycke
 – Others

No. 2

Global advanced wound 
dressings

No. 1

Global antimicrobial dressings

No. 1

Global alginate and fiber 
dressings

No. 1

Global hydrocolloid dressings 

Key brands
AQUACEL™
AQUACEL™ Ag+
AQUACEL™ Ag Foam
AQUACEL™ Ag Surgical
AQUACEL™ Ag Advantage
AQUACEL™ Ag Advantage 
Surgical
Avelle™ System
ConvaMax™
DuoDERM™

2021 Performance
We made good strategic progress in AWC during 2021. 
The commercial performance in key markets improved in all 
regions and the business succeeded in driving the use of digital 
tools and platforms.

Revenue of $592 million rose 8.3% compared with the prior year, 
5.5% on a constant currency basis. Adjusting for the disposal of the 
US Skin Care products, which contributed $19 million of revenue 
in 2020, organic growth was 9.2%. This reflected good growth 
against the COVID-depressed prior year comparative, as well as 
improvements in commercial execution.

During 2021, the business achieved strong growth in all regions, 
particularly in the Global Emerging Markets. 

The weak COVID-19 comparative was particularly pronounced in H1 
when organic revenue grew 16.3%. H2 growth was a more moderate 
3.4% reflecting tougher comparatives coupled with the impact of 
the French reimbursement cut, slightly weaker trends in elective 
surgeries and some temporary supply chain challenges associated 
with COVID-19. 

Our antimicrobial hydrofibre, AQUACEL™ Ag+ Extra™ brand 
achieved strong growth and the ConvaMax™ superabsorber, 
launched late 2019 achieved impressive growth, albeit off a small 
base. Our AQUACEL™ Foam Pro brand delivered strong growth 
with Aquacel Foam Base also delivering good growth. 

2022 Priorities
In 2022 we will focus on the following areas:
 – Continuing to improve commercial execution and leveraging our 

Salesforce and Marketing CoEs

 – Completing the acquisition and integration of Triad Life Sciences, 

conditional on regulatory approvals and customary closing 
conditions

 – Launch of ConvaFoam at the end of 2022

1.   Size, growth and position information contained in this Operational review 

section are estimates and are based on internal analysis and publicly available 
sources, including SmartTRAK and Global Industry Analysts Inc. reports. AWC 
includes advanced dressings (Foams, Antimicrobials, Composite/Island 
Dressings, Alginate & Fibre Dressings, Contact layers, Hydrocolloids, Films, 
Super Absorbents, Hydrogels), Biologics and External devices (Negative 
Pressure Wound Therapy, Debridement, Energy & Oxygen) segments.

24
ConvaTec Group Plc
Annual Report and Accounts 2021

Execute

Improving commercial 
execution in AWC UK
Back in 2019 the market share of AWC’s UK business was 
declining. Given the UK is one of ConvaTec’s key markets 
a local level transformation was executed. 

We revised our commercial strategy and go-to-market model 
– building on our existing reputation for excellence in service 
provision. Our ConvaTec Complete™ direct delivery offering 
and partnership with the NHS supported by a national team 
of specialist Wound Care nurses were already well regarded. 
Core capabilities were strengthened, we attracted new talent 
and leveraged the Group SalesForce CoE. The UK was one of 
the first countries to introduce the enhanced Dynamics CRM 
platform and swiftly increase compliance. 

Our revised go-to-market model supported a streamlined 
organisation with focused role responsibilities. During 
COVID-19 the value of creating a remote engagement model 
was recognised and we created an “inside sales” team to 
maximise efficiency of sales delivery. The UK was one of the 
early adopters of the hybrid model and an inside sales 
offering is available in ten countries. 

As a consequence of these actions, we have seen the UK 
improve its channel quality and position, enhance pricing 
discipline and, in 2021, turn around the three-year market 
share decline. 

25
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Ostomy Care

Mani Gopal
President and Chief Operating Officer, Global Ostomy Care

2021 revenue

Category position

$546m 

Market size1

c. $2.6bn

Market growth

c. 4%

Key competitors
 – Coloplast
 – Hollister/Dansac
 – Others

No. 3

Global ostomy 

No. 2

US 

No. 3

EMEA 

Key brands
Esteem™+
Natura™
Natura™+
Stomahesive™
Durahesive™
InvisiClose™
me+™

1.   Size, growth and position information contained in this Operational review 

section are estimates and are based on internal analysis and publicly available 
sources.

26
ConvaTec Group Plc
Annual Report and Accounts 2021

2021 Performance
The OC business made further strategic progress during 2021. Our 
commercial execution in key markets, most notably the US and the 
global emerging markets, is improving and we made good progress 
leveraging HSG to support more of our Ostomy and me+™ patients. 
The rationalisation programme continued as planned and we have 
ceased manufacturing a further 550 SKUs during the year. Under 
the leadership of HSG we also restructured our UK homecare 
business, AmCare, implementing new software and rationalising 
activities which were unprofitable and unsustainable. 

Revenue of $546 million increased 3.9% on a reported basis and 
1.7% on constant currency and organic bases. The planned SKU and 
UK contract rationalisation reduced growth by c.100bps. During the 
period we achieved continued strong growth in Latin America and 
APAC, while performance in North America showed early signs of 
commercial improvements, with stabilisation of new patient starts 
and increasing use of HSG’s Ostomy service. These positive 
achievements were partially offset by declines in certain markets in 
Europe, notably the UK where we undertook contract rationalisation. 

As expected the growth for 2021 was H1 weighted with organic 
revenue up 3.7%. In H2 revenue was down 0.1% on an organic basis, 
due to the planned SKU and contract rationalisation. 

Encouragingly revenue for ConvaTec Ostomy products rose 3.4% 
on an organic basis during 2021 whilst revenue associated with 
non-ConvaTec products, distributed through HSG and 
AmCare, declined. 

We achieved strong growth in the Natura™+ two-piece in GEM 
and the Esteem™+ one-piece showed good growth. Accessories 
continued to perform well. 

2022 Priorities 
In 2022 we will continue to focus on the following areas: 
 – Strengthening our commercial execution in our key markets, 
including leveraging our sales force effectiveness, pricing and 
marketing CoEs

 – Focus on improving our operations and gross margins via 

streamlining our SKUs and technology upgrades 

 – Launch innovative solutions to meet the patient needs through 
physical products, digital tools (in US and Poland) and enhanced 
services (me+™and HSG)

Build

‘Help me choose’ digital app
One of the problems faced by less experienced nurses 
is determining which product is most suitable for 
ostomy patients. 

To solve this need, ConvaTec has developed a digital app 
that can help the nurse choose the right product for the 
patient. The app was designed based on extensive 
interviews with experienced Wound and Ostomy Care 
Nurses (“WOCN”) who shared with us the algorithm and 
process they use to identify the most appropriate product. 

ConvaTec used this feedback to develop our own algorithm, 
which consists of a series of questions about the patient to 
be treated. Depending on the answers to the sequence of 
questions, the app recommends the products that would 
likely work best. The app was launched in the US in October 
2021 to positive reviews. 

27
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Continence & Critical Care

Seth Segel
President and Chief Operating Officer, Home Services Group and Global 
Continence Care

2021 revenue

Category position

$543m 

Market size1

c. $2.0+bn

Market growth

c. 4%

Key competitors
 – Coloplast
 – Hollister
 – Bard 
 – Wellspect

No. 1

Retailer in intermittent 
catheters in the US 

No. 1

US faecal management 
systems

Key brands
GentleCath™
FeelClean™ 
Cure Medical® 
Flexi-Seal™
UnoMeter™
me+™

1.   Continence & Critical Care comprises the global intermittent catheter segment 

plus the faecal management segment.

28
ConvaTec Group Plc
Annual Report and Accounts 2021

2021 Performance
2021 was a year of continued encouraging progress with the 
position of our US continence business strengthened by the Cure 
Medical and Patient Care Medical acquisitions, and the focus 
afforded from the divestment of non-core, lower-margin 
incontinence activities. 

Revenue of $543 million was up 8.9% on a reported basis and 7.9% 
on a constant currency basis. Adjusting for acquisitions and 
divestitures, which added a net $29 million of incremental revenue 
during the period, on an organic basis CCC revenue was up 2.1%. 

Our continence business continued to achieve good revenue growth 
of 3.1% on an organic basis to $387 million. Lower new patient starts 
during COVID-19 slightly diluted early performance, although 
rebounded well as the year progressed. Encouragingly, the market 
reception to the combination of GentleCath products and the 
acquired Cure Medical portfolio was very good with both showing 
strong growth. 

Revenue from our Critical Care products was broadly flat on 
a constant currency basis at $156 million. This was a better 
performance than anticipated with the continued presence of 
COVID-19 resulting in higher-than-expected demand for ICU 
products during 2021. 

During the year the organic revenue performance of CCC slowed 
from 3.0% in H1 to 1.2% in H2. Trends in critical care products turned 
negative in the later part of the year as demand began to normalise, 
although this was not as significant a decline as originally anticipated. 

2022 Priorities
In 2022 we will focus on the following areas:
 – Launching the new GentleCath Air Male compact catheter 

in Q2/Q3

 – Expanding our continence commercial presence to Europe
 – Continuing to leverage the reach of HSG to provide better service 

to patients around the US

 – Rationalising low-margin critical care products 

Focus

Strengthening our Continence 
Care business 
This year, consistent with our Focus pillar, we have further 
strengthened our Continence Care business. 

In March we acquired Cure Medical, LLC. Based in California 
the business develops, manufactures and distributes 
intermittent catheters. Bringing together Cure and 
ConvaTec’s portfolios of products enables us to better 
serve our continence customers. The Cure portfolio is 
broad and, for example, includes pre-lubricated catheters, 
paediatric catheters and closed systems whilst ConvaTec’s 
GentleCath portfolio features premium hydrophilic 
catheters with FeelClean™ technology. Together we can 
now offer a more comprehensive range of continence 
products and services to meet the diverse needs of our 
patients and our healthcare partners. 

Then in December we acquired Patient Care Medical. 
This quality service provider based in Austin, Texas, is a 
complementary bolt-on for HSG. The commercial focus and 
expertise marries well to HSG’s 180 Medical. Patient Care 
Medical has developed a distinctive, direct-to-consumer 
digital approach focused on the installed base of existing 
catheter users in the U.S., whilst 180 Medical is oriented to 
new patient starts. 

During 2021 we also disposed of a segment of HSG’s 
non-core lower-margin incontinence activities. 

29
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IC achieved another strong performance in 2021 as we made 
continued strategic progress. The business launched the highly 
innovative and differentiated extended wear infusion set (“EWIS”) in 
Europe and secured FDA clearance for the US as well. The product 
delivers significant benefits for patients who have to change their 
sets less frequently. 

The business also signed a number of long-term contracts with 
customers and successfully increased capacity in certain 
manufacturing lines to respond to the elevated demand. 

Revenue grew 10.4% on a reported basis and 9.6% on constant 
currency and organic bases. This was primarily driven by 
continued strong demand for our innovative infusion sets used 
by diabetes patients, notably from Tandem Diabetes. Revenue 
growth was supported by growth of other applications, such as 
pain management and the treatment of Parkinson’s, albeit off 
a small base. 

The performance during the year reflected phasing of orders 
from key clients coupled with adding capacity and the EWIS launch. 
H1 organic revenue growth was 6.5% with a step up in growth in 
H2 to 12.5%.

2022 Priorities
During 2022 we will continue to focus on the following areas:
 – Launching and scaling up production of EWIS for the US market
 – Building further on our strong and long-term partnerships with 

insulin pump manufacturers

 – Continuing to invest in further developing our differentiated 

diabetes offering 

 – Expanding the usage of infusion sets for the delivery of other 
sub-cutaneous therapeutics for diseases such as Parkinson’s

Infusion Care

Kjersti Grimsrud
President and Chief Operating Officer, Global Infusion Care

2021 revenue

Category position

No. 1

Global infusion sets  
for insulin pumps 

Key brands
inset™
comfort™
neria™

$357m 

Market size1

c. $1.2+bn

Market growth2

c. 7%

Key competitors
 – Smiths
 – Ypsomed
 – Gerresheimer
 – Apex Medical

1.   Infusion Care comprises infusion set market
2.   Based on growth of the durable pump market from 2021 to 2026.

30
ConvaTec Group Plc
Annual Report and Accounts 2021

Innovate

Innovating to deliver more 
for our patients 
As a world leader in subcutaneous infusion sets we offer 
a wide range of products including automated insertion 
technologies, various insertion angles and cannula types. 
In close cooperation with our partners we develop products 
that improve the quality of life for patients with intuitive 
interfaces and safety features. 

In the late 1980s, we launched our first infusion set and now 
have over ten different types of set families on the market. 
In 2017, we became the first company to launch an infusion 
set with an integrated insertion device which offers passive 
needle safety design, no visible needle (for those with 
trypanophobia) and effective single-hand insertion. 

This track record of differentiated innovation has been 
further enhanced in 2021. In April, in collaboration with our 
partner Medtronic, we launched the first and only infusion 
set that can be worn for up to seven days. This innovation is 
significant for diabetes patients – it doubles the length of 
time an infusion set can be worn so users can safely stay 
on insulin pump therapy with fewer interruptions and 
insertions while introducing enhanced convenience and 
comfort to their diabetes management routine. 

31
ConvaTec Group Plc
Annual Report and Accounts 2020

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review

Our approach to Environmental, Social and 
Governance (ESG) aims to drive the actions 
necessary to help us to realise our vision whilst 
acting in a way that engenders trust with all 
our stakeholders.

Identifying key issues for stakeholders

We understand the importance of operating responsibly and 
generating value sustainably. As we transform our company, we 
are making important progress in managing the operational, 
people-led and environmental issues that are most material to us 
and our stakeholders. 

During 2021 we made significant progress. Leveraging independent 
support to undertake a peer review, gap analysis and materiality 
assessment, we have validated our ESG approach. 

Our materiality assessment helps us to identify and focus on issues 
and impacts that matter most to our business and our stakeholders, 
including our customers, colleagues, communities and shareholders. 

The assessment takes into account a range of factors including 
our business priorities, stakeholder views, the UN Sustainable 
Development Goals, long-term market trends and 
government policy.

We updated our materiality assessment in 2019 and then worked 
with an independent partner to refresh this work in 2021 to ensure 
we remain focused on the key issues for our business and 
stakeholders. We use the results of our materiality assessment to 
inform our approach to managing ESG risks and opportunities 
including the development of our framework outlined in this report 
(see opposite).

The process we followed

Issue identification

Research and analysis

Internal interviews

A long list of issues was identified based on our 
current priorities, our previous materiality 
assessment, strategy, our main impacts and risks, 
long-term market trends, the UN Sustainable 
Development Goals and other external frameworks.

We brought together insights from colleagues, 
investors, non-governmental organisations (NGOs) 
and other data sets, reviewed by an independent 
third party to validate a methodology and weighting, 
based against our 2019 matrix.

We carried out internal interviews and research with 
a range of senior leaders including a workshop with 
our ESG Steering Committee to discuss and 
validate, which included our CEO.

2021 ESG materiality matrix

5

j

r
o
a
M

4

h
g
H

i

3
e
t
a
r
e
d
o
M

2

r
o
n
M

i

9

10

11

12

13

14

6

7

8

5

4

2

3

15

16

17

18

e
c
n
a
t
r
o
p
m

l

i
r
e
d
o
h
e
k
a
t
S

1
e
b
g

i

l

i
l

g
e
N

0

0

Negligible

1

Minor

2

Moderate

3

High

4

Major

5

Business impact

32
ConvaTec Group Plc
Annual Report and Accounts 2021

1

Topics:

 Environmental topics

 Social topics

 Governance topics

Key:

1.  Product safety 
2.  Health & safety
3.   Talent attraction and growth
4.   Colleague wellbeing
5.   Integration of ESG into core 

business process

6.   Sustainable product design
7.   Carbon and energy 

(operational)

8.   Labour standards/Modern 

slavery

9.  Customer access
10.  Business ethics
11.  Waste (operational)
12.  DE&I
13.  Responsible and resilient 

supply chain

14.  Advocacy and community 

relations

15.  Board-level accountability for 

ESG performance

16.  Data Security and Privacy
17.  Water (operational)
18.  Biodiversity impacts on plant 

and animal life

 
 “We are proud of the progress we have made but recognise there’s more to 
do. We are committed to building stakeholder trust and confidence by acting 
on issues that are important to them, and meeting standards that 
demonstrate these commitments in action.” 

Karim Bitar
CEO and Chair, ESG Steering Committee

ConvaTec Cares ESG framework

The materiality assessment helped inform our new ESG framework, 
ConvaTec Cares, which identifies the commitments and activities 
across the company that will help us pivot to sustainable and 
profitable growth. It focuses on the topics which are most material 
for the Group and our stakeholders. 

ESG strategic pillars
 – Delivering for our customers with innovative products, services 
and solutions that are patient-centric and informed by HCP needs 
and which improve lives

 – Enabling our people to thrive by protecting their health and 

ESG mission
Underpinned by our values (see page 2), our ESG mission is to drive 
progress towards our vision of pioneering trusted medical solutions 
to improve the lives we touch by aligning and enabling ESG-related 
initiatives across the business for the benefit of our customers, 
colleagues, community and shareholders. Our ESG framework is 
built around four ESG pillars.

safety and using their talent for good

 – Behaving ethically and transparently to protect and enhance our 

reputation with all our stakeholders 

 – Protecting the planet and supporting communities through the 

way we operate and the contribution we make to the world 
around us 

s

s t o m e r

e r s

ering for o ur c u
Custo m

FISB E

eliv
D

Enabling o

C

oll
r p

u

e

a

g

e

u

o

e

p

l

e

s

t

o

V

a

l

u

e

s

t

h

r

i

v

e

Pioneer trusted medical 
solutions to improve the 
lives we touch

ESG m i s s i o n

g   e

n

B e h a v i

P

s

r

u

o

p

t

e

p

C

c

o

o

t
i

r

m

n

m

g

u

t
i

n

t

g

h

c

e

o

m

nitie
pla

n

m

s

u

et and 
nities

y
l
t
n
e
r
a
p
s
n

m erce
t h ic ally and tra

o

m

C

33
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
 
 
Responsible business review
continued

ESG Governance: Board and management 

Role of the Board

Role of management 

34
ConvaTec Group Plc
Annual Report and Accounts 2021

Our Board has ultimate oversight on ESG and climate-related risks 
and opportunities at ConvaTec. The Executive Director responsible 
for these issues is our CEO, Karim Bitar. As a Board member, he 
brings together continuity and responsibility for our ESG strategy. 
Moving forward, the Board will frequently review progress in respect 
of executing on our ESG strategy, including conducting twice yearly 
rotating deep-dive reviews into key elements of our ESG strategy. 
See pages 100 to 101 for information about the Board’s activities in 
this area during 2021.

The Board’s Audit and Risk Committee (ARC) is responsible for 
reviewing and approving our ESG and Task Force on Climate-related 
Financial Disclosures (TCFD) reporting, in terms of data integrity and 
compliance with regulatory requirements, as well as for oversight of 
the annual assurance of the Responsible Business review carried out 
by an external partner. See page 112 of the ARC report for more 
information on the ARC’s activities in this area.

Building on previous commitments, during 2021, our ESG Steering 
Committee (the Committee) was established. The Committee is 
chaired by the CEO and includes six members of our ConvaTec 
Executive Leadership Team (CELT). The Chief Human Resources 
Officer (CHRO) is the day-to-day CELT sponsor for ESG, providing 
ESG stewardship across the Group with the support of the CEO. 

The Committee oversees the formulation and delivery of the ESG 
strategy and during 2021 met three times. The Committee drives 
the strategy, progress and required actions to manage our ESG-
related risks and capitalise on opportunities. This is then reported to 
the CELT, and the Board as required, for discussion, review and 
challenge. In addition, as part of our overall annual strategic planning 
process, each Business Unit considers ESG priorities and targets 
and, importantly, how climate-related risks may be specifically 
relevant to their particular business. 

Together, these measures ensure that all members of the CELT 
understand our business response to ESG topics and are committed 
to delivering against our commitments to become a more 
sustainable business. We have also formed two sub-committees 
composed of leaders across the business to advance the essential 
work needed to meet TCFD requirements and to monitor and 
protect human rights in our operations and supply chain. 

We have a dedicated Environmental, Health and Safety (EHS) team 
within our Global Quality & Operations function. They work across 
our manufacturing and R&D facilities to deliver environmental 
management systems in line with our corporate requirements, 
aligned with ISO 14001.

Role of the Board

Role of management 

Our Board has ultimate oversight on ESG and climate-related risks 

and opportunities at ConvaTec. The Executive Director responsible 

for these issues is our CEO, Karim Bitar. As a Board member, he 

brings together continuity and responsibility for our ESG strategy. 

Moving forward, the Board will frequently review progress in respect 

of executing on our ESG strategy, including conducting twice yearly 

rotating deep-dive reviews into key elements of our ESG strategy. 

See pages 100 to 101 for information about the Board’s activities in 

this area during 2021.

The Board’s Audit and Risk Committee (ARC) is responsible for 

reviewing and approving our ESG and Task Force on Climate-related 

Financial Disclosures (TCFD) reporting, in terms of data integrity and 

compliance with regulatory requirements, as well as for oversight of 

the annual assurance of the Responsible Business review carried out 

by an external partner. See page 112 of the ARC report for more 

information on the ARC’s activities in this area.

Building on previous commitments, during 2021, our ESG Steering 

Committee (the Committee) was established. The Committee is 

chaired by the CEO and includes six members of our ConvaTec 

Executive Leadership Team (CELT). The Chief Human Resources 

Officer (CHRO) is the day-to-day CELT sponsor for ESG, providing 

ESG stewardship across the Group with the support of the CEO. 

The Committee oversees the formulation and delivery of the ESG 

strategy and during 2021 met three times. The Committee drives 

the strategy, progress and required actions to manage our ESG-

related risks and capitalise on opportunities. This is then reported to 

the CELT, and the Board as required, for discussion, review and 

challenge. In addition, as part of our overall annual strategic planning 

process, each Business Unit considers ESG priorities and targets 

and, importantly, how climate-related risks may be specifically 

relevant to their particular business. 

Together, these measures ensure that all members of the CELT 

understand our business response to ESG topics and are committed 

to delivering against our commitments to become a more 

sustainable business. We have also formed two sub-committees 

composed of leaders across the business to advance the essential 

work needed to meet TCFD requirements and to monitor and 

protect human rights in our operations and supply chain. 

We have a dedicated Environmental, Health and Safety (EHS) team 

within our Global Quality & Operations function. They work across 

our manufacturing and R&D facilities to deliver environmental 

management systems in line with our corporate requirements, 

aligned with ISO 14001.

Introducing our ESG Steering Committee

Responsibilities
 – Custodian of ESG strategy and objectives, including our approach 

to key sustainability topics such as:
 – Our impact on the environment and communities
 – Engagement with the workforce and the Group’s Diversity, 

Equity & Inclusion and Wellbeing approach, as well as protection 
of human rights in the supply chain

 – Leads on relevant key stakeholder engagement across ConvaTec 

(and beyond)

 – Establishes and oversees subcommittees to drive execution and 
focus in particular areas, and in 2021, did so through our Human 
Rights Committee and a new TCFD working group 

CEO

(Chair)

CFO

EVP, Chief Human 
Resources Officer 
& ESG
Stewardship

EVP, Chief 
Technology 
Officer

ESG Steering  
Committee

EVP, Corporate 
Strategy & Business 
Development, 
General Counsel & 
Company 
Secretary

Head of Global 
Communications, 
Engagement & ESG

EVP, Global 
Quality & 
Operations

Head of Investor 
Relations & 
Corporate 
Communications

The Board

Audit and Risk 
Committee

ESG Steering  
Committee

TCFD working group

Human Rights  
Committee

CELT

Strategic 
planning 
process

ESG strategic pillar owners and 
leaders to drive progress, 
performance, compliance and 
metrics

Details on the relevant skills and experience of our CELT members 
can be found online at: 
https://www.convatecgroup.com/about-us/convatec-executive-
leadership-team/

35
ConvaTec Group Plc
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Engaging stakeholders
We proactively engage with our stakeholders 
to understand their issues and build positive 
relationships. Our section 172 statement is set 
out on page 22.

Importance of stakeholders and 
their key needs

How we engage

Outcomes

Stakeholder
The people who use 
our products and rely 
on our services

Consumers/Patients

 – Our customers and patients, 

those with chronic conditions, 
are the people we serve and for 
whom all our products and 
services are produced.

 – Safe, effective, accessible and 

innovative products

 – Support and information

 – Direct-to-consumer channels
 – Home delivery companies 
 – Specialist nurses and call centres
 – Targeted consumer research
 – Responding to specific consumer 

questions, feedback and 
complaints

 – Incorporation of relevant 
consumer feedback in our 
research and development 
processes

 – Service provision reviews based 

on customer feedback, and 
implementation of enhancements 
as required

 – Tracking and management of 

customer issues

Direct enablers who 
help us deliver

Healthcare professionals

Our people

Suppliers and other 
supply chain partners

 – Products and services that meet 
patients’ needs and benefit the 
healthcare delivery system

 – Fair pricing

 – Our employees bring our vision, 
values and FISBE strategy to life, 
fostering an inclusive and 
supportive culture that enables 
them to deliver for customers 
and patients.

 – Safe, healthy, ethical and fair 

working environment

 – Diversity, equity and inclusion 
(DE&I) and wellbeing practices
 – Making a difference to the people 
who rely on our products and 
services

 – Career growth opportunities
 – Attractive reward and recognition

 – Our suppliers and partners are 
critical to ConvaTec’s ability to 
deliver our products and services 
to our customers and patients. 

 – Long-term relationships
 – Fair pricing and commercial terms
 – Predictable business

 – Ongoing clinical and commercial 

dialogue

 – Targeted research
 – Specialist training programmes
 – Advisory boards
 – Key opinion leader meetings

 – Product and service insights 
inform our development 
processes and our day-to-day 
operations

 – Group-wide interaction via our 

 – Incorporation of insights to shape 

intranet, our MyConvaTec app and 
regular town hall meetings

 – Performance reviews
 – Employee recognition activities
 – DE&I and Wellbeing initiatives, 
including Employee Resource 
Groups

 – Customer stories
 – Group-wide employee surveys
 – Union representation and works 

councils (where relevant)
 – Board-level engagement 

programme 

 – Independent third-party managed 
whistleblower hotline (Compliance 
Helpline/web link) 

 – Commercial dialogue
 – Supplier assessments

our people strategy, talent 
processes and development/
training programmes
 – Cadence of employee 

communications and engagement

 – Development of valuable 
partnerships to address 
consumers’ needs

 – Supplier awards

Channel partners*

 – Our channel partners are critical 

to ensure that ConvaTec’s 
products and services are 
available to those with chronic 
conditions.

 – Commercial dialogue
 – Marketing activities
 – Tender processes
 – Distributor due diligence and 

compliance training

 – Continued inclusion in tender 

processes

 – Development of valuable 
relationships to address 
consumers’ needs

 – Effective, competitively priced 

 – Quarterly reviews with partners

products

 – Fair pricing and commercial terms
 – Continuity of supply

36
ConvaTec Group Plc
Annual Report and Accounts 2021

Stakeholder
B2B customers

Investors and debt 
providers 

Importance of stakeholders and 
their key needs
 – Our B2B customers are critical 
to ensuring that ConvaTec’s 
innovative products can be used
with other companies’ own 
products to address patient 
needs.

 – Innovative products for use with

their own products

 – Long-term relationships
 – Fair pricing and commercial terms
 – Continuity of supply

 – Our investors and debt providers
are critical to supporting and 
maintaining ConvaTec’s high 
standing and reputation in the 
financial markets.
 – Strategy and delivery
 – Sustainable returns
 – Responsible business practices
 – Cash flow to pay dividends and

How we engage
 – Commercial dialogue and 

partnership

Outcomes
 – Development of long-term
partnerships focussed on 
addressing patient needs

 – Annual General Meeting
 – Board members accessibility
 – Quarterly results announcements
 – Active investor relations 

 – Quality materials to ensure the 
capital markets appreciate the 
health of the business and its 
future prospects

programme: in 2021 we hosted 
more than 320 investor meetings
including two multi-day virtual 
roadshows and participation in 
12 virtual conferences

service debt obligations

 – Relationship-led engagement 

with debt providers

 – Executed an investor perception

study

 – Feedback from corporate brokers

Evaluators who hold 
us to account for our 
performance

Regulators

 – Adherence to legislation and

 – Regular and ad hoc dialogue in 

regulation

 – Proactive engagement when 

challenges arise

relation to product approvals and
other matters

Governments

 – Responsible business practices
 – Employment
 – Income generation via taxes

 – Ad hoc dialogue in relation to 

specific matters including Brexit, 
fiscal (e.g. taxation), employment
(e.g. apprenticeships) and 
corporate governance, 
membership of All Party 
Parliamentary Groups

 – Implementation of responsible 
and diligent business practices
 – Compliance with legislation and 

regulation

 – Input into relevant industry 

consultations

 – Making a socio-economic 
contribution to a range of 
stakeholders

Communities

 – Employment opportunities
 – Medical education
 – Active management of negative 
environmental impact from 
operations

Industry bodies 

 – High-quality input into industry 

policies and standards 
development

 – Proactive engagement in relation 

to relevant issues

 – Ad hoc dialogue in relation to

 – Enhancing the communities 

specific matters 

where we operate

 – Support for a range of medical

 – Building our reputation in our 

education initiatives 

 – Charitable partnerships and 

donations, including plans for new
NGO partnerships 

 – Membership of several industry 
bodies including Association of 
British HealthTech Industries, 
MedTech Europe and AdvaMed

 – Participation in meetings and 

discussions in relation to industry
issues including best practice

communities and across broader
society

 – Contributing to improved 

understanding of key industry
issues

 – Helping to shape relevant agendas

and standards

* 

Including distributors, large buying organisations, integrated delivery networks, hospitals and national and regional payors

37
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Our ESG targets
These new targets reflect ConvaTec’s intentions 
for the next stage of our ESG journey, under our 
new ConvaTec Cares framework. Going forward 
we intend to track our progress throughout the 
year towards these revised targets and report 
progress to the Board. For some new targets, 
historic benchmark data is currently unavailable. 

The status of all targets has been reviewed as 
part of the assurance process. For further details 
please see the assurance statement at  
https://www.convatecgroup.com/corporate-
responsibility/corporate-responsibility-reports/.

Target1
ESG strategic pillar: delivering for customers

Progress/status in 2021

Further 
information 

1. Align existing quality metrics to industry standards and our continued focus in
product safety by Q4 2022

Reviewed legacy product quality 
disclosures to bring 2022 approach 
into line with industry practice

2. Improve Vitality Index (percentage of revenues that are generated from new
or significantly upgraded products and services launched by ConvaTec in the 
preceding five-year period) to 30% by Q4 2025

25%

Page 40

Page 42

3. Fully implement Green Design Guidelines (GDGs) as part of product 
development process and expand our GDGs digital tool user base to at least 50 
users by Q4 2022

Supporting digital tools piloted and roll 
out plans developed

Page 41

ESG strategic pillar: enabling our people to thrive

4. Health & Safety: 
4.1 Increase our Operations Hazard Observation Rate to above 200 per
200,000 hours worked by Q4 2022

190 per 200,000 hours worked 
(173 in 2020)

4.2 Reduce Operations Lost Time Injury Rate to below 0.22 per 200,000 hours 
worked by Q4 2025

0.3 per 200,000 hours worked  
(0.23 in 2020)

5. Diversity, Equity & Inclusion and Wellbeing: 
5.1 Reach at least 40% females in combined CELT and senior management by
Q4 2024

5.2 Reduce voluntary turnover to less than 10% by Q4 2023

32% 
(34% in 2020)

11% in 2021 
(7% in 2020)

Page 48

Page 49

Page 48

Page 43

ESG strategic pillar: behaving ethically and transparently

6. Human rights: complete the review, update and publication of our Human 
Rights and Labour Standards Policy and Supplier Code of Conduct by Q4 2022

Review ongoing. To be completed 
during 2022

Page 50

7. Code of Conduct: have at least 95% of employees trained on our Code of 
Conduct on an annual basis, by Q4 2023 and in subsequent years 

Expanded categories of topics included 
in Code of Ethics and business conduct

Page 50

8. Procurement and supply chain: ensure that 80% of ConvaTec’s spend is
supported by suppliers with whom we have engaged to request their 
participation in our EcoVadis platform, by Q4 2023

EcoVadis participation requested in 4 of 
7 request for proposal/request for 
information events

Page 52

ESG strategic pillar: protecting the planet and supporting communities

9. Emission reduction: 
9.1 Achieve Net Zero Carbon in line with our Science Based Target initiative
(SBTi) target by Q1 2045

9.2 Complete the Scope 3 Materiality Assessment and develop the 
measurement strategy by Q4 2022, with the intention of publishing our Scope 3 
greenhouse gas (GHG) inventory by Q4 2023 

9.3 Reduce our combined Scope 1 and 2 GHG emissions by 5%, against a 2021 
baseline by Q4 2022 

SBTi commitment made in 2021

Page 53

SBTi commitment made in 2021

Page 57

SBTi commitment made in 2021

Page 53

38
ConvaTec Group Plc
Annual Report and Accounts 2021

Target (continued)
10. Science Based Target commitment: 
10.1 Set quantitative targets for Scope 1 and 2 GHG emissions, against a 2021 
baseline, aligned with the Science Based Targets criteria, by Q4 2022

10.2 Set quantitative targets for Scope 3 GHG emissions, against a 2021 
baseline, aligned with the Science Based Targets criteria by Q4 2023

10.3 Achieve validated Science Based Targets for Scope 1, 2 and 3 emissions 
by Q4 2023

11. Community contributions: 
11.1 Establish new NGO partnership(s) and funding commitments by Q4 2022

11.2 Contribute responsibly to a range of HCP and patient education 
programmes. Set specific targets for 2023 and subsequent years on reach 
and impacts

1.  Complete definitions for each target are provided on page 220.

Progress/status in 2021
SBTi commitment made in 2021

Further 
information 
Page 53

SBTi commitment made in 2021

Page 57

SBTi commitment made in 2021

Page 53

Review of existing communities activity Page 59

Governance in place for processing 
medical educational grants

Page 59

How we support the UN Sustainable Development Goals (SDGs)

We support the United Nations SDGs which aim to align 
governments, businesses and the third sector in their efforts to end 
poverty, fight inequality and address climate change. ConvaTec joins 
over 15,000 other companies as a participant of the UN Global 
Compact (UNGC) in which we pledge to follow the UNGC’s 10 
principles on human rights, labour, environment and anti-corruption.

Our ESG Steering Committee has reviewed the SDGs and their 
relevance to our business as part of the development of our ESG 
framework. During the development of the framework, we 
identified six goals where we can contribute to a more sustainable 
future. We also used the goals to inform our materiality process and 
the development of our ESG targets. While our business is linked to 
all 17 goals, the following are core to what we do and how we do it.

Relevant SDGs

Ensure healthy lives and promote wellbeing for all at all ages. 
As explained throughout this Annual Report our core business is 
primarily aligned with this goal and most closely with the target to 
“by 2030, reduce by one third premature mortality from non-
communicable diseases through prevention and treatment and 
promote mental health and wellbeing.”

Ensure inclusive and equitable quality education and promote 
lifelong learning opportunities for all
Our role as an employer, our commitment to our people and 
diversity, equity & inclusion and wellbeing, and our support of 
medical education activities aligns to this goal. See pages 44 and 59.

Promote sustained, inclusive and sustainable economic growth, 
full and productive employment and decent work for all.
Our Human Rights and Labour Standards Policy, and Supplier Code 
of Conduct assessments, aim to reduce the risk of child and forced 
labour, and other poor practices across our own operations and 
supply chain. See page 50.

Reduce inequality within and among countries
Our focus on helping people with chronic conditions, global 
emerging markets, and building capacity through employment 
opportunities aligns to this goal. See pages 40 and 48.

Ensure sustainable consumption and production patterns
Our product life-cycle analysis programme and GDGs aim to support 
more sustainable products. 
See page 41.

Take urgent action to combat climate change and its impacts
Our climate strategy and commitment to developing SBTs are 
aligned with the goal of combatting climate change. See page 53. 

39
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

ConvaTec
cares

Delivering for our customers:
Producing innovative products, services and 
solutions that improve lives, are patient-centric 
and informed by HCP needs

2021 highlights
 – Launched GDGs as part of our product development process
 – Made 33 patent filings and eight product launches
 – Reached a vitality index of 25%. Launched new direct-to-

customer platform for Ostomy Care

“Our entire business is oriented 
to helping people manage 
challenging chronic conditions 
so that they are able to live their 
lives to the fullest. Our products 
help people with a wide range 

of personal and often private conditions. 
Our customers, patients and the healthcare 
professionals who care for them, rely on us 
and if we do not deliver for them, we have no 
business. Engagement with our customers is 
fundamental to our success. We listen to 
them to better understand their needs and use 
their feedback to improve existing products 
and innovate new solutions.” 

Divakar Ramakrishnan
Chief Technology Officer

2022 priorities 
 – Expand the user base of our GDGs digital tools
 – Launch of several new products and continue improvement 

of vitality index towards 2025 goal

 – Continue focus on product safety, with product quality disclosures 

in line with industry best practice

Innovation and efficacy
Innovation starts with the culture of encouraging every employee to 
take responsibility and explore how we can improve the lives of our 
patients. We are encouraging collective innovation – any employee 
is empowered to provide ideas and work with colleagues throughout 
the company. We are fostering a culture where we are all 
responsible for propelling the company to the next breakthrough 
however big or small. We also offer employees the opportunity to 
hear innovative external speakers talk about new technologies to 
spark ideas and creativity within the company. 

This has been supported by creating capability centres in 
Technology and Innovation to attract the brightest talent to 
key areas including materials science, infection prevention, 
mechatronics, software and data analytics and manufacturing 
process. This has resulted in a significant increase in our innovation 
as indicated by the breadth and number of new patents. During 
2021, a total of 33 patent filings were made (2020: 35) and ideation 
has been supported by new capabilities in pre-clinical research that 
looks at the underlying physiologic process enabling our engineers 
to have highly targeted solutions to address the most challenging 
problems. Furthermore, we now run healthy volunteer studies 
in controlled environments to enable our engineering teams to 
rapidly get feedback from people to improve and test our new 
product designs.

Product safety 
Product safety is a key issue for our customers and pivotal in earning 
ConvaTec a reputation as a trusted provider. Regulators consider 
most of the products and solutions we develop to be of low risk to 
users. Nevertheless, we have a rigorous and robust supplier audit 
mechanism and quality management system. Notified bodies (such 
as BSI) also review our quality processes and procedures.

We conducted a total of 187 audits during 2021 (2020: 121). 
Our ability to conduct on-site supplier audits in 2021 improved in 
comparison to 2020. While we still faced challenges due to 
COVID-19 travel restrictions, some of the supplier and contract 
manufacturing audits did take place on site, allowing us to evaluate 
and address any residual risk from previous audits. 

40
ConvaTec Group Plc
Annual Report and Accounts 2021

In rare circumstances it may be necessary to trigger a product 
recall, following a detailed internal quality investigation. Recalls are 
controlled by standard operating procedures, all of which underwent 
improvements in 2021 as part of our focus to elevate standards 
across the quality system. With this improvement and enhancements 
in quality governance, all pending investigations were closed in 2021. 
As such, we implemented eight voluntary product recalls in 2021. 
While there was no risk of harm to patients, the distributed products 
did not meet the enhanced requirements of the quality system.

Use of animals in research
ConvaTec believes strongly in avoiding the use of live animals in 
research and testing unless absolutely necessary. Every effort is 
made to conduct as much of our research with bench work and cell 
cultures. If there is a critical need to conduct animal studies then the 
highest of ethical standards are followed. Any discomfort to an 
animal is avoided and all work is undertaken in certified facilities 
under the watchful eye of a veterinarian.

In 2021, there was a research study requiring the use of three swine 
to investigate the physiological response of tissue to devices 
inserted into the subcutaneous layer, before future use in humans. 
In 2020 we did not conduct any studies using animal research. 

Sustainable product design 
Our new product development (NPD) processes include a review of 
the proposed materials against certain externally compiled lists of 
‘substances of concern’, including the requirements of California 
Proposition 65 and REACH25 and this approach is consolidated 
within our Ethical Issues and NPD policy.

As well as focusing on our key product development priorities, 
we are endeavouring to develop future, more sustainable portfolios. 
In 2021, we launched the pilot of a digital tool for our Green Design 
Guidelines (GDGs), which cover a range of aspects including 
consideration of carbon footprint, water footprint, circularity, 
substances of concern and non-quantitative ‘red flags’ (e.g. potential 
use of substances which are fully legal, but controversial). This tool 
assesses the sustainability of new products compared to existing 
products. While piloted with a core group of eight trained users in 
2021, the tool has already assessed 12 existing products and it is 
expected that all existing products will be incorporated in 2022 to 
offer a baseline for comparison when assessing new products. In line 
with our goal of expanding the user base to 50 trained users by Q4 
2022, the GDGs will be integrated within our NPD and material 
change processes to ensure the most appropriate materials are 
selected to reduce the future environmental impact of our products 
and packaging.

Given the paramount importance of patient safety and the 
regulatory framework in place for MedTech products, it is not 
a straightforward task to change device form and components. 
Extensive requalification and reapproval of products are necessary 
after any change before modified products can be launched. It is 
also problematic to include recycled content in device materials due 
to regulatory constraints regarding quality and traceability. 

Spotlight: me+™ programme

Our me+™ programme operates throughout 
the US and Europe and aims to support people 
managing chronic conditions and help them enjoy 
their lives. The programme provides access to 
a dedicated me+™ team along with a range of 
online resources covering lifestyle tips and advice, 
educational and guided recovery tools and 
peer-to-peer support. 

We continued to offer virtual support services 
and have expanded our virtual telehealth service 
in the US to also service our Spanish-speaking 
customers. These services continue to provide 
valuable support to many patients and consumers.

We have increased investment in digital capability 
in the US and Poland, providing a key role in 
connecting people living with an ostomy 
throughout their journey and improving customer 
experience when using our products and 
services. The COVID-19 pandemic has shifted 
and expanded the role of digital tools among 
healthcare professionals and the Ostomy Digital 
Transformation Programme was launched to 
deliver globally scalable digital products with 
quality customer experience. 

At the end of December 2021, there had been 
over 400,000 members enrolled – at no cost 
– since the programme launched. 

41
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Data privacy 
We operate a privacy governance framework to ensure that we 
protect and properly process personal data and comply with all 
privacy regulations including the European Union General Data 
Protection Regulation (GDPR) and the California Consumer Privacy 
Act (CCPA). 

This framework includes policies, procedures, controls and records 
which operate across our business on a global basis. The 
implementation of this framework is supported by mandatory 
employee training, which forms part of our induction process for 
new employees and annual updates for existing employees, 
underpinned by our Group compliance programme. Its effectiveness 
is overseen by several internal governance groups, including our 
Cybersecurity Steering Committee, and our various data policies, 
procedures and controls are regularly assessed by our internal audit 
team. In various markets, trained privacy champions, supported by 
third-party experts, provide first-line local support on privacy 
matters. This framework is continually reviewed to ensure any 
changes in legislation are incorporated and is regularly reviewed for 
effectiveness by the ARC.

From time to time, we may experience theft or inadvertent 
disclosure of data. In 2021 there were no reportable issues to data 
protection authorities and no significant volume of data subject 
access requests were received.

→
For further information on our information systems, security and 
privacy risk, see page 70.

Responsible business review
continued

New products 
In 2018 we set a target to launch 35 new products (including 
incremental enhancements to existing products) by 31 December 
2020. As shown below we achieved this target by 2020. To fulfil our 
vision and harness growth opportunities, we need to strengthen and 
augment our R&D capabilities and make innovation an integral part 
of our organisation. We are increasing our investment in this 
critically important area and during 2021 continued to strengthen 
our R&D function (see page 14). 

In addition to our efforts towards product enhancements, we 
currently have seven exciting new products to be launched over the 
next few years. These are expected to contribute to the vitality of 
our portfolio. We have introduced a new target to measure progress 
in this regard with our goal that by 2025, 30% of our revenue will be 
generated from new products launched in the preceding five years. 
Furthermore during 2021 we had eight product launches.

Reliability of supply 
Satisfying our customer expectations is of the highest importance 
to ConvaTec. Close collaboration across all relevant functions is 
enabled by our Sales and Operations teams planning for short, 
medium, and long-term requirements, in order to anticipate changes 
to demand dynamics, to ensure production and logistics readiness, 
and to monitor our performance in successfully making products 
both available and accessible to our customers. Throughout the 
pandemic and more recently, in light of the capacity constraints seen 
in the global logistics freight infrastructure, ConvaTec has proactively 
worked with logistics partners to reserve freight capacity and 
increased end-to-end inventory levels to de-risk any interruption in 
supply to our customers as a result of possible transport delays. 

Access to healthcare 
Access to healthcare is a basic human right that should be available 
to all who need it. This fundamental principle is integrated in our 
vision and we run our business to ensure the following: 
 – Availability: we continue to evolve our sales channels to best meet 
our customers’ needs. New services in 2021 included the launch 
of a new direct-to-customer platform in OC which supports HCPs 
in selecting and recommending the best products for their 
patients, and provides patients with a convenient one-stop shop 
to fulfil their prescriptions, find advice and schedule a consultation 
with a nurse.

 – Adaptability: based on feedback from users and healthcare 

professionals our products address a broad range of patient needs 
reflecting the different challenges that individual users experience. 
Getting the range of products right relies on research and 
stakeholder engagement (see pages 36 and 37). 

 – Usability: a product may ‘do a job’ medically, but given the social 

and emotional contextual needs of the people we serve, we need 
to provide solutions which go beyond the provision of a functional 
device. To lower ‘access barriers’ we help patients identify the 
right device which best suits their needs, provide easy-to-follow 
literature, videos and online support and deliver millions of 
products a year.

 – Economic: affordability is a key issue which we strive to address 
through competitive pricing and innovation to increase product 
effectiveness and, as a result, reduce healthcare costs and 
improve patients’ lives.

42
ConvaTec Group Plc
Annual Report and Accounts 2021

 
ConvaTec
cares

Enabling our people to thrive:
Protecting their health and safety and using their 
talent for good

2021 highlights
 – Began implementation of our refreshed people strategy
 – Developed a new DE&I and Wellbeing framework based on 

insights from more than 3,000 colleagues

 – Enhanced wide range of capability-building programmes

“Our people are central to our 
ambition to transform our 
business, deliver our strategy 
and realise our vision. As we 
continue to invest in our people, 
we are building a culture that 

focuses on promoting wellbeing in the 
workplace, driving diversity, equity and 
inclusion for all and acting respectfully and 
responsibly in order to ensure safe, fair and 
rewarding careers. I am proud of the progress 
we are making to deliver our people mission 
and confident we have the right plans in place 
to realise the potential of our people.”

Natalia Kozmina, 
Chief Human Resources Officer
& ESG Stewardship

2022 priorities 
 – Implement new DE&I and Wellbeing framework 
 – Continued improvement on health and safety
 – Sustain our focus on employee engagement measures

At the end of 2021 we employed 10,1421 people (2020: 9,914), 
an increase of 2% on the prior year. Employee turnover in 2021 was 
19%2 (2020: 14%), largely driven by both natural churn and a series 
of ongoing transformation initiatives. Information on our employee 
profile is illustrated in the graphs on the following pages, while our 
definitions for employee count and gender diversity is detailed on 
page 48. 

While our employees are spread across our global footprint, based 
in 47 countries, approximately 59% of our workforce is employed at 
our nine manufacturing locations (2020: 61%). In addition to our 
facilities in the Dominican Republic, Mexico and Slovakia, we have 
manufacturing operations in the UK (two locations), Denmark 
(two locations), Belarus and the Netherlands. Of countries with no 
manufacturing operations, the US has the largest concentration 
of employees. 

Our people strategy 
In March 2021 the refreshed people strategy, which is deeply rooted 
in ConvaTec’s vision and strategy, was approved by the Board. Our 
people mission is to create a stimulating, inclusive and rewarding 
environment for our people to thrive and grow together, for the 
benefit of our customers, colleagues, communities and shareholders. 
To do this we will continue to focus on: 
 – Aligning talent to value and building diverse talent succession for 

critical roles

 – Building high-performance teams
 – Embedding our values-based culture across the Group
 – Developing our reputation as a world-class employer with a 

compelling employer value proposition whilst raising our profile in 
the communities we serve

As part of our FISBE strategy we are significantly enhancing core 
capabilities in several areas and strengthening our people and 
culture practices. See how we are building core capabilities on page 
16. In 2021, we also commenced an HR transformation programme. 
We still have work to do, but 2021 has been an important year in 
building foundations to enable the journey to deliver our people 
strategy. Progressing all of this work is a key focus area for 2022.

1.   Includes eight Non-Executive Directors. For full breakdown, see pages 94 and 95
2.  This includes voluntary and involuntary turnover

43
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Our culture
Our people strategy guides our day-to-day work and was designed 
to help shape an engaging, inclusive and high-performance culture 
that enables all our people to give their best and fulfil their potential 
wherever they work. Our values guide our behaviours and how we 
run our business every day. They are embedded in our policies and 
processes, including our performance reviews, which assess both 
the ‘what’ and ‘how’ of each employee’s contribution.

Reports are provided to the Board regularly to assist the Board with 
assessing and monitoring culture, including progress on our people 
strategy, Organisational Health Index (OHI) analysis and results and 
progress on talent and succession planning.

During 2021, we took actions based on insights from our most 
recent OHI assessment undertaken in November 2020. There are 
three core themes below, which we have focused on during 2021: 
 – Customer focus: We further strengthened our connections with 
our customer stakeholders (from patient groups to payors) and 
reinforced our customer-centric approach. Progress included the 
introduction of a company-wide portfolio of customer stories and 
a regular cadence of meetings with patients and healthcare 
professionals to listen and engage with their needs, including a 
discussion directly between patients and healthcare professionals 
with the Board.

 – Operational discipline and innovation: We continue to build 
our core capabilities, including our operational processes. We 
encouraged employees to participate in execution excellence 
training. We have enhanced our culture of innovation by engaging 
leaders and teams to deliver new products we are planning to 
launch over the next few years. During the year we launched a 
consistent process to progress new product development more 
effectively and efficiently. 

 – Motivation and engagement: We have enhanced the way we 

engage, involve and motivate our people, including improving the 
way we communicate. We sustained momentum around 
employee engagement through hosting the ‘Big Conversation’, 
a company-wide initiative to help everyone understand our 
strategy and their role in it. This was further supported by a range 
of learning resources. We expanded the global ConvaTec 
Champion Recognition Awards and 1,338 employees were 
recognised for values in action. We also introduced an annual 
equity award programme for employees below senior 
management level. 

Building core capabilities
In 2021, we focused on developing our employees through an 
enterprise-wide training programme called Ability to Execute (A2E) 
which enables executional excellence by focusing on 15 key skills and 
enabling the business to develop a common language around 
execution excellence. The programme was delivered digitally, and by 
classroom and virtual classroom. To date, 42% of employees have 
completed the programme, and 80% of our manufacturing 
employees, with representation from all of our nine manufacturing 
sites, completed the programme. We have also launched the first 
global line manager skills programme called Manager to Leader and 
150 line managers participated in 2021 which focused on a range of 
leadership skills. We have continued to provide LEAN, Six Sigma and 
Project Management programmes. We also established a strategic 
partnership with Michigan Ross School of Business to support the 
development of high-performance teams, which will continue 
in 2022.

To ensure we have the relevant manufacturing skills and 
competencies to support our strategy, we created a globally 
consistent technical training and assessment process for our key 
manufacturing sites. As a result of this process, we have mapped all 
the required training needs, duly identified by process and positions 
within our operations and the timing at which each training should 
be delivered; this achievement comes as a complement to the 
existing regulatory matrix already in place. Full deployment will be 
completed, for all manufacturing sites by 2022, as completion was 
hindered given the pandemic and our decision to prioritise the 
health and wellbeing of our people and the continued supply of 
our products. 

In addition, our online Development Matters site supports employee 
growth and development throughout their careers. The site is a 
portal to access a range of formal, self-directed, and innovative 
approaches that are available to equip employees with the 
knowledge and skills to develop and perform effectively. Categorised 
into three levels of leadership communities, from aspiring leaders 
to strategic leaders, the site aims to provide employees with 
fundamental management skills and development of leadership skills 
including personal effectiveness, managing change and strategic 
leadership and delegation.

44
ConvaTec Group Plc
Annual Report and Accounts 2021

Diversity, Equity & Inclusion and Wellbeing

Our colleagues represent multiple nationalities, as well as the many 
cultures, religions, races, sexual orientations, backgrounds and 
beliefs. Aligned to our core values of delivering results for our 
customers and patients, we recognise that we will only ‘grow 
together’ and ‘improve care’ if we harness the power of our 
differences and encourage diverse thinking. 

Our colleagues should feel included, valued and respected – not just 
because it’s the right thing to do, but because people are the best 
versions of themselves when they feel they are being treated fairly 
and respectfully. Diverse opinions and perspectives spark the 
innovation ConvaTec needs to pivot to sustainable and profitable 
growth. We cannot expect to meet diverse customer needs without 
embracing the diversity of our colleagues. 

In 2021, we engaged more than 3,000 colleagues at all levels of the 
business, including Board members, to help us shape our company-
wide DE&I and Wellbeing framework This work culminated in the 
articulation of a new model that our programmes and commitments 
from 2022 will align to, under four key areas:
 – Cultivate an inclusive culture for our colleagues
 – Build a diverse workforce with greater gender and ethnic diversity 

across our leadership

 – Support wellbeing as a priority for colleagues and the wellbeing 

of others

 – Enhance our reputation through leveraging our scale, partnerships 

and programmes

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45
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
Responsible business review
continued

Spotlight: Wellbeing

Recognising the ongoing impacts of the 
pandemic on both physical and mental health, in 
2021 we provided a wide range of information, 
support and initiatives to help ensure our people 
have the opportunity to thrive. These included 
how we have gone about establishing a hybrid 
way of working, informed by a philosophy we call 
Our Work Life. In this initiative, colleagues in roles 
that allow it can split their time between working 
at home and collaborating with colleagues in our 
offices (several of which have been refurbished 
to become more collaborative workspaces). 
This ensures colleagues can always work in the 
environment that suits them best. 

We are also supporting colleagues across the 
company through a range of initiatives to support 
remote working, including:
–  Focus Fridays, where we try as much as 

possible to avoid scheduling regular/recurring 
meetings to give people time each week for 
reflection and personal priorities; 

–  ConvaFit, an allowance of $200 (or the local 

currency equivalent) per employee, to purchase 
sports equipment, and/or take part in fitness 
classes to ensure our people can focus on their 
physical and mental health; and

–  In October 2021, we hosted our second annual 
ConvaTec Day, which gives colleagues time off 
and more time to think and plan. We aligned the 
day to World Mental Health Day to further 
amplify the importance we place on this topic.

46
ConvaTec Group Plc
Annual Report and Accounts 2021

Employees and contractors

2021

2020

2019

2018

10,142

319

9,914

341

9,197

314

9,413

271

Employees

Agency staff and independent contractors

Leavers and hires by age band
Hires

2021

2020

2019

2018

796

808

865

947

< 30

30–50

> 50

1,147

283

1,169

153

920

164

936

158

Employees by geography1

Leavers

2021

2020

2019

2018

50%

8%

52%

7%

53%

6%

54%

6%

42%

41%

41%

40%

2021

683

989

319

2020

436

750

221

2019

2018

856

794

961

215

969

212

Americas

APAC

EMEA

< 30

30–50

> 50

Employees by age bracket

2021

20%

2020

22%

2019

22%

2018

25%

< 30

30–50

> 50

60%

20%

61%

17%

61%

17%

60%

15%

Leavers and hires by gender
Hires

2021

2020

2019

2018

1,010

837

804

973

Male

Female

Leavers

2021

862

2020

579

828

2019

2018

885

869

Male

Female

1,216

1,293

1,145

1,067

1,129

1,147

1,106

1.  CEO and CFO are included in regional employee count.

47
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Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Increasing diversity
We are committed to increasing gender and other forms of diversity 
including age and ethnicity across all parts of our business through 
the continuous and effective implementation of our Diversity, Equity 
& Inclusion and Wellbeing strategy. In particular, we track employee 
diversity through our HR systems, and the Board will continue to 
review our diversity profile on an annual basis. 

Our three established Employee Resources Groups (ERGs), 
LGBTQIA+ (Pride), Black Employees (BEN) and Women’s Network, 
continue to grow their memberships and strengthen engagement of 
key populations across our communities with significant executive 
support and sponsorship. In 2021, our ERGs promoted and 
celebrated key moments on the calendar such as Pride month, 
Black History Month and International Women’s Day. Our ERGs have 
CELT-level sponsorship and ambitious plans to grow further, with all 
our ERGs expanding their footprint throughout 2021.

As at 31 December 2021, women represented 30% of our Board 
membership, 32% of our senior management team and 27% of the 
CELT. Our Diversity, Equity & Inclusion and Wellbeing target is to 
reach at least a combined 40% females in senior management and 
CELT roles by Q4 2024, and our current progress in 2021 is 32% for 
senior management and CELT combined (34% in 2020). Our gender 
diversity profile as at 31 December 2021 is below. 

Male

Female

Total Number
7
8

10
11

Board1, 2
CELT2
Senior 
management3
115
Other employees 10,006
Total4
10,142

78
3,751
3,844

% Number
3
3

70
73

68
37
38

37
6,255
6,298

%
30
27

32
63
62

1.  Includes eight Non-Executive Directors
2.  The CEO and the CFO are included as members of the Board and CELT
3.   Includes direct reports of CELT, excluding administrative staff
4.   Excludes freelancers, independent contractors or other outsourced and non-

permanent workers who are hired on a project or temporary basis and includes 
Non-Executive Directors

In 2022 we will continue to expand our diversity efforts further, 
beyond gender, and continue building a more racially and ethnically 
diverse workforce that reflects the diversity of the communities, 
customers and patients we serve, equally paying attention to our 
focus on disability and the creation of employment opportunities for 
disabled people.

Our gender pay gap
In 2021, the median hourly pay difference between our UK male and 
female employees was 6.9% (2020: 13.7%), which is significantly 
below the UK median pay gap of 15.4% (Source: Office for National 
Statistics, November 2021). Further information about our pay data 
is included in our Gender Pay Gap Report which can be found here 
https://convatecgroup.com/corporate-responsibility/enabling-our-
people/gender-pay-report/.

48
ConvaTec Group Plc
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6.9%The median hourly pay difference between our UK male and female 

employees (compared with the UK median pay gap – 15.4%)

Paying a living wage
We are committed to providing fair pay for our employees. 
Following our accreditation in November 2017 by the UK Living 
Wage Foundation, we have been confirmed as a ‘real living wage’ 
employer in the UK for a fourth consecutive year. In the UK, we 
also require and work together with our contractors to pay their 
employees at the same rates. We require all our contractors to 
comply with local laws on employment rights.

In 2020, our second global living wage assessment confirmed that 
in 95% of our locations we were paying at, or above, the living wage. 
In April 2021, we worked with local HR in the locations where we 
were paying under the living wage and adjusted employee salaries 
accordingly during the annual compensation review. Our next global 
living wage assessment will be completed in 2022. 

Health and Safety 
We have a team of dedicated Environment, Health and Safety (EHS) 
managers, located across our operations and R&D facilities, where 
over 60% of our colleagues are located. Our global EHS team leads 
the development of the EHS strategy, corporate policies, and 
standards; audits performance; supports the site teams to improve 
working practices; and ensures both legislative and company 
requirements are met. The global EHS team reports to the Executive 
Vice President of Global Quality and Operations, who is a member 
of the CELT and ESG Steering Committee. EHS performance is 
reported to senior management on a monthly basis, with updates 
provided to the CELT and Board during the year. 

Notable achievements realised in 2021 include our manufacturing 
sites in Deeside and Michalovce gaining ISO 45001 (Occupational 
Health & Safety management) certification, complimenting their 
existing ISO 14001 (Environmental) certification, and further 
strengthening their management systems.

During 2021, key initiatives included identifying improvement 
opportunities and realising increased engagement with all 
operations colleagues. The programmes targeted electrical safety, 
machinery and equipment safety, developing safety specific 
standard work instructions (SWI) and rolling out Total Safety 
Leadership (TSL) across all locations (see spotlight opposite). The 
Electrical & Machinery Safety programmes used a team-based 
approach to identify improvement opportunities, with the site teams 
using a risk-based analysis to prioritise the actions identified and 
develop future implementation plans supported by both in-house 
personnel and third-party expertise where needed.

The focus on creating safety and increasing engagement is being 
enhanced through our Safety SWI programme and by deploying TSL 
across all our sites. The SWI programme will continue throughout 
2022, with dedicated teams being formed to assess each 
manufacturing operation, developing pictorial-based safety guides 
to enhance the training of our personnel, realising increased 
awareness, ownership and improved safeguards benefiting 
all employees. 

ISO 45001

Certification gained in Deeside and Michalovce manufacturing sites 

During 2021 there were no fatalities. The target of maintaining a 
Group-wide Lost Time Injury Rate (LTIR) per 200,000 hours 
worked below 0.27 was achieved, though the LTIR increased slightly 
from 2020, trending against the reductions realised in previous 
years. Analysis of the underlying causes highlights the need for 
increased focus on behavioural aspects, which is being addressed as 
part of TSL and the ‘See something, say something, do something.’ 
programme planned for 2022. The focus on engagement and 
eliminating hazards at source is also reflected in the continued 
increase in Hazard Observation reporting, realising an 8% increase 
from 2020, providing continuous improvement opportunities 
protecting all our employees. Our focus remains on delivering a 
sustained reduction in accidents and incidents through ongoing 
engagement and practices that win ‘hearts and minds’. 

Our H&S performance1

Fatalities
Group Lost Time 
Injury Rate2
Group Hazard 
Observation Rate3
Operations Lost Time 
Injury Rate*
Operations Hazard 
Observation Rate*
Lost time
Injuries

2021
0

2020
0

2019
0

2018
0

0.26

0.21

0.27

0.33

148

138

86

65

0.30

0.23

0.30

0.37

190

18

173

15

96

16

108

20

1.   The data includes contractor/ agency staff working on our sites, as well as permanent 

staff, and is based on OSHA definitions. Rates are calculated based on 200,000 
hours worked.

2.  Lower rates are desirable for Lost Time Injury Rates
3.  Higher rates are desirable for Hazard Observation Rates
*  ESG target

Spotlight: Total Safety Leadership

TSL has been the flagship of our Journey to 
Safety Excellence during 2021, with 42 of our 
colleagues gaining certification as TSL Trainers. 
During 2021 we rolled out TSL to over 350 
colleagues across our operations and R&D 
locations, promoting ‘Everyone, Engaged, 
Everyday – Creating Safety’. 

The feedback has been overwhelmingly positive, 
reinforcing the primary aspects of leadership, 
ownership, and engagement, enabling all teams 
to continue developing our proactive approach 
through continued integration of safety into all 
aspects of our work. 

Building on the success of TSL, during 2022 
we will extend the proactive approach company 
wide, including engaging directly with all 
operations and R&D personnel with a tailored 
programme titled ‘See something, say something, 
do something’, highlighting how individual 
contributions quickly add up, realising a significant 
and beneficial change. 

49
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

ConvaTec
cares

Behaving ethically and transparently:
Protecting and enhancing our reputation across 
all our stakeholders and with our supply chain

“Doing what’s right and owning 
it are two values that represent 
who we are at ConvaTec. We 
recognise that we need to make 
sure that our business decisions 
at all levels embody these 

values and we embed ethical behaviour in 
everything we do. By doing so, we earn trust, 
build stakeholder confidence and ensure that 
we act with integrity and do what we say we 
will do. 

This is essential if we are to achieve our 
vision and create value for our stakeholders.”

Evelyn Douglas,
EVP, Corporate Strategy and Business Development, 
General Counsel and Company Secretary

50
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Annual Report and Accounts 2021

2021 highlights
 – Established our Human Rights Committee as a working group 

under the direction of our ESG Steering Committee

 – Updated our Code of Conduct to reflect amended laws and 

industry codes

 – Expanded scope of our due diligence process for added 

categories of third parties by 24% from the 2020 baseline

2022 priorities
 – Review, update and re-publish human rights-related policies 
 – Expand Code of Conduct training
 – Expand use of EcoVadis platform to additional suppliers

Our extensive ethics and compliance programme incorporates 
several policies and procedures including: 
 – Maintaining a Code of Ethics and Business Conduct (Our Code of 
Conduct) that is updated regularly and mandating annual training 
for all employees either online, with electronic acknowledgement 
of completion, or through participation in town hall meetings.
 – Making available an independently provided Compliance Helpline 

and web link for employees and third parties (https://secure.
ethicspoint.eu/domain/media/en/gui/102192/index.html), for 
seeking guidance and to report suspected deviations or breaches.

 – Assuring the existence of mechanisms to ensure issues can be 
reported by colleagues, reviewed by our Ethics & Compliance 
team and where appropriate, that any resulting investigation and 
outcome of any significant issues are overseen by the ARC 
(see page 117).

In March 2021, we refreshed our Code of Conduct to reflect 
updated laws and industry codes and to enhance the provisions 
relating to product evaluation, sampling and corruption and bribery, 
including preventing the facilitation of tax evasion. Although we 
believe that our conflict-of-interest measures operated effectively in 
2021, we are now piloting a web-based survey mechanism which 
invites managers to identify actual or potential conflicts of interest.

We are committed to creating a working environment where 
everyone is treated fairly with respect, dignity and consideration and 
where there are opportunities for all. Our Human Rights and Labour 
Standards Policy, which incorporates principles and guidelines set 
out in the United Nations Universal Declaration of Human Rights, 
Modern Slavery Act and the UN Guiding Principles on Business and 
Human Rights, addresses a range of issues including equal 
opportunities, anti-harassment and dignity at work. Many elements 
of our Human Rights and Labour Standards Policy are reflected in 
our Code of Conduct. Our Code of Conduct and Human Rights and 
Labour Standards Policy are available and viewed here respectively 
https://www.convatecgroup.com/corporate-responsibility/
behaving-ethically-and-transparently/code-of-ethics-and-business-
conduct/ and our Modern Slavery Act statement can be viewed 
https://www.convatecgroup.com/modern-slavery-
statement-2020/.

In 2021, we relaunched our cross-functional Human Rights 
Committee following the disruption caused by the COVID-19 
pandemic, as a sub-committee of our ESG Steering Committee, 
to continue driving forward this important agenda. 

The Committee chair is Natalia Kozmina, Chief Human Resources 
Officer. In 2022, we will conclude work to review and refresh both 
our Human Rights and Labour Standards Policy and our Supplier 
Code of Conduct to further strengthen our practices. To drive 
further engagement internally, we also celebrated Human Rights 
Day on 10 December.

We accept our responsibility for setting the correct standards of 
behaviour and ensuring our partners meet, exceed or are working 
positively towards these standards. We believe that developing a 
more sustainable supply chain will benefit our business over the long 
term through increased efficiency, product improvements, reduced 
risk and deeper, more collaborative relationships. 

We deploy policies and procedures that are consistent with our 
Code of Conduct, which cover the third parties we rely upon to fulfil 
our vision, and we have expanded the categories of business 
partners covered by our third-party due diligence processes. 

We also engage with stakeholders on ethical topics within our 
sector. Following on from the support we provided to AdvaMed in 
2019 in relation to the update of their Code of Ethics on Interactions 
with HCPs, during 2021 we participated in a number of their 
meetings and discussions in relation to key legal, ethical and 
compliance issues, including Code of Ethics updates and addressing 
the COVID-19 pandemic related HCP interactions. AdvaMed is the 
largest medical device industry organisation in the US and a global 
leader in harmonising MedTech industry codes on ethics and 
assuring transparent interactions with healthcare professionals.

Transparency and ratings
Being transparent with our stakeholders about how we run our 
business is a vital part of building strong, long-term relationships 
based on trust. Measuring transparency is not straightforward. 
Our disclosures and reporting are assessed and scored by a range 
of external ESG analysts and other organisations and we use this 
information to benchmark our progress.

In 2017 we set targets to improve our ISS-oekom research rating to at 
least C+, and our Sustainalytics rating to at least 75/100, based on our 
reporting of the 2019 financial year. In 2020 we maintained a B-score 
with ISS-oekom and in 2021 improved to B. Our Sustainalytics 
rating has improved since 2017. In 2021 Sustainalytics changed its 
methodology for better comparability of scores across industries 
with the Overall Performance indicator being phased out. We now 
follow the Risk Rating metric and will review these again in 2022. 

Rating 
organisation
ISS-oekom
Sustainalytics 
Overall 
Performance
Sustainalytics 
Risk Rating1

2017
C-

2018
C

2019
B-

2020
B-

2021
B

64/100 72/100 74/100 73/100

Not 
available

16.5

15.3

15.2

14.6

1.   As at 28 Oct 2021. Lower scores are desirable for Risk Rating while higher scores are 

desirable for Overall Performance.

Working responsibly with partners
We aim to build long-term, mutually beneficial relationships with 
third parties along the value chain, including suppliers of materials 
and services, transport and logistics companies, and distribution 
businesses. Our relationships with these third parties must be 
consistent with our vision and values, and the regulatory framework 
which underpins our ethical business practices. 

Our spend is concentrated towards a relatively small number 
of suppliers. For example:
 – Ten suppliers represent approximately 80% of our contract 

manufacturing spend;

 – Three suppliers represent approximately 70% of our logistics 

spend; while

 – Our raw materials supply chain is more diverse, with 34 suppliers 
representing approximately 75% of our total raw material spend.

Like many medical device companies, our products are often sold by 
third parties, such as distributors. 

Supplier due diligence 
To help protect against the risk of a third party acting unethically, 
our compliance team conducts a range of due diligence and 
compliance audits.

Our distributor agreements contain appropriate assurances that 
the distributors will deliver both online and live compliance training 
programmes to their staff, based on our Global Third Party 
Compliance Manual. Using a risk-based approach, we conduct due 
diligence on distributors when they are initially engaged, and every 
three years thereafter, using an external due diligence web tool. Our 
third-party distributors complete the Global Third Party Compliance 
Manual via our external, electronic learning system.

In the first half of 2021, we enhanced our due diligence process to 
expand its scope to include other third parties (including wholesalers 
and group purchasing organisations) that provide us with services 
and may also interact with government entities and healthcare 
professionals. We will continue to evaluate whether other third 
parties should be submitted to our enhanced due diligence process.

We require new suppliers to adhere to our Supplier Code of 
Conduct (SCoC) which covers a range of topics, including 
commitments to the International Labour Organization conventions 
and the Principles of the UN Global Compact and environmental 
protections, and extends our Code of Conduct and our Human 
Rights and Labour Standards Policy to the supply chain. The SCoC 
is introduced to all existing supplier contracts as these are renewed. 
A copy of our SCoC is available at https://www.convatecgroup.com/
corporate-responsibility/working-responsibly-with-partners/. 

We monitor and assess suppliers using third-party risk platforms, 
which provide in-depth, real-time coverage of a range of factors 
that could impact on supplier performance (including geopolitical, 
climatic and civil unrest), as well as events that may have been 
caused by our suppliers (for example major pollution and strikes 
incidents). We also operate processes that ensure vendors are 
engaged promptly when a risk event occurs and that these events 
are tracked through to satisfactory closure of the potential risk.

51
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Spotlight: EcoVadis platform 

As of December 2021, we include an assessment 
of potential new suppliers’ ability to participate in 
EcoVadis as part of our new sourcing process. 
This assessment is part of the Request for 
Information (RFI) and Request for Proposal (RFP) 
phases. In 2021, four out of seven RFI/RFP 
events requested details of EcoVadis status. 
The remaining three did not require assessment 
due to the type of service.

24%Increase in the number of suppliers assessed in 2021

We strengthened our supplier due diligence 
further in 2021 by expanding the use of a 
third-party provider, EcoVadis. The EcoVadis 
platform offers an evidence-based assessment 
of our supply base covering four themes: 
environment, labour and human rights, ethics 
and sustainable procurement. The resulting 
EcoVadis score is now incorporated in the 
compliance section of our supplier relationship 
management scorecards. 

With 67 suppliers assessed in 2021, we increased 
the number of suppliers assessed by 24% from 
2020. Over two-thirds of our suppliers which 
were re-evaluated had increased their overall 
score. As part of our continuous improvement 
activities we have reviewed these scorecards with 
our partners and have created corrective action 
requests focused on driving year-on-year 
improvements in their ratings. As in previous 
years, the ratings generated for ConvaTec 
suppliers have continued to outperform the 
average of all vendors monitored across the 
EcoVadis platform.

52
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Annual Report and Accounts 2021

ConvaTec
cares

Protecting the planet and supporting 
communities:
The way we operate and the contribution we 
make to the world around us

2021 highlights
 – Registered our commitment to SBTi
 – Progressed Scope 1 and Scope 2 GHG reductions, with a 9.5%

reduction year-on-year at manufacturing sites

 – Strengthened community relations by contributing through 

a range of partnerships

“Climate change is impacting 
our planet and our health. We 
recognise the environmental 
impacts of our own operations, 
our upstream supply chain, 
as well as the downstream 
distribution, use and final disposal of our 
products. We also understand the ripple 
effects climate change has on our 
stakeholders in the long term, through 
physical and social risks such as water 
shortages, desertification, pandemics or 
forced migration. We recognise the multiple 
benefits of taking proactive action to address 
our impacts, increasing resilience in our 
manufacturing operations and the ability to 
meet customer expectations with more 
sustainable products.”

Donal Balfe, 
EVP, Global Quality and Operations

2022 priorities
 – Develop SBTs
 – Reduce Scope 1 and 2 emissions by 5% against a 2021 baseline
 – Develop strategic partnerships with NGOs, with dedicated

funding commitments

Protecting the planet
During 2021 we refreshed our climate change and environmental 
strategy, and have begun outlining our commitment and delivery 
plans supporting our sustainability objectives. This follows on from 
the achievement of the targets set in 2018 and the successful early 
achievement of our 2023 Scope 1 and Scope 2 GHG emissions 
reduction target of 10%, with a reduction of 18.5% by the end of 
2020. As part of the strategy, we have confirmed a 2021 baseline 
for our Scope 1 and 2 GHG emissions, our commitment to SBTs as 
well as achieving carbon net zero (Scope 1, 2 and 3) by 2045, to 
ensure we contribute to the global effort to address climate change. 

In 2021, a study was completed to help shape our climate change 
and environmental strategy, interviewing a range of stakeholders to 
assess needs and expectations, and to prioritise actions to address 
the factors affecting our business today.

As informed by the study, the key elements of our refreshed climate 
change and environmental strategy are:
 – Governance, to facilitate and ensure coherent action across the
company to reduce the Group’s impact on the environment

 – Carbon & Energy, to update our targets to ensure carbon 

emissions reductions in our own operations are in line with the
Paris Accord

 – Sustainable Product Design & Supply Chain, to ensure innovation 
in product design to reduce the cradle-to-grave carbon footprint,
including assessing our value chain Scope 3 emissions

 – Waste, increasing attention to the environmental impacts of 

waste at the end of the production and use lifecycle

 – Water, addressing the impact of production and manufacturing on
freshwater ecotoxicity and the consumption of water in water-
stressed environments

→
See also: Environmental Policy at https://www.convatecgroup. 
com/corporate-responsibility/conserving-our-planet/ 
and TCFD disclosure on page 60.

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Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Energy consumption
In 2021, total energy consumption across the Group was 112,858 
MWh (2020: 101,728 MWh). 

Total energy consumption (by function) (MWh)

Manufacturing 
locations
Non-manufacturing 
locations
Total energy 
consumption
Total UK energy 
consumption

20211

2020

2019

2018

103,207

95,523

97,233 104,690

9,651

6,205

7,279

6,932

112,858

101,728

104,512

111,622

10,733

10,381

Total energy consumption (by fuel source) (MWh)

Non-renewable 
electricity
Renewable electricity
Natural gas
Green gas
District heating
Diesel
Total energy 
consumption

20211
43,754

2020
66,047

2019
66,833

31,869
36,542
-
642
51

10,607
24,766
-
254
53

11,528
16,699
8,546
828
78

2018
78,781

3,014
24,444
2,756
2,560
66

112,858

101,728

104,512

111,622

1.   Total energy includes data for global offices and warehouse buildings, which were 

not included in data for previous years.

Energy intensity
Our overall energy intensity ratio has increased in 2021 due to the 
impact of the cogeneration engine project at our manufacturing site 
in Slovakia. This project has reduced our reliance on grid supplied 
electricity by 4,067 MWh, increasing the amount of natural gas used 
by 10,600 MWh. Implementation of this project has had additional 
environmental benefits, such as the use of more environmentally 
friendly refrigerants in our HVAC systems to generate more efficient 
cooling and the use of waste heat from air compressors to generate 
additional cooling capacity in our clean rooms and processes. 

Excluding the Slovakian site, we have reduced the energy intensity 
ratio at our manufacturing sites by 5.5% (GWh/$m revenue) in 2021 
through implementation of our energy, water and waste efficiency 
programme, which was launched in 2019. During 2020 and 2021, 
38 new energy efficiency projects have been delivered across our 
sites, with a further 17 projects being evaluated, awaiting approval 
and funding, or being implemented.

Energy intensity (GWh/$m revenue)

Energy intensity

2021
0.055

2020
0.054

2019

2018
0.057 0.060

2017
0.059

Energy efficiency
As part of our climate change and environmental strategy, we 
continue to identify projects to improve our energy efficiency and 
where possible allow us to generate our own renewable energy. 
As such, an appropriately extended return on investment period for 
investments has been agreed to ensure strategic environmental 
projects are approved and progressed. Examples of projects 
approved during 2021 include: solar panels in Haina, freecooling unit 
replacement in Herlev and lead chiller replacement in Reynosa, all 
of which will be operational in 2022.

Information about some of the energy-saving initiatives 
implemented during 2021 is included below.

Facilities
UK Deeside & 
Rhymey

Dominican Republic 
Haina

Denmark
Herlev

UK
Slovakia
Dominican Republic
Mexico

Belarus
Minsk
Mexico
Reynosa

Initiative
Low energy LED 
lighting replacements 
in corridors, plant 
rooms and 
supporting areas.
Replacement of 
compressed air 
systems with efficient 
variable speed motors 
and a centralised air 
monitoring system.
Production system 
pump operating 
pressure optimisation 
and extract fan 
automation
Sub-metering of 
electrical systems, 
centralised 
monitoring and 
targeting of 
consumption trends.
Boiler water pump 
automation
Clean room air 
change rate and 
centralised chiller 
control optimisation

Energy consumption 
reduction (MWh)/%
74/(1%)

529/(3%)

20/(0.3%)

318/(0.8%)

11/(0.2%)

1,371/(9%)

Our GHG emissions 
Our GHG reporting follows the methodologies set out in ‘The 
Greenhouse Gas Protocol: A Corporate Accounting and Reporting 
Standard (Revised Edition)’, developed by the World Business 
Council for Sustainable Development and the World Resources 
Institute. We participated in the Carbon Disclosure Project (CDP) 
and our response is available on the CDP website. Our disclosure 
score, published in December 2021 is B (2020: B).

As part of our updated environmental strategy, we have taken the 
decision to re-baseline our emissions to include all Scope 1 and 2 
emissions in the overall baseline figure. This excludes fleet emissions 
which are estimated for 2021, but will be included from 2022. 
Our GHG emissions therefore relate to consumption of natural gas, 

54
ConvaTec Group Plc
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diesel, electricity, district heating and refrigerant gases, used to 
power, heat and cool our facilities and production processes. The 
emissions estimate from our vehicle fleet is based on data provided 
by service providers and from our fuel expenses platform.

Our 2021 GHG emissions under the market-based method totalled 
26,858 tonnes CO2e. In 2021, a reduction in market-based GHG 
emissions of 9.5% was achieved at our manufacturing locations, 
achieved through improved energy efficiency and sourcing of 
renewable electricity at six of our nine global locations. Our fleet of 
1,519 vehicles generated estimated emissions of 5,853 tonnes CO2e. 
In 2021, our refrigerant gas emissions data has been included within 
the baseline emissions, amounting to 408 (2020: 925) tonnes 
CO2e, emitted from our manufacturing facilities.

GHG (market-based method) (tonnes CO2e)

Scope 1 (Global)
Scope 1 (UK)
Scope 2 (Global)
Scope 2 (UK)
Total GHG emissions
Total UK

2021
5,521 
234
 21,337 
13
 26,858 
247

2020
 2,887 

2019
 3,403 

2018
 4,901 

 24,650 

 24,016 

 28,885 

 27,537 

 27,419 

 33,786 

GHG (location-based method) (tonnes CO2e)

Scope 1 (Global)
Scope 1 (UK)
Scope 2 (Global)
Scope 2 (UK)
Total (Global) GHG 
emissions
Total UK

2021
 7,530 
2,242
 25,940 
2,332

2020*
 4,875 
1,989
 27,169 
2,433

 33,470 
4,574

 32,045 
4,422

GHG emission intensity (tonnes/$m revenue)

2019
 5,046 

2018
 5,435 

 27,318   30,657 

In 2021, in addition to sourcing renewable electricity in a number 
of locations, we also procured carbon offsets to maintain carbon 
neutrality for our UK Scope 1 natural gas emissions. A total of 1,437 
tonnes of CO2e were offset through carbon emissions reduction 
certificates, in line with the clean development mechanism, 
purchased through CDM projects (covering the period Q1 to Q3 
2021). An additional 572 tonnes CO2e were also offset through 
Verified Carbon Standard (VCS) reduction projects (covering Q4 
2021), complemented by UK-based tree planting for every tonne of 
carbon offset.

We understand the need to reduce our Scope 1 emissions through 
the implementation of improvement projects as part of our energy 
efficiency programme, combining the implementation of emerging 
technologies such as heat pumps and hydrogen to replace our 
natural gas-fuelled processes. We are also monitoring the opportunity 
to source green gas as part of our energy sourcing strategy.

Renewable energy 
As part of our 2021 environment and climate change strategy 
refresh, we commit to and will set aligned SBTs in 2022, using 
a 2021 performance baseline. This will guide our transition to 
renewable energy at our facilities.

During 2021, we actively progressed renewable energy programmes 
across our manufacturing operations sites. For example:
 – We procured 100% origin certificate-backed renewable 

electricity across all our UK facilities. The energy was generated 
from a mix of solar, hydro, thermal, biomass, wind and waste and 
the contract has been extended until the end of Q3 2022. 

 – In Denmark, we purchased wind energy backed renewable energy 
certificates in Herlev covering 12 months’ electricity use, and nine 
months in Osted for the period April to December. 

 – In the Netherlands, we purchased 12 months of guaranteed origin 

certificate backed electricity from solar sources.

 – In Slovakia, manufacturing was supplied with 100% origin 

 32,364   36,092 

certificate backed renewable electricity.

Renewable energy accounted for approximately 28% of total energy 
consumption in 2021 compared to 10% in 2020. Information about 
the methodology we use for disclosing renewable energy in relation 
to our Scope 1 and 2 emissions can be found on page 221.

GHG emission intensity 
(location basis)
GHG emission intensity 
(location basis, UK)
GHG emission intensity 
(market basis)
GHG emission intensity 
(market basis, UK)

2021

2020

2019

2018

Renewable energy (%)

16.4 

 16.9 

 17.7 

 19.6 

2021

28%

2.2

2.3

13.2 

 14.5 

 15.0 

 18.3 

0.1

2020

10%

2019

19%

2018

5%

* 

 Data includes 12 tonnes CO2e previously unreported relating to electricity use at our 
Singapore office.

72%

90%

81%

95%

Renewable energy 
consumption (%)

Non-renewable energy 
consumption (%)

55
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Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

In 2021, we consumed approximately 176 megalitres of water 
(2020: 170 megalitres), all of which was provided by municipal water 
suppliers or other public or private water utilities. The majority of 
water (95%) is consumed at our manufacturing sites in the 
Dominican Republic, Mexico, Slovakia and the UK. No water is 
abstracted directly from lakes, rivers or other bodies of water. Data 
is compiled from invoiced amounts and meter readings. A small 
percentage of water is treated on site (2021: 0.04%, 2020: 0.03%).

In 2022, we will complete a water scarcity risk assessment (WRI 
Aquaduct 2019) and set targets for reduction of water use in our 
high-risk locations.

5,391 tonnes of water (2020: 5,053 tonnes) are tankered offsite as 
hazardous waste, the vast majority of this relating to our Rhymney 
site in the UK where, as part of normal process operation water 
becomes contaminated with Industrial Denatured Alcohol (IDA) and 
is segregated for further processing. After processing, a significant 
proportion of the IDA is recovered, which is reused on the site. The 
remaining treated water is returned to the environment via a sewer 
as part of a permitted discharge. Other uncontaminated waste 
water is discharged via a sewer.

As set out in our Environmental Policy statement, we are committed 
to understanding, quantifying and minimising our waste (hazardous 
and non-hazardous), and water consumption. We are also intensifying 
our focus on initiatives which will drive a reduction in waste generated 
by our product, packaging and non-manufacturing activities. 

Water use (megalitres purchased)*

200

175

150

125

100

75

50

25

0

158

146

166

170

176

2017

2018

2019

2020

2021

*  2020 data includes previously unreported consumption of 1 megalitre.

Waste
The table below shows our waste recycling and disposal 
performance over the last five years for both hazardous and 
non-hazardous waste. Non-hazardous waste represents 73% of the 
total waste generated and the chart indicates the proportion of this 
waste recycled is 17% and the proportion disposed of to landfill is 
70%. The change in the split between recycling and landfill seen 
during 2021 compared to 2020 is attributable to increased recycling 
levels in the Dominican Republic, Slovakia and the UK. 

Hazardous waste represents 27% of total waste generated and 99% 
of this is recycled. The vast majority of hazardous waste (95%) is 
generated at our Rhymney site and its treatment is described in the 
previous section. Of the remainder, 1% is disposed of to landfill. 

During 2022, we commit to set both a production waste recycling 
target and a global net zero waste to landfill target. A focus team has 
been formed at our facility in Haina, Dominican Republic, to improve 
segregation and processing of waste, and develop an action plan 
to eliminate waste to landfill. In addition, we are also exploring 
opportunities at all locations for potential partnerships for recovery, 
recycling and the alternative use of waste.

Waste recycled (tonnes)

2021

2020

2019

2018

2017

12,557
2,591
15,148

Non-hazardous 
waste
Disposed of
Recycled
Generated
Hazardous 
waste
Disposed of
81
Recycled
5,606
Generated
5,688
Total Generated 20,835

11,806 10,060
3,671
13,731

2,120
13,926

9,224
2,333
11,557

12,574
3,243
15,817

72
5,337
5,409
19,335

78
5,716
5,794
19,525

57
5,663
5,720
17,277

209
8,146
8,355
24,172

Fate of non-hazardous waste generated (%)

Recycled
Incineration (with 
energy recovery)
Incineration 
(without energy 
recovery)
Landfill

2021
17%
13%

2020
15%
10%

2019
27%
8%

2018
20%
9%

2017
21%
6%

0%

0%

6%

2%

7%

70%

75%

59%

69%

67%

56
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Environmental impacts along the value chain
As well as the environmental impact of our own operations, the 
delivery, use and disposal of our products also creates impacts along 
the value chain, including the sourcing of raw materials, sterilisation, 
supplier manufacturing, packaging, logistics and transport. To 
minimise this ‘indirect’ environmental impact we will be assessing 
the environmental performance of key suppliers, reporting value 
chain impacts and assessing product and packaging performance.

Assessing our suppliers
As explained on page 51, we assess suppliers’ environmental 
performance against our SCoC and we require new suppliers to sign 
our SCoC. No supply contracts were terminated on the basis of the 
environmental assessments conducted in 2021.

Scope 3 GHG emissions action
Scope 3 emissions are estimated to be more than 70% of our total 
carbon footprint. As such, reporting of Scope 3 emissions are 
essential if we are to achieve our net zero target by 2045. Therefore, 
in 2022 we will be completing a Scope 3 materiality study to assess 
which of the 15 categories of value chain carbon emissions are 
relevant and quantifiable based on the data available. We aim to 
deliver an approved measurement strategy by the end of 2022, with 
the future goal of a Scope 3 science-based target being confirmed 
by end 2023, adding to our Scope 1 and 2 emissions target.

Environmental impact of products and packaging
Our products are the most visible element of our environmental 
performance and encapsulate accumulated environmental impacts 
along the value chain, from extraction of raw materials, through 
manufacture and logistics, use by customers, and final disposal. 

By better understanding where the most significant impacts are 
created, we are better able to focus on the priorities for attention. In 
previous years we have undertaken projects to build our knowledge 
in this key area. However, as highlighted above, we need to do more 
work and this will be a key priority in 2022 and is captured in our 
ESG targets on pages 38 and 39.

In 2021, we made significant progress on several packaging-
reduction initiatives, including the reduction of label sizes in Ostomy 
Care and the launch of our ‘Stop wasting space’ campaign to reduce 
the number of pallets used when shipping product by sea. Our NPD 
process and GDGs help to facilitate this progress further, as 
described on page 41. 

In 2019, we estimated that our 2019 packaging baseline footprint 
was approximately 16,000 tonnes of CO2e. We are in the process of 
establishing an environmental strategy delivery team collaborating 
across operations and a review of the carbon impact of our 
packaging will be considered as part of this initiative.

Scope 3 GHG emissions estimates
In 2021, our reporting includes the following estimates:
 – Category 1: purchased goods and services
 – Raw materials: we have estimated the carbon footprint of 

products placed on the market in 2021 to be between 40,000 
and 60,000 tonnes of CO2e. This estimate is based on a study 
undertaken in 2019 (see page 221).

 – Packaging: using data gathered from actual and projected 

packaging procurement records, from engagement with key 
packaging suppliers and databases for the CO2e impact of 
materials we estimate the carbon footprint of the packaging 
placed on the market during 2021 to be approximately 16,000 
tonnes CO2e. This estimate is based on a study undertaken in 
2019 (see page 221).

 – Category 6: business travel. With data provided by our travel 

agents, we estimate business flights contributed 1,007 tonnes of 
CO2e (2020: between 680 and 750 tonnes). Although this figure 
has increased as restrictions have been lifted, our experience 
during the last two years has demonstrated our ability to operate 
effectively and remotely using digital tools. As proportionate 
business travel progressively resumes, we will continue to 
encourage a combination of virtual and in-person meetings.

Product review
Based on historical product environmental impact reviews, analysis 
indicates between 85% to 95% of materials used in our products 
are plastics or thermoplastics/elastomers. Within these categories, 
the following materials are amongst the most significant from an 
environmental impact perspective: polyvinyl chloride (PVC), 
polyester, polyurethane and acrylonitrile butadiene styrene. 
Where we are aware of existing products or packaging containing 
substances of concern, we work progressively to reduce and/or 
replace those substances as appropriate.

Product life-cycle assessments
During 2021, we completed the third-party reviewed life-cycle 
assessment for Continence and Critical Care in accordance with the 
requirements of the international standards ISO 14040:2006 and 
ISO 14044:2006. This completes our target to have assessments in 
all four of our product categories, adding to the LCAs previously 
undertaken in 2018 for Advanced Wound Care, Ostomy Care and 
Infusion Care.

The results and improvement opportunities identified by these 
one-off reports have been compiled and published internally, 
forming the basis for the delivery of our Scope 3 emissions reporting 
and sustainable product design actions set out in our climate change 
and environment strategy.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Responsible business review
continued

Spotlight: Energy efficiency in Reynosa

Socio-economic contribution to society
Through running our business, we aim to make a socio-economic 
contribution to society. This contribution, which is important to a 
range of stakeholders, is summarised below. 

Direct Economic 
Value Generated1
Economic Value 
Distributed
Operating costs2
Employee wages 
and benefits
Payments to 
providers of 
capital3
Payments to 
governments4
Community 
investment
Economic Value 
Retained

2021
$m

2018
$m
2,038.3 1,910.8 1,827.2 1,832.1

2020
$m

2019
$m

2017
$m
1,764.6

962.3
650.1

891.7 890.0 895.4
515.0 473.2
579.7

857.1
472.7

262.7

254.0

351.2

335.2

131.6

47.6

56.3

38.2

45.9

49.1

1.5

0.7

0.5

0.4

0.2

114.1

128.4

32.3

82.0

253.9

1.   Direct economic value generated in 2020 includes the gain recognised from the sale 

of our US Skincare product line.

2.   Operating costs exclude depreciation, amortisation, impairment charges, asset 
write-offs and operating taxes. Employee wages and benefits, payments to 
governments and community investments are normally part of operating costs, 
but have been excluded as they appear on separate lines in the table.

3.   Payments to providers of capital have been included on an accruals basis and include 
interest paid on long-term debt, capital and interest payments on right of use assets, 
net debt repayment, dividends and own share reserve purchase paid to ConvaTec 
shareholders.

4.   Payments to governments include corporate income taxes, sales taxes, real estate 
taxes and other taxes, but exclude employer portion of payroll taxes, as they are 
included in employee wages and benefits.

Contribution to governments
We are fully committed to meeting our legal tax obligations in 
each of the countries in which we operate. We fully support and 
embrace greater transparency with tax authorities and the initiatives 
being introduced by the Organisation for Economic Co-operation 
and Development (OECD) and governments to ensure clarity 
and adherence to the tax laws of each jurisdiction in which we 
operate. Our Tax Policy is available at www.convatecgroup.com/
corporate-responsibility.

Throughout 2021, ConvaTec developed and 
delivered an improved control strategy of the 
HVAC (heating, ventilation and air conditioning) 
systems at our manufacturing plant in Reynosa, 
Mexico. The new strategy optimises the start-up 
and run time of the air-cooled chillers which 
provide chilled water to air-handling units, 
maintaining the clean room cooling supply in 
a more efficient manner.

The clean room air change rates have also 
been optimised, reducing the power used for 
the air handling units while maintaining the 
validated state. 

This project is delivering energy savings of 1,371 
MWh per annum (9% of total site energy), which 
equates to a 546 tonnes CO2e carbon reduction.

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Giving back
We recognise that for ConvaTec to deliver our vision, we must have 
an impact beyond our core operations. In 2021, we refreshed our 
communities programme under three pillars:
 – Access to healthcare and tackling health inequities 
 – Education
 – Disaster relief

Our approach aims to encourage local action in the many places we 
work, leveraging the reach we have as a global company. The fund 
we established in 2020 in response to the COVID-19 pandemic 
concluded at the end of 2021, as we move towards establishing 
a range of new strategic partnerships in 2022/23. 

We strengthened our communities strategy further in October 
2021 with the launch of a new volunteering policy, encouraging and 
enabling colleagues to take two days per calendar year to volunteer 
with established charities, NGOs and non-profit organisations.

Spotlight: Tackling health inequities

In July 2021, a group of colleagues from our 
Advanced Wound Care team volunteered in the 
United States and packed almost 18,000 meals 
for Feed My Starving Children, a local NGO in 
Mesa, Arizona. In a matter of hours, the team 
packed 83 boxes that will feed 49 children for 
a year. Their work is a great example of how 
volunteering can have a tangible impact on 
communities and help colleagues understand 
challenges their local community faces. 

Education
In partnership with the United Ostomy Associations of America 
and their Youth Rally Committee, we donated $35,000 to support 
a youth engagement programme for 11- to 17-year-olds who have 
faced or may someday face ostomy surgery. The programme was 
facilitated by volunteer counsellors who live with the same 
conditions as the young people, who have varying physical abilities, 
and encourages the participants to gain independence and 
confidence while having fun. We also funded a range of educational 
resources and support for those who have or will have ostomy 
surgery, their caregivers, family members and medical professionals. 

In November 2021, we announced a $250,000 flagship partnership 
with the Welsh Wound Innovation Centre (WWIC) to support 
medical education grants for wound care courses benefitting 250 
students from around the world. WWIC, the first national wound 
healing centre in the world, and ConvaTec have a long association. 
Having operated in Wales since 1982, ConvaTec’s operations now 
bring more than 800 jobs to Wales across three locations. More 
information can be found at https://www.convatecgroup.com/
media/press-releases/2021/25-years-of-aquacel/.

Disaster relief
Following the earthquake in Haiti in August 2021, we were proud to 
donate $25,000 to Partners in Health (PIH), a global NGO focused 
on strengthening health systems through community-focused 
partnerships that promote health equity. With a 30-year history 
working in Haiti, PIH was positioned to mobilise trauma care for 
earthquake victims quickly by working with local nurses and 
physicians that they had trained in the decade since the 2010 
earthquake. ConvaTec’s donation added to their response by 
mobilising supplies to the first responders treating those impacted. 
In addition to its rapid response, PIH is also developing capacity for 
a continuum of care for earthquake victims in Haiti, including 
psychological first aid and COVID-19 vaccinations. 

Product donation
We donated more than $180,000 worth of products in support of 
Friends of Ostomates Worldwide. The NGO supports ostomates in 
developing countries who may not be able to get affordable supplies 
and may have to manage their ostomy using plastic bags, metal cans, 
rubber gloves, or rags or towels. Their quality of life is poor, and skin 
care is a major issue. By offering access to proper supplies, we are 
able to help these ostomates improve their health and improve their 
quality of life.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220TCFD Disclosure

We are committed to implementing and fully 
complying with the recommendations of the Task 
Force on Climate-related Financial Disclosures 
(TCFD), providing investors and other 
stakeholders with useful information on 
climate-related risks and opportunities that are 
relevant to our business, including their financial 
implications. Here we provide a summary of our 
TCFD disclosure, which indicates our current 
status and sets out our ongoing plans to continue 
assessing the impact of climate change scenarios 
and how they may affect our business model over 
both the short and long term. 

We have continued to make progress towards 
meeting the requirements of TCFD this year, but 
we still have more to do as we establish clear 
Science Based Targets for our business and make 
sure our business is set up to deliver on those 
commitments. Today, we are not fully compliant 
with the requirements of TCFD, but we set out 
below our plans for achieving full compliance over 
the course of the next year, with many of the 
planned initiatives being further explained in our 
Responsible business review above.

Climate-related risks and opportunities
The Board recognises the scale of the climate emergency and the 
potential impact this may have on communities and our business 
model. Accordingly, we also recognise our responsibility to do what 
we can to minimise our carbon footprint, including within our supply 
chain. As a medical devices and technology business with a presence 
in more than 100 countries and global manufacturing operations, 
we are exposed to both physical and transitional risks and 
opportunities from climate change. We are committed to assessing 
and mitigating risks that are material to our business. 

We continued to progress this work through 2021, and in our 
disclosure below have set out how we are implementing the 
recommendations of the TCFD to provide investors and other 
stakeholders with useful information on climate-related risks and 
opportunities that are relevant to our business. 

Listing rules compliance
ConvaTec Group Plc has complied with the requirements of 
LR9.8.6R by including climate-related financial disclosures consistent 
with the TCFD recommendations and recommended disclosures 
except for Scope 3 GHG emissions metrics and developing 
quantitative climate-related risk scenarios. Our business operates 
with significant complexity and diversity in our operational value 
chains and we recognise the importance of understanding Scope 3 

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emissions and are committed to assessing our Scope 3 footprint in 
2022. We aim to deliver an approved Scope 3 measurement 
strategy by the end of 2022, with the future goal of a Scope 3 
science-based target being confirmed by the end of 2023, and this 
will help us to prioritise GHG reductions and climate risk mitigation 
actions within our value chains. In addition, we are committed to 
developing our current qualitative climate-related risk scenarios into 
quantitative assessments in 2022, which look at the business impact 
of scenarios where the global average temperature increases by less 
than two degrees, and those where temperatures rise by three 
degrees or more by the end of the century. 

Governance
We set out on pages 34 and 35 our approach and the framework to 
ESG governance, including climate-related risks at ConvaTec. Our 
disclosure sets out our intentions to achieve full compliance with the 
TCFD recommendations in 2022. 

2021 Progress: ESG Steering Committee established
The Committee met three times in 2021. The Committee reports 
on the strategy, progress and required actions in response to 
climate-related risks and opportunities to the CELT for discussion, 
review and challenge. This ensures that all members of the executive 
leadership team understand our business response to climate 
change and are committed to delivering against our commitments 
to become a more sustainable business. During 2021, the ESG 
Steering Committee has refreshed our ESG framework. One of our 
ESG strategic pillars relates to how we protect the environment and 
support our communities through the way we operate and the 
contribution we make to society. As part of our focus on this pillar, 
the Committee has performed a detailed review of the TCFD 
requirements and set out clear CELT member accountability for 
each element of the TCFD requirements. 

The Board has delegated elements of its responsibility for climate-
change to the Audit and Risk Committee (ARC). The ARC is 
responsible for reviewing and approving the content of our TCFD 
disclosures, as well as for oversight of the annual ESG assurance 
exercise carried out by external consultants. The ARC considered 
proposals for refreshing our ESG framework (including climate 
change considerations), which was subsequently approved by the 
Board, and has received detailed briefings on the new reporting 
requirements relating to financial reporting and disclosure 
considerations in respect of climate change. In addition, the ARC 
supports the Board in the management of risk, which includes a 
strategic principal risk of Environment and Communities with 
climate change as one of the key drivers of this risk – see page 72.

2022 Plan: Board deep-dive reviews of operational and product 
life-cycle environment impacts 
Moving forward, the Board will conduct twice yearly rotating 
deep-dive reviews into the key elements of our environmental 
agenda. One review will cover our operational impact on the 
environment and the other review will cover our product life-cycle 
development impact on the environment. These deep-dive reviews 
will commence in 2022.

Strategy
We worked with an independent expert adviser to identify and 
assess the impact of climate-related risks and opportunities through 
a qualitative scenario analysis that considered how these might 
evolve under a business-as-usual scenario (where current 
commitment leads to global warming significantly exceeding 3.0 
degrees Celsius by 2100) and under a two-degrees-compliant 
scenario. This assessment confirmed that, while our business model 
is not highly exposed to climate-related risks in the short or medium 
term (up to five years), the impact of these risks will become more 
relevant in the long term (greater than five years). However, 
immediate focus on such matters as transitional risks, including 
emissions reduction is important, particularly in light of expected 
policy and regulatory changes and shifts in customer preferences. 

2021 Progress: established ‘Protecting the planet and 
supporting communities’ as an ESG strategic pillar
The Board has assessed the climate-related risks facing the business 
and is satisfied that it is highly unlikely that the operational and 
financial risks associated with climate change threaten our business 
model or the long-term viability of the business. However, there will 
be implications for the business. As noted above, we have 
established our overall ESG governance structure, at Board and 
CELT levels, in order to develop and drive execution of our overall 
ESG strategy, including our climate-focused efforts. The key 
elements of our climate change strategy, which we have developed 
during 2021 are:

 – Enhanced governance and oversight: assigned clear accountability 

to relevant CELT members to deliver on our strategic 
commitments to manage our climate-related business impacts
 – Driving greener operations: reduced our energy consumption 
through increasing energy efficiency across our operations, 
reducing energy intensity and increasing our use of renewable 
energy sources. We remain committed to ensuring GHG 
emissions in our own operations (Scope 1 and 2 emissions) are 
reduced and we have set our goal of achieving net zero by 2045 
at the latest 

 – Sustainable product design: implemented Green Design 

Guidelines (GDGs) within our R&D and operations functions to 
reduce the cradle-to-grave carbon footprint of our products 
and packaging

 – Reducing waste generation and our consumption of water: 

understanding, quantifying and minimising our levels of waste 
(hazardous and non-hazardous), and our consumption of water 
in water-stressed environments. We are also intensifying our 
focus on initiatives which will drive a reduction in waste
 – Science Based Targets Initiative (SBTi): registered our 

commitment with the SBTi to deliver on achieving our net zero 
ambition by 2045 

2022 Plan: enhanced development of our climate strategy
We will continue to highlight climate-related risks as part of our 
annual strategic planning cycle, during which all of our Business 
Units and functional teams will critically assess their role in 
supporting our ESG and climate-related ambitions. 

In 2022, we will also develop aligned Scope 1 and 2 Science Based 
Targets by which we will drive and measure our progress against the 
2021 baseline set out in the section above. In addition, in 2022 we 
will undertake a Scope 3 materiality study of all 15 categories of 
value chain emissions and develop our Scope 3 measurement 
methodology.

Climate-related opportunities 
Efforts to mitigate and adapt to climate change also produce 
opportunities for our business and we are committed to our 
strategy of improving our resource efficiency to realise cost savings, 
accelerate the adoption of low-emission energy sources, where 
possible, and embed green design principles into the development 
of new products and services. All of these actions will not only help 
us address the climate emergency, but also allow us to build 
enhanced resilience into our supply chain.

Spotlight: Energy efficiency

A global energy management initiative was 
undertaken during 2021 at our manufacturing 
sites to install smart metering on equipment 
consuming high levels of energy.

The meters are connected to a cloud-based 
platform for data recording, trending and analysis. 

The enhanced visibility of consumption patterns 
enables identification of energy efficiency 
opportunities, continuous improvement and the 
quantification of energy savings following project 
implementation. This project saved approximately 
318 MWh (1% of total global energy at sites in scope) 
in 2021, and is expected to increase in 2022.

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continued

Resource efficiency
We believe that our efforts to improve efficiency across our 
end-to-end operations will result in operating cost savings over the 
medium to long term. As we set out above, during 2020 and 2021, 
38 new energy efficiency projects were delivered across our sites 
and we have made investments in developing efficient heating 
solutions, enhancing our usage of LED lighting technology and 
upgrading our industrial motor technology. See page 54 for 
examples of our energy efficiency programmes.

The Board undertakes a bi-annual assessment of the Group’s 
principal risks. The CELT is supported by the Group risk team and a 
network of risk champions across the business, who are tasked with 
maintaining awareness of key risks and control measures. Our risk 
management process to address our principal risks and 
uncertainties, including Environment and Communities risk that 
incorporates climate change as one of the key drivers (the CELT 
leader responsible for the Environment and Communities risk is the 
Chief Human Resources Officer), is discussed further on page 72.

Energy source
We are determined to do our part to meet global emission-
reduction goals, and a key element of this is the opportunity to 
transition a significant proportion of our energy consumption to 
low-emission alternatives such as wind, solar, and hydro sources. 
Under our ESG strategic pillar of ‘Protecting the planet and 
supporting communities’, our expectation is that our SBTs will 
include a commitment to the sourcing of 100% renewable energy 
at our facilities. During 2021, renewable energy across our 
manufacturing operations sites accounted for approximately 28% 
of total energy consumption compared to 10% in 2020.

Products and services
A key element of our ESG strategic pillar ‘Delivering for our 
customers’, was the implementation of the Green Design Guidelines 
(GDGs) in 2021 referred to above. The GDGs will ensure the most 
appropriate materials are selected to reduce the future 
environmental impact of our products and packaging. We believe 
that innovation and development of new low-emission products will 
improve our competitive position and provide the opportunity for us 
to address changing consumer and producer preferences. In 
addition, our packaging reduction initiatives, allied to the life-cycle 
assessments for all of our product categories, give us further 
opportunities to reduce our products’ carbon footprint.

Resilience 
We continue to identify opportunities to allow us to generate our 
own renewable energy at sites, design new production processes 
and to improve efficiency which will allow us to improve our supply 
chain resilience to climate risks. This also includes reducing or 
eliminating some plant inter-dependencies and building additional 
capacity at some key sites to meet increasing demand.

Risk management
We recognise the importance of identifying and monitoring 
climate-related risks, which feature as drivers of our principal risks. 
Ownership and management of all risks is assigned to relevant 
members of the CELT, who are responsible for ensuring the 
operating effectiveness of the internal control processes and for 
implementing effective key risk-mitigation plans. 

2021 Progress: climate-related risks identified and assessed 
using qualitative analysis
We have worked with our independent expert adviser, DNV, to 
identify and assess the impact of climate-related risks through 
qualitative-scenario analysis, considering both short-term and 
long-term impacts on our business model. In line with the TCFD 
recommendations, our assessment covered both physical risks and 
transition risks. The ESG Steering Committee was updated on key 
findings in Q4 2021, and the ARC reviewed the findings at its 
meeting immediately prior to the issue of this report.

Our assessment concluded that our overall exposure to climate-
related risk is relatively low in the short to medium term (up to five 
years), although this increases as we look longer term (greater than 
five years). From our analysis, the areas where risk is highest are:
 – Policy, regulation and legal: our costs/revenue could be impacted 
by potential regulation relating to products and raw materials, 
particularly in relation to the use of plastics within our products 
and packaging. The majority of our products are single-use due to 
the nature of their medical application.

 – Market: there is potential impact of increases in costs of raw 

material prices due to climate change-driven factors such as raw 
material shortages, water scarcity or increased energy costs. 
There is also rising customer concerns, for example from the NHS 
and next-generation customers, relating to carbon footprint and 
single-use plastics.

 – Technology: over time the return on investment of both 

manufacturing and product technology is likely to be impacted by 
climate-related factors such as carbon pricing. Capital allocation 
decisions and product design guidelines will need to take into 
account such factors going forward as standard practice in 
financial planning processes. 

 – Reputation: whilst it is unlikely that we would suffer sustained 
stakeholder criticism for a perceived lack of responsibility in 
relation to our products (due to the nature of the medical devices 
we supply), our reputation could be damaged relative to 
competitors should we fail to keep pace with climate-related 
sector innovations, or fail to compellingly demonstrate climate 
resilience to external stakeholders.

 – Physical: we assess the potential for disruption to our own 

operations to be limited in scope in the short term and we are 
focused on continuing to invest in resilience improvement 
measures across our manufacturing plants, supply chains and 
distribution networks which will reduce our longer-term 
exposure to climate-related risks. We also assess that sales 
of certain products could potentially suffer disruption through 
the vulnerability of certain supply chains to climate risk. 
This could relate particularly to raw materials obtained from 
natural resources.

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Statements

Independent assurance
In line with our commitment to transparency, we commissioned 
DNV Business Assurance Services UK Limited (DNV) to undertake 
independent limited level assurance of our Responsible business 
review 2021. We have partnered with DNV since 2017. The 
assurance was completed using DNV’s assurance methodology, 
VeriSustain™, which is based on their professional experience, 
international assurance best practice including the International 
Standard on Assurance Engagements 3000 and the Global 
Reporting Initiative (GRI) Sustainability Reporting Guidelines. 
The Responsible Business review was evaluated for adherence to 
the GRI principles for defining report content of stakeholder 
inclusiveness, materiality, sustainability context and completeness. 

Performance data
The scope of DNV’s work covered the following 2021 disclosures 
(‘performance data’) from the review:
 – Scope 1 and 2 total greenhouse gas (GHG) emissions (tonnes 

CO2e) (market based and location based) (page 55)

 – Fatalities, Lost time injuries and rate, hazard observation rate 

(number and per 200,000 hours worked) (page 49) 

 – Diversity: percentage of females in senior management (page 48)

DNV’s full Assurance Statement, including opinion, basis of opinion 
and observations is available at https://www.convatecgroup.com/
corporate-responsibility/corporate-responsibility-reports/.

Completeness of information
The information contained in the Responsible business review 
section of our 2021 Annual Report and Accounts covers all 
operations over which we had financial control for the 2021 financial 
and calendar year. It also covers all of the issues identified in our ESG 
framework and places emphasis on the most material issues. 

Where a reported KPI does not relate to the entire organisation for 
the whole year, the scope of its boundaries is indicated. Businesses 
acquired or disposed of during the year are not included in our 
reporting for that year except where disclosed otherwise. 

2022 Plan: climate-related risk scenarios to be developed using 
quantitative analysis
During 2022, in line with the requirements of TCFD, we are 
committed to developing those qualitative scenario assessments 
into quantitative assessments which look at the business impact of 
scenarios where the global average temperature increases by less 
than two degrees, and those where temperatures rise by three 
degrees or more by the end of the century. Further, we have 
identified a number of potential opportunities to mitigate the 
physical and transitional impacts of climate change and these will be 
further assessed for feasibility in 2022 in conjunction with the ESG 
Steering Committee.

Targets – what are we committed to deliver?
2021 Progress: good progress against our climate-related 
targets, but we must do more
We already have a number of established metrics and targets which 
are driving our business towards becoming more sustainable and 
improving our management of climate-related risks. However, we 
are committed to doing more in this area and we are challenging 
ourselves to go further with our targets and to move faster in 
achieving those targets. 

2022 Plan: develop and register science-based targets to 
transition us to net zero carbon by 2045
We are committed to becoming a net zero carbon business by 
2045 and will set out our plans to achieve this in 2022. We have 
committed to establishing science-based carbon reduction targets 
to deliver on this vision, aligned with a 1.5ºC global warming scenario. 
We are currently carrying out detailed diligence reviews across our 
business to ensure that we have robust plans to achieve our vision. 
Our Responsible business review on pages 32 to 59 provides more 
details on those climate-related targets, how we are measuring our 
performance and progress to date. 

Our GDGs applied in our new product development process will help 
ensure we are developing more sustainable product portfolios for 
the longer term which will more actively consider the carbon 
footprint, water footprint and raw material selection.

In addition to the net zero carbon commitment, we will continue to 
reduce waste in the overall supply chain including identifying the 
pathway and timeline for production waste recycling targets and a 
net zero waste to landfill target. This is supported by a water scarcity 
risk assessment and setting targets for reduction of water use in 
high-risk locations. See page 56 for further information on our 
waste and water targets.

As well as managing the environmental impact of our own 
operations, we are working closely with our suppliers to minimise 
the environmental impact elsewhere in our value chain. To become 
a net zero carbon business, the measurement and monitoring of our 
Scope 3 emissions are essential and in 2022 we will be completing 
a Scope 3 materiality study to assess which of the 15 categories of 
value chain carbon emissions are relevant and quantifiable based on 
the data available with a view to adding a Scope 3 Science Based 
Target in 2023.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Risk management 

Understanding and appropriately managing risk 
inherent to our business maximises potential 
opportunities to deliver our strategy and realise  
our vision. 

Risk culture
The Board is responsible for risk management and promotes a 
transparent and accountable culture that does not inhibit sensible 
risk taking critical to growth but also sets the boundaries for such 
risk taking. The Board and its committees set the tone for the CELT 
and other senior management to promote and cascade this culture 
through the Group and with external stakeholders. 

The Board, its committees and the CELT ensure that our risk 
management systems are robust, effective and take account of 
appropriate exposures. The Board supports effective risk 
management across the Group by implementing and overseeing a 
framework of appropriate and effective controls that enable risk to 
be assessed and managed. 

The risk-related responsibilities of the Board’s committees 

Audit and Risk 
Committee (“ARC”)

Nomination 
Committee

Remuneration 
Committee

 – Monitors and reviews all risk 

management processes, including the 
effectiveness of risk mitigation and 
control measures.

 – Oversight to ensure that the Group has a 
talented, diverse and effective leadership 
team, combining extensive corporate 
experience with knowledge of our 
markets and regulatory environment, as 
well as a pipeline of senior future talent 
that together are capable of managing 
risk to enable strategy delivery.
 – Oversees the implementation of 

appropriate reward arrangements to 
drive a high-performing culture that 
manages risk in line with our risk appetite.

Our risk appetite
The Board sets the level of risk we are prepared to accept to deliver 
our strategy and realise our vision. As part of our programme to 
evolve and enhance our risk management framework, in 2021 we 
reviewed the articulation of our risk appetite to align with our 
principal risk profile. Our risk appetite is now defined through four 
lenses, which are detailed on this page, and each principal risk is 
aligned to one of the four statements. On an ongoing basis, the ARC 
monitors the level of risk to which the Group is exposed and how the 
business continues to mitigate the risk and operate within the stated 
risk appetite levels. In 2022 we will continue to enhance our 
approach to risk appetite with the identification of relevant metrics 
that support the Group to continue operating within our risk 
appetite, and as a management tool for business decisions. 

64
ConvaTec Group Plc
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Board risk-appetite statements

Seek

Accept

Manage

Cautious

Risk is taken in order to choose strategic 
options that offer potentially higher 
business rewards and/or there is 
confidence in the level of robust systems of 
internal control to respond effectively and 
limit the duration of potential impact.
Risks that arise from events that are 
outside realistic boundaries for ConvaTec’s 
immediate direct influence and control. 
A focus is required to build a reasonable 
level of resilience to impacts on strategic 
objectives.
Risk is accepted by ConvaTec in order to 
achieve strategic objectives, and where the 
risk is able to be managed to a level that 
would not result in material impact to 
strategic objectives.
Risks arising from ConvaTec’s people, 
processes, and systems that are 
controllable and where there is no appetite 
for risk taking in this area. The objective is 
to eliminate the risk or to reduce it to a 
minimal level of tolerance.

Risk management framework

Strategic enterprise level

Board risk appetite
statements

Articulation into principal risks

Business risks and tolerances

Operational exposure management

Risk management framework
We continue to strengthen our risk management approach through 
the development of a process that is based upon ISO 31000, Risk 
Management, and complies with the requirements of the UK 
Corporate Governance Code. 

Our process has been developed to undertake a continuous 
bottom-up review of risk (current and emerging) across each area of 
our business to identify the main threats to delivery of our strategy. 
The resulting business risk profile is used to inform our bi-annual 
principal risk update process, working with subject matter experts 
from the business and supported by the CELT sponsor(s). We 
identify, assess and prioritise our business and principal risks in 
accordance with our defined risk assessment criteria. Risk ratings 
are used to prioritise our risks and are a product of the expected 
impact and the likelihood of that impact to occur as a result of an 
event. Risk controls have been identified and certain additional risk 
mitigation measures implemented and monitored to further reduce 
our risk exposure and ensure alignment with our risk appetite. 
The ARC oversees the risk management process each quarter. 
For further information see page 116.

Our risk management process

Governance and oversight
The work of the Board and the ARC is underpinned by a formal 
structure of delegated authority and supported by Group policies 
covering key areas of operation, including risk management. 
The diagram below shows the key roles, responsibilities and 
overall arrangements for collecting, monitoring and reviewing 
risk information.

The Board

– Sets the Group’s risk appetite.
–  Ensures appropriate risk management and internal control 
systems are in place to enable the identification and robust 
assessment of the principal and emerging risks.

–  Ensures effective processes exist to manage the principal risks 
and takes a balanced view of those risks against ConvaTec’s 
strategy and risk appetite.

–  Assesses the Group’s prospects and resilience through the 

Viability statement.

–  Sets the “tone from the top” and the culture for managing risk.
–  Sets strategic priorities in light of the Group’s risk profile.

Audit and 
Risk 
Committee
(ARC)

–  Considers the risk environment through reporting from 
management, internal audit and the external auditor.

–  Reviews, and reports to the Board on the effectiveness of the 
internal control environment and risk management systems.
–  Sets the internal audit annual plan and external audit scope to 

provide assurance on a materiality basis that the Group operates 
within the Board’s approved risk appetite through appropriate 
and effective controls and mitigations.

Strategy and objectives

Risk analysis

Risk identification

Risk description

Risk assessment

Risk categorisation

Risk response
– Tolerate
– Treat
– Terminate
– Transfer

Risk reporting

Monitoring and challenge

ConvaTec 
Executive 
Leadership 
Team
(CELT)

–  Sponsors a coordinated approach to establishing enterprise risk 

management.

–  Employs a central risk team to establish and facilitate the risk 

management process across the Group to provide risk 
information for management oversight and decision.

–  Manages the principal risks appropriately to operate within the 

Group’s risk appetite.

–  Ensures that risk recognition and appetite are integral to 

determining strategy.

–  Delivers strategy by managing risks.

Principal risks: Risks with potential consequences material at a Group level or 
where the risk is connected and may trigger a succession of events that, in 
aggregate, become material to the Group. Risks may materialise individually, 
simultaneously or in combination to impact the delivery of our strategic priorities 
and the long-term value of ConvaTec.

Business risks: Risks identified from any aspect of the group that are relevant to 
one or more categories, functions and/or centres of excellence, and can be 
owned at that level.

Business 
Leadership 
Teams

–  Reviews management of their specific risks on a quarterly basis 

against the Group’s risk appetite.

–  Identifies additional mitigations to reduce risk exposure on an 

ongoing basis.

–  Assigns senior business representatives (Risk Champions) for 

each category and function to take a lead role in the 
identification of risk, and updating risk information for senior 
management oversight.

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Risk management
continued

2021’s risk landscape
During 2021, our overall risk landscape remained largely unchanged 
despite the challenges from the continuing COVID-19 pandemic. 
In 2020, the risk profile was elevated as a result of the emerging 
pandemic, and we have continued to manage the challenges facing 
the wider business landscape as a consequence of the COVID-19 
environment. As such we remain well placed to successfully deliver 
our strategy. To support our objectives and mitigate specific 
external events we increased our focus in certain areas as 
detailed below.

Strategic risks: 
In 2021, we continued to drive good momentum in the business 
whilst monitoring and responding to changes in the external 
environment as a result of COVID-19 and post-Brexit effects. 
Further strategic progress was made through implementing key 
transformation initiatives, improving execution and delivering 
acquisitions and divestment. We continued to maintain executive 
oversight over our transformation programme, which is shifting 
from strategic transformation to ongoing operational 
transformation execution initiatives. For our product development 
pipeline, we implemented a new process to improve delivery 
effectiveness and, during the period, we continued to improve our 
processes within the regulatory function. We put more resources 
into our ESG capability and reset our agenda and forward-looking 
plans in this area, for which more information can be found in our 
Responsible Business review on pages 32 to 59. 

Operational risks:  
The current climate, driven by COVID-19 effects, continues to bring 
certain challenges to the business. We have experienced external 
supply chain pressures both in cost inflation for raw materials and 
freight, as well as through constraints in shipping lanes and overall 
supplies. The business has continued to effectively manage and 
respond to the issues faced and work closely with freight forwarders 
and vendors to prioritise, rebalance and gain foresight into potential 
areas of exposure to minimise any possible impact. Over the course 
of 2021, we have continued to improve the robustness of our IT 
infrastructure in line with the changing business environment and 
support our people through the transition to a hybrid-working 
environment for the office-based and site non-essential workforce.  

Financial risks:  
As summarised on pages 77 to 85, we continue to experience 
minimal negative trading implications from COVID-19 in our 
businesses and overall have driven robust revenue growth in 2021, 
despite challenging prior-year comparatives. Over the year, we have 
continued to migrate our core finance activities into our expanding 
Global Business Services centre and drive efficiencies through 
the introduction of new technologies. Through the issuance of 
$500 million 2029 senior unsecured notes we strengthened our 
balance sheet, diversified Group debt and extended its maturity 
profile. Tax governance also continued to be strengthened through 
effective implementation of transformational change and 
managing the impact of changes in tax law and regulation. 

Compliance risks:  
We continued to strengthen and adapt our compliance framework 
as we grow in mature markets and target investment in emerging 
markets, whilst still anticipating and responding to the changing 
conditions under COVID-19. We took steps to ensure the 

66
ConvaTec Group Plc
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maintenance of ongoing compliance in both remote and hybrid-
working environments, including the continued provision of virtual 
ethics training and focused global compliance resources and 
initiatives. Expected standards of compliance within our third-party 
partners was also monitored and managed through due diligence 
by our Compliance team and an independent, expert third party.

2022’s anticipated risks 
We expect certain risks to impact in 2022 and have put in place 
mitigation measures to reduce any adverse implications for the 
Group’s financial results, operations, reputation and strategy. While 
these specific risks are embedded in many of our principal risks, 
further details are provided below.

Ukraine and surrounding region: 
The Ukraine situation is being monitored with particular regard to 
our customers, people, production and the supply chain. We are 
continually assessing the potential impacts on our ability to operate 
effectively across all of our chosen markets and manufacturing 
locations, and in compliance with the evolving sanctions 
environment. This is a fast moving situation, and we are evaluating 
all options as we develop appropriate response plans. 

Global supply chain pressure: 
We continue to monitor, manage and respond to COVID-19 related 
disruption, along with existing geopolitical pressures, on our supply 
chain. We have taken appropriate steps to prepare for foreseeable 
consequences, particularly in the current environment that includes 
challenges over high inflation on commodities, lead times and 
shortages for raw materials and manufactured goods, fluctuations 
and adverse movement in shipping costs, congestion and capacity 
constraints, which are all expected to continue into 2022. Whilst the 
management of our supply chain is a core competence, we will 
monitor the situation as it evolves, taking into consideration the 
continuing potential for shutdowns and other pandemic impacts, 
including on national economies, which may exacerbate pressure on 
the global supply chain environment in different regions, and assess 
any further mitigating actions that are required.

New market growth and product delivery: 
We expect to launch new products for Advanced Wound Care, 
Continence Care and Infusion Care in 2022 and products across all 
of our categories continuing into 2024. Delivery of our product 
pipeline is supported by our product development and launch 
process, which acts end-to-end to govern our actions and 
milestones from ideation through development to scale-up and 
finally approval and launch in a consistent manner. We have also 
identified 12 markets of focus around the world, with a particular 
emphasis on China and the US. In 2022, from a markets perspective, 
we will continue our investment in China as a key market going 
forward and continue to enhance our commercial execution in the 
US. We will continue to strengthen our competitive position by 
evaluating potential partnerships and acquisitions. However, any 
delays or failure to meet market expectations in our growth plans 
may result in a lack of stakeholder confidence to deliver against 
stated plans.

MDR: 
The EU Medical Device Regulations (“MDR”) came into effect in May 
2021. Our markets in the EU, and other regions that align their 
product registrations to EU requirements, are affected by the new 

requirements for all CE-marked products and we are finalising the 
remainder of our products until May 2024, through the allowed 
transition period. Within the UK markets there is also a transition 
period towards the UK Conformity Assessed (UKCA) marking 
scheme until June 2023. Non-compliance with regulatory 
requirements could result in increased scrutiny, financial penalties 
and an inability to trade within our chosen markets. Our Regulatory 
Affairs team is working with our businesses towards ensuring 
compliance across the Group for all products.

Emerging risks
On a quarterly basis our Enterprise Risk Management (“ERM”) team 
engages with senior management to identify any emerging risks that 
relate to new or changing conditions in our market environment, 
which may impact the Group beyond the horizon of our long-term 
Viability statement. As at the date of this report, the following 
emerging risks have been identified.

Political and regulatory environment: 
Anticipating, responding effectively and demonstrating 
organisational resilience to geopolitical trends and movement. The 
effects from these trends and movements on our business could be 
amplified by pandemics, the potential for international sanctions 
being applied to markets in which we operate, as well as 
interventions and/or changing laws, regulation and corporate 
governance requirements emerging at pace from governments and 
regulatory bodies across the multiple jurisdictions in which we 
operate. The consequences of these factors could influence our 
ability to comply with our obligations, source commodities and 
services, operate in certain markets and/or retain a presence in our 
current locations.

Patient and product liability: 
Our ambition to drive growth and further develop our clinical 
business and care delivery system increases our exposure to patient 
liability and the need to ensure we continue to embed a robust 
framework to manage patients and customers and protect their 
data. Our future business is also dependent on our ability to 
anticipate and/or adapt to future health, safety and environmental 
concerns or studies on the materials and processes used in the 
manufacture of current and future products, as well as political and 
regulatory strengthening of protection over consumers and 
customer, particularly in respect of personal data.

Disruptive (Next Generation) technology: 
Technology and innovation are essential if we are to meet customer 
demands and/or regulatory requirements necessitating a move 
towards a lowest possible cost environment and re-usable, low-
carbon and low-plastic economy in a competitive way. If we do not 
develop the right products, have access to the right technology or 
deploy it effectively within our key markets, respond to the prospect 
of aggressive pricing strategies or adjust to medical advancements 
in detection, cure and prevention we may lose market share in 
multiple key markets to existing and new-entrant competitors. The 
value of customer data has increased and our ability to adapt to an 
increase in the management of customer data, expanding data 
commercialisation capability and technology and widening range of 
virtual capability allows for potential disintermediation and/or 
bundling of other products and services by emerging, non-
traditional competitors entering the market.

Other factors
For further information relevant to our risk 
profile see:
 – Our market environment – pages 9 to 11.
 – Our business model – pages 20 to 21
 – Our strategy – pages 12 to 17
 – Our key performance indicators – pages 

18 to 19

 – Responsible business review – pages 32 

to 59

 – Viability statement – pages 74 to 76
 – Our governance arrangements – pages 

98 to 99

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Below in order of priority is an overview of the 
Group’s principal risks that could threaten the 
delivery of our strategy and the realisation of our 
vision. The Board has oversight of all principal 
risks that the Group faces. 

The Board reviews and agrees our principal risks on a bi-annual basis 
taking account of our risk appetite together with our evolving 
strategy, current business environment and any emerging risks. 
During 2021, we made a number of changes to our principal risks to 
reflect our assessment of their effect on the Group and the current 
environment for the business. A new principal risk has been included 
to take account of our increasing focus on the Environment and 
Communities landscape in areas such as long-term climate change, 
the impact of our activity within the communities that we operate in 
and the importance of sustainability within our product portfolio. 
Our principal risks are set out over the following pages in order of 
priority (based on the rating of residual likelihood and impact, as 
described opposite). They are also reflected in the key adverse 
scenarios underlying the Viability statement (see pages 74 to 76). 

Risk heatmap
The graphic below summarises our assessment of the expected 
impact and the likelihood of that impact to happen as a result of 
our principal risks occurring after taking into consideration the 
mitigating actions and effective controls in place to manage each 
risk, with an indication of the change in the risk profile since 
December 2020.

1

2

4

3

5

9

6

7

8

NEW

Likelihood

2020 
Principal Risk

2021 
Principal Risk

10

Global Operations 
and Supply Chain

Quality and 
Regulatory

Product Innovation 
and IP

Operational Resilience and 
Quality

t
c
a
p
m

I

Innovation and Regulatory

Legal and Compliance

Legal and Compliance

Pricing and Reimbursement

Forecasting and Market 
Conditions

Information Security

People

Geopolitical

Customer and Markets

Information Systems, 
Security and Privacy

People

Political and Economic 
Environment

Key: 
1. 
2  
3 

 Operational Resilience and Quality
 Innovation and Regulatory
 Information Systems, Security and 
Privacy 

4  Customer and Markets
5  Legal and Compliance
6  People
7 
8 
9 
10  Tax and Treasury 

 Strategy and Change Management
 Environment and Communities
 Political and Economic Environment

Risk category: 

 Strategic

 Operational

 Financial

 Compliance

 Increased

 Unchanged

 Decreased

NEW New risk

Tax and Treasury

Tax and Treasury

Change and Transformation 
Execution

Strategy and Change 
Management

Environment and 
Communities

68
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Annual Report and Accounts 2021

 
 
Risk and link to strategy

Key drivers

Risk mitigation

 – Supply chain resilience.
 – Future, sustained waves of COVID-19.
 – Extreme weather events.
 – Health and safety of employees and contractors. 
 – Single source or sole suppliers for raw materials 

and services.

 – Quality standards and resolution of existing and 
emerging quality issues within the supply chain, 
manufacturing and packaging processes.

Opportunity
Increase the efficiency and effectiveness of operations 
to support future market and customer demands.

Risk profile change
2021: no material change.

 – Executive-led operational business 

continuity governance group provides 
high-level oversight. Business continuity 
plans for manufacturing facilities, 
inventory movement and our key supply 
chain to maintain capability to respond 
rapidly and appropriately to any incident.
 – Procurement and supply chain processes 

to monitor, manage and provide 
assurance to supply-based risk across 
our markets, inventory, key suppliers 
and supply routes, ports and countries 
of operation.

 – Dedicated engineering, health, safety and 
environment, and quality project teams 
and processes to prioritise and address 
risk to manufacturing processes, facilities 
and people.

→
For further information
See pages 32 to 63.

Key drivers
 – Transition from end-of-life technology and ageing 

Risk mitigation
 – Central Technology & Innovation 

products.

 – Short and long-term management of customer 

demands.

 – Disruptive and new technologies. Changing customer 

and market needs.

 – Sustainable approach to responsible products, 

packaging and development.

 – Compliance with MDR and anticipation of emerging 

regulatory environment.

 – Managing safe clinical services.

Opportunity
Create a leading and responsive position in the 
regulatory environment, and through a sustainable 
development pipeline improve the long-term customer 
experience, meet market demands and capture growth 
opportunities in our markets.

Risk profile change
2021: No material change

team provides strategic direction for 
continued R&D investment, product 
development, regulatory approval and 
new product launches to cultivate the 
product pipeline.

 – Product portfolio reviews provide 
oversight on short-medium and 
long-term innovations and the balance 
across product categories and 
market regions. 

 – Regulatory teams and regulatory 
intelligence process supports the 
business to meet the latest standards 
in all our jurisdictions and manages our 
relationship with regulatory bodies.

→
For further information
See pages 40 to 42.

1. Operational Resilience and Quality
Supply and manufacture of products and 
packaging are reliant on the resilience of supply 
chain partners and manufacturing assets, and 
robust clinical and quality system processes. 
We invest in and develop our assets, systems 
and processes to provide a level of operational 
integrity and performance. Failure to respond to 
events, including pandemics and any increase in 
extreme weather patterns from climate change, 
that result in production and/or supply chain 
delays, adverse product quality and health, 
safety and environmental incidents could result 
in underperformance, a requirement to recall 
a product, reputational harm or a loss of 
stakeholder confidence in our ability to deliver 
our strategic ambitions.

Risk category

Risk appetite

Operational

Manage

CELT accountability
Donal Balfe, Executive Vice President, Global 
Quality and Operations 

Link to strategy

2. Innovation and Regulatory
Failure to invest in and develop safe, effective, 
profitable and sustainable long-life products to 
meet customer and market expectations, fill 
unmet medical needs or respond to disruptive 
new technologies, could result in lost market 
share, underperformance and a lack of 
stakeholder confidence to deliver in line with 
expectations. We are subject to oversight by a 
number of regulatory jurisdictions that continue 
to implement significant obligations and scrutinise 
how we operate. Failure to fulfil emerging 
obligations, provide safe clinical processes, 
or produce products and packaging that meet 
stringent and transparent customer, 
environmental and performance criteria, 
or operate inadequate or environmentally 
inappropriate manufacturing and quality systems 
could impact our ability to supply or a requirement 
to recall product(s), with the potential for 
regulatory action, liability claims, due to non-
compliance with regulatory bodies, a failure to 
meet stakeholder expectations or patient harm 
from faulty products.

Risk category

Risk appetite

Strategic

Cautious

CELT accountability
Divakar Ramakrishnan, Chief Technology Officer 

Link to strategy

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Principal risks
continued

Risk and link to strategy

Key drivers

Risk mitigation

 – Cyber security.
 – Data management and privacy.
 – IT and network resilience, business continuity and 

disaster recovery arrangements.

 – Replacement of legacy and end-of-life technology.
 – Digitisation.
 – Third-party partner performance and resilience.

Opportunity
Enhance the efficiency and resilience of our IT systems 
and processes to support effective delivery of our 
operations.

Risk profile change
2021: no material change

Key drivers
 – Local or national government healthcare budget 

provisions.

 – Operational, contracting and price review process.
 – Product portfolio rationalisation.
 – Competitive markets and behaviours and 

consolidation of buying groups.

 – Changes in customer buying patterns and service 

level expectations.

 – Manufacturing costs in a low-margin driven pricing 

environment and as a result of changes in consumer 
and government behaviour/attitude to sustainability. 

Opportunity
Grow portfolio and market share through cost efficient, 
innovative products that strengthen the relationship 
with our customer base.

Risk profile change
2021: no material change

 – Global Information Security and 

Compliance function supports the 
business with CELT-led governance 
groups providing oversight and 
monitoring as well as an escalation route 
for IT risks.

 – Cyber security leadership council, ethics 
committee and privacy leadership team 
provide governance and oversight with 
policies, methodologies, training and 
accountability framework in place to 
manage the protection and use of 
personal data.

 – Regularly evaluate, improve and test the 
resilience of our infrastructure, exposure 
to legacy and end-of-life technology, 
third party partners and IT general 
control framework for continued 
effectiveness and proportionality.

→
For further information
See pages 42 and 75.

Risk mitigation
 – Executive operational reviews in place to 
drive manufacturing cost efficiencies and 
focus through dedicated R&D and 
technology innovation teams on new 
product development and launch.

 – Voice of customer processes in place to 
support strategy and long-term plan 
delivery. Investment and enhanced focus 
in digital strategy capability, including 
online services, digital marketing and 
e-channels.

 – Key market and geographies focus 

supported by the Global Pricing Centre 
of Excellence established in key regions 
to provide control on changing market 
conditions and insight and information in 
a timely manner to respond to increases 
in risk, with regular pricing analysis and 
reviews undertaken. Supply chain team 
manages and mitigates market and 
region challenges and logistics.

→
For further information
See pages 24 to 31.

3. Information Systems, Security and Privacy
Failure to ensure that our systems, data 
management and related controls supporting our 
global business are effective, available, integral 
and secure, and recoverable, including those of 
our third-party partners, could adversely affect 
our ability to maintain continuity in our operations 
and the trust of our customers and other 
stakeholders. Information security breaches can 
lead to data theft, fraud or accidental disclosure 
and result in non-compliance with global data 
protection laws. Any real or perceived failure to 
comply with laws and regulations, or to adjust to 
a change in conditions and increase in scrutiny, 
could result in adverse consequences such as 
penalties, regulatory investigation, a decrease in 
corporate trust from stakeholders or additional 
compliance measures.

Risk category

Risk appetite

Operational 

Manage

CELT accountability
Frank Schulkes, Chief Financial Officer 
(Jonny Mason on appointment)

Link to strategy

4. Customer and Markets
Growth and value in our markets rely on our 
product portfolio, future innovation pipeline and 
digital strategy delivering to expectations, 
meeting customer demands, and a competitive 
pricing strategy. There is continued pressure on 
pricing and cost containment from rising global 
inflation rates, large and consolidating buying 
groups, as well as on reimbursement rates for 
products sold into the home care setting from 
government or commercial payers managing and 
reducing their costs. Competitor behaviour, 
attractiveness of our portfolio from market trends 
or public perception, and maintaining a low-cost 
base, all increase competition for sales and reduce 
prices and margins. Failure to identify, react or 
plan effectively to changes in market conditions, 
competition, customer demand, expectations and 
behaviours could result in suboptimal decisions, 
underperformance and adverse results.

Risk category

Risk appetite

Financial 

Manage

CELT accountability
Presidents and Chief Operating Officers

Link to strategy

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Annual Report and Accounts 2020

 
 
 
 
 
 
 
Risk and link to strategy

Key drivers

Risk mitigation

5. Legal and Compliance
Our business is subject to a complex environment 
of laws and regulations across multiple 
jurisdictions. Any real or perceived failure to 
comply with required and/or new and emerging 
laws and regulations, adjust to a change in 
conditions and increase in scrutiny, or exposure to 
litigation from contractual obligations or 
intellectual property could result in adverse 
consequences such as penalties, government 
investigation, a decrease in corporate trust from 
stakeholders, competitive disadvantage or 
additional compliance measures.

Risk category

Risk appetite

Compliance 

Cautious

CELT accountability
Evelyn Douglas, Executive Vice President, Chief of 
Corporate Strategy Business Development, 
General Counsel and Company Secretary

Link to strategy

 – Government investigations and complex legal and 

regulatory environment.

 – Commercial litigation.
 – Local cultural differences in-market.
 – Product liability.
 – Corporate governance structure.
 – Complexity and transparency of IP and patent 
environment, including in tax and operations.

Opportunity
Create an industry-leading legal and compliance 
approach to our obligations and stakeholder 
expectations.

Risk profile change
2021: no material change

 – Our Code of Conduct, group policies and 
standards govern how we conduct our 
affairs through our values and culture. 
Executive-level Compliance Steering 
Committee provides oversight to the 
Group on compliance initiatives and 
emerging exposures.

 – Dedicated Group compliance function, 

annual compliance assurance 
programme with oversight at every Audit 
and Risk Committee meeting, ongoing 
employee compliance training and 
independent whistleblower process in 
place.

 – In-house legal counsel team with external 

counsel engaged when appropriate. 
Contract approval process and Grant of 
Authority scheme in place. Third-party 
risk control framework for onboarding 
due diligence process and distributor 
training. Patent counsel manages patent 
protection and ongoing market IP 
monitoring processes.

→
For further information
See pages 50 and 51.

6. People
Failure to effectively recruit, retain and develop 
strong succession to align the right talent, 
particularly in our senior management and 
through the development of the talent pipeline, to 
enable key business imperatives. Failing to 
successfully manage transformation and/or the 
effects of high business disruption could impact 
employee effectiveness, engagement and 
wellbeing and adversely affect our ability to 
transform our business, achieve our strategic 
objectives and deliver growth.

Risk category

Risk appetite

Operational 

Manage

CELT accountability
Natalia Kozmina, Executive Vice President, Human 
Resources

Link to strategy

Key drivers
 – Attraction and retention of key skills and capabilities, 

Risk mitigation
 – Maintaining a diverse and effective 

including salary and remuneration inflation challenges 
in critical areas.

 – Development of key individuals in key roles.
 – Effective succession planning strategy for senior 

leadership.

 – Knowledge retention within key markets and 

functions.

 – Competitive industry and regional recruitment 

markets.

 – Speed and volume of management change. 

Opportunity 
Create a sustainable level of expertise and key skills 
across the Group.

Risk profile change
2021: decreased – implementation of hybrid-working 
environment.

leadership team with a pipeline of senior 
future talent. Implementation of 
appropriate reward arrangements. 
Continuing focus on the Employee 
Resource Groups (ERGs).

 – Succession back-up plans, cross-training 
and third-party resource availability in 
place to support critical activities and the 
CELT and senior management team.
 – Aligning a talent to value approach in the 
strategic planning process. Work life 
philosophy includes introduction of a 
hybrid working environment and support 
for site non-essential and office-based 
workforce. OHI survey in place to identify 
the impact of our practices and culture 
on performance.

→
For further information
See pages 43 to 48.

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Principal risks
continued

Risk and link to strategy

Key drivers

Risk mitigation

 – Strategy delivery and our strategic drivers.
 – Change management delivery.
 – Realisation of benefits.
 – Speed and volume of change management.
 – M&A and divesture programme.
 – Stakeholder and shareholder expectations. 

Opportunity 
Create a continuous streamlined business model that 
assesses value-adding opportunities, maximises 
investment returns and delivers strategy to meet 
stakeholder expectations.

Risk profile change
2021: decreased – shift from strategic transformation 
to ongoing operational transformation execution 
initiatives

7. Strategy and Change Management
Delivery of our strategy will involve growth in a 
number of networks, maintaining a low-cost base 
and divestiture to position ourselves to deliver 
targets whilst sustaining a stable platform for 
investment. Any failure to ensure that we deliver 
material growth in key markets, integrate M&A 
activity and establish strategic partnerships, 
contend with new market entrants and maximise 
the value of data could fail to create shareholder 
value, erode investor confidence, and have a 
significant impact on the Group’s revenues and 
profits. The successful delivery of business 
change is fundamental to our future success. 
Large-scale change initiatives carry complexity 
and a material delay or challenge to our change 
programme and the realisation of planned 
benefits may affect objectives, strategic growth, 
investor confidence and cause financial loss.

Risk category

Risk appetite

Strategic

Seek

CELT accountability
Evelyn Douglas, Executive Vice President, Chief of 
Corporate Strategy Business Development, 
General Counsel and Company Secretary

Link to strategy

8. Environment and Communities
Long-term success relies on addressing the 
challenges to the sustainability of our operations 
(including environmental and social aspects), 
supply chain resilience, products and the ability to 
manage the impact of climate change, developing 
trends in the political environment and increasing 
pressure and scrutiny from external groups, 
society, customers and communities in which we 
operate. The level of requirements and 
expectation from stakeholders is increasing, 
which requires a robust, transparent and equitable 
level of sustainable corporate culture to underpin 
the way in which the Group operates. Failure to 
implement appropriate plans could hinder efforts 
to mitigate long-term risks and bring a range of 
reputational and commercial impacts to the 
business across a range of stakeholders. 

Key drivers
 – Emerging ESG reporting requirements and 

standards.

 – Recommendations of the Taskforce on Climate-

related Financial Disclosures (TCFD).

 – Net-zero commitment and Science Based Targets 

initiative.

 – Responsible and sustainable behaviours across the 

supply chain.

 – Community investment programme
 – Product impacts and sustainable product design.

Opportunity 
Achieve an effective balance between short-term needs 
and delivery versus longer-term requirements and 
commitments, in response to anticipated exposures 
from changes and events in the climate, the 
environment and society.

Risk category

Risk appetite

Strategic 

Manage

Risk profile change
2021: new risk 

CELT accountability
Natalia Kozmina, Executive Vice President, Human 
Resources

Link to strategy

 – The Board approves the Group strategic 
plan setting the strategic direction and 
confirming strategic choices that are 
embedded in targets across the business. 
Central strategy team supports the 
business delivering against the 
embedded strategic planning process 
and timetable to define clear delegated 
targets in business plans.

 – Dedicated Transformation Execution 

Office (“TEO”), with CEO sponsorship, 
provides overarching global oversight to 
delivery of transformation programme. 
The TEO framework works to ensure 
capital is allocated in line with strategy 
and towards projects best able to deliver 
expected business benefits.

 – Robust and transparent transformation 
execution process implemented with 
clear accountability, governance and 
reporting arrangements established. 
CELT oversight of business 
transformation portfolio for direction 
and alignment.

→
For further information
See pages 12 to 17.

Risk mitigation
 – Executive steering committee provides 

oversight and direction on group strategy 
and execution. Functions across the 
business support group reporting and 
regulatory requirements, with policies 
and independent third-party expert 
assurance in place.

 – Environmental strategy developed with 

key material topics and targets identified. 
Local community impacts addressed 
through an environmental policy and 
audit process. Supply chain partners 
managed through contracts, supplier 
code of conduct and performance 
monitoring with third party assurance 
process in place for key suppliers.
 – Refreshed strategy to strengthen 

communities programme and drive 
greater focus on key priority areas: 
education, access to healthcare and 
disaster relief.

→
For further information
See pages 53 and 59.

72
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Risk and link to strategy

Key drivers

Risk mitigation

9. Political and Economic Environment
Our global operations and markets are subject to 
various political interventions and changes to 
corporate governance requirements, particularly 
in relation to global inflationary and supply chain 
pressures, security of raw material supply, 
healthcare system reform, regulatory reform, 
governance of industry operations, amendment 
to existing tax and disclosure regimes and fiscal 
terms, and protection of consumers and business 
customers. Continuing volatility in the 
international political climate increases the 
possibility of tariff structure changes, sanctions or 
other trade limiting actions. A failure to identify 
and adapt to these factors could impact sourcing 
commodities and services, as well as our ability to 
maintain a presence in current and future markets 
and countries.

Risk category

Risk appetite

Strategic

Accept

CELT accountability
Frank Schulkes, Chief Financial Officer 
(Jonny Mason on appointment)

Link to strategy

 – Geopolitics, national elections, referendums, 

interstate conflict and social unrest affecting key 
markets.

 – National healthcare reforms.
 – Supply chain resilience.
 – Compliance with regulatory frameworks.
 – Adverse customs duties and tariffs.
 – Financial markets, inflationary and supply chain 

pressures and macroeconomics.

Opportunity 
Effective minimisation of political and macroeconomic 
disruption will enable us to identify areas for operational 
improvement, deliver further value and maintain our 
competitive market positions.

Risk profile change
2021: no material change

 – Global supply chain function manages 
our presence in markets and across 
regions. Third-party contracts in place to 
maintain the security of supply. 
Monitoring of supply chain through 
implemented systems and third-party 
partners.

 – Compliance, IR, Legal, Regulatory and 
Tax teams support the business, liaise 
with external stakeholders and respond 
to changing requirements where 
appropriate.

 – Dialogue with governments in relation to 

specific matters. Membership of 
appropriate industry bodies and 
participation on industry issues including 
development and implementation of best 
practice. External support via third-party 
consultants to identify and manage risks 
present to our operations.

→
For further information
See pages 9 to 11.

10. Tax and Treasury
Our business operates across multiple 
jurisdictions with complex tax laws and 
regulations, and manufactures and/operates 
across markets with multiple currencies. Changes 
in tax law and regulations as well as any 
organisational change that affects the Group’s tax 
operations framework, may impact tax liabilities 
and increase filing and disclosure requirements 
and obligations. Failure to manage tax compliance, 
fluctuations in interest and foreign exchange 
movements, counterparty exposure, the cost of 
and access to financing or a deterioration in 
cash-flow and liquidity as a result of impacts to 
our revenue, costs and/or global financial systems 
could drive reductions in stakeholder trust, 
financial performance and future investment.

Key drivers
 – Multiple tax jurisdictions and emerging changes to 

Risk mitigation
 – Central global tax function monitor 

tax law and regulations.

 – Complex global tax regulatory environment and 

complex Group trading structure and inter-group 
trading.

 – Unprovided tax liabilities.
 – Volatile geopolitical environment.
 – Global economic environment, including implications 

for interest and foreign exchange rates.

 – Counterparty exposure.

Opportunity 
Robust tax arrangements, financial performance and 
balance sheet to increase stakeholder and shareholder 
confidence.

changes in tax laws and regulations, as 
well as support during major internal 
projects, to advise the business regularly 
on obligations, requirements and future 
improvements to the tax governance 
framework.

 – Engagement of external expert tax 

advice, support and compliance services 
to enhance internal team’s capabilities.

 – Central corporate Treasury function 
positions are managed in accordance 
with the Treasury policy including foreign 
exchange movement, financial 
transaction execution, capital structure 
and interest rate fluctuations.

Risk profile change
2021: no material change

Risk category

Risk appetite

Financial 

Manage

CELT accountability
Frank Schulkes, Chief Financial Officer
(Jonny Mason on appointment) 

Link to strategy

→
For further information
See pages 80 and 83.

73
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
 
 
 
Viability statement 

The Group’s future prospects and viability
An understanding of the Group’s strategy, to pivot to sustainable and 
profitable growth, and its business model (pages 12 to 17 and pages 
20 and 21), are central in allowing the Board to assess the Group’s 
prospects, liquidity, resilience and viability. The principal and 
emerging risks being addressed by the Company (see page 68 and 
pages 69 to 73) are reflected in the determination of the Group’s 
strategy and its successful implementation.

Assessment of future prospects
The Group’s annual planning process consists of monthly monitoring 
of progress against the financial budget and key objectives for the 
current year by the CELT and the Board, reforecasting throughout 
the year in respect of the expected outcome for the current year, 
preparing a detailed budget for the following year and updating a 
rolling five-year strategic plan, following a detailed review by the 
Board, which forms the main basis on which to assess the longer-
term prospects of the Group. 

The key assumptions considered in the strategic plan, on which this 
viability assessment is based, include: 
 – Our markets remain structurally sound and continue to grow at 
existing levels with no significant change to re-imbursement 
environments.

 – Margin improvement is driven by successful execution of our 

operational excellence programmes in order to deliver 
productivity gains in excess of pricing and other headwinds.

 – Although the persistence of COVID-19 remains uncertain, impacts 
on operations remain limited and have been embedded into the 
assumptions for the strategic planning cycle.

 – Climate risk has been considered but is not expected to have an 

impact during the viability period of three years.

 – Through the execution of our strategy, we simplify our business, 

remove excess costs and re-invest in future innovation.

 – The Group will be able to refinance its current bank debt, including 

its $200 million RCF, in 2024, when it matures.

 – Maintaining the existing dividend policy over the viability period.

In 2021, the Board approved a detailed operational plan and 
execution model to deliver sustainable and profitable growth over 
the medium to long term. The Board subsequently approved the 
revised financial plan that underpins the Group’s five-year strategic 
plan. The financial plan forecasts the Group’s profitability, cash flows 
and funding requirements for the relevant period.

Our strategy is customer-centric, agile, focuses on innovation and 
ensures clear accountability. It has been developed from strategic 
plans for each of our business units and functional areas, 
supplemented by items managed at a Group level and assumptions 
such as macro-economic activity, sector market growth forecasts, 
competitor activity and exchange rates. This has then been 
supplemented by the CELT’s plans for improving the operational 
effectiveness and execution of all elements of the Group. 

Key factors affecting the Board’s view of the Group’s prospects over 
the period of the viability assessment and the longer term are:
 – The fundamentals of our markets, products and brands remain 
sound, as does our current and future strategy of leveraging our 
product portfolio for growth in attractive segments and 
geographies, developing and commercialising new technologies 
and services and striving to reduce complexity and increase 
efficiency. 

 – The continued strengthening of the Group’s execution discipline 

via the Transformation Executive Office to capitalise on the 
Group’s core strengths.

 – Established positions in large, structurally growing markets; strong 
brands and a range of differentiated products; a well-diversified 
business platform across a range of market segments and 
geographies; and cash generation capabilities.

 – The five strategic pillars that will support the delivery of the 

strategy, which are set out on page 12.

Viability assessment 
Throughout the year, the Board has undertaken a robust 
assessment of the principal risks affecting the Group and also 
emerging risks, particularly those that could threaten the business 
model and the Group’s viability over an extended period, including an 
assessment of the likelihood of them materialising. These risks and 
the actions being taken to manage or mitigate these risks are 
explained in detail on pages 69 to 73. This analysis has then been 
applied to allow the Board to assess the prospects, liquidity, 
resilience and viability of the Group.

The directors are of the view that the appropriate period of 
assessment remains a three-year period from January 2022 to 
December 2024 (“the Viability Period”). Although the Directors 
have no reason to believe that the Group will not be viable over a 
longer period, the Board has chosen to conduct the assessment for 
this three-year period because:
 – A three year viability period aligns with the repayment profile of 

the majority of the Groups bank debt, maturing in 2024. 

 – Our R&D and production cycles tend to be of a duration of less 

than three years with key innovation pipeline programs targeting 
launch within the Viability Period. 

 – Significant capital investments are being made over the next two 
years to realise the Group’s strategy over the medium to long 
term. The Group’s business model means that its capital 
investment is discretionary and it has the ability to respond in a 
timely manner to reasonably possible Group specific and market 
events, therefore does not require a longer time horizon 
assessment.

 – Implicitly, it is harder to accurately forecast the latter years of a 

five-year plan. 

74
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Annual Report and Accounts 2021

The viability assessment has consisted of stress testing the 
forecasts underlying the strategic plan by modelling severe but 
plausible scenarios in which a number of the Group’s principal risks 
and uncertainties materialise within the Viability Period. We have 
modelled scenarios which group together principal risks where we 
believe interdependencies exist between risks, in addition to 
scenarios where unconnected risks occur simultaneously. These 
scenarios focused on both external factors, such as the possible 
impact of, economic recession in some markets leading to material 
pricing pressure and increased inflation headwinds, and internal 
factors, such as the Group’s transformation initiatives delivering 
less than expected and a regulatory breach resulting in a loss 
of revenues.

We continue to strengthen and develop the link between the 
Group’s principal risks and the viability assessment and scenarios. 
The Group’s principal risks are updated through the lens of our risk 
appetite together with assessing our evolving strategy, current 
business environment and any emerging risks. During 2021, we 
made a number of changes to our principal risks to reflect our 
assessment of their effect on the Group and the current 
environment for the business. As such we reviewed the severe and 
plausible risk events from each principal risk and prioritised those 
by relative impact to form revised long-term viability scenarios. As a 
result of ongoing investment in our operational resilience over the 
course of 2021 we have determined to shift focus in our EHS 
incident scenario from a severe hurricane to a significant fire as a 
more plausible scenario against group viability. The Group has taken 
into account the COVID-19 situation as part of the budget and 
strategic plan cycle. We have, therefore, replaced the global 
pandemic scenario as we have now operated for over two years in 
the COVID-19 environment and have successfully put into place 
amended ways of working and adapted to the evolving 
circumstances. We have updated the long-term viability model to 
instead include scenarios on significant cyber and regulatory 
incidents. This reflects the importance of both these areas to our 
business as we grow new and emerging markets as well as the 
changing and emerging external environment that our current and 
future operations work within.

The scenarios and sensitivity testing have been based upon the 
current Board-approved strategic plan and forecast revenues, 
operating profit and balance sheets and were reviewed against 
the current and projected liquidity and funding position. The main 
severe, but plausible scenarios included the following in the 
table adjacent.

Scenarios
Impacts from a significant EHS incident, 
linked to a fire, at the Haina plant in the 
Dominican Republic
 – Impact on supplying customers before 

plant production restored

 – Reduced production or extended period 

of shut down 

 – Loss of sales could have a material adverse 

impact on the Group’s reputation

 – Impact of supply disruption
Impacts from a significant cyber incident 
producing a significant interruption
 – A significant data privacy breach, leading 
to a regulatory penalty and subsequent 
costs for investigation and remediation
 – We have modelled a one-off significant 
fine (3% of revenue) resulting from a 
privacy issue in 2022

Impacts from significant regulatory issues
 – Significant breach of regulatory 
compliance in a product line 

 – Reduced production and loss of sales due 

to reputation 

 – Impact of supply disruption
Key transformation initiatives do not 
deliver expected benefits
 – Commercial transformation investments 
fail to deliver anticipated revenue growth 
benefits

 – Loss of sales due to a material adverse 

impact on the Group’s reputation

Linkage to risks on pages 
69 to 73
 – Operational Resilience 

and Quality

 – Information Systems, 
Security and Privacy
 – Operational Resilience 

and Quality

 – Legal and 

Compliance
 – Innovation and 
Regulatory
 – Operational 

Resilience and Quality

 – Innovation and 
Regulatory
 – Operational 

Resilience and Quality 

Reduced revenues and increased costs 
across the globe
 – Reduction in pricing and reimbursement 

 – Customer and Markets
 – Political and Economic 

Environment

rates in a major market

 – Increased costs as a result of inflationary 
pressure on materials prices and global 
logistics costs 

Consideration was also given to a number of other scenarios as 
well as the combination of the main severe plausible scenarios, 
reflecting individual risks and events. In the Board’s estimation these 
events would not plausibly occur to a level of materiality that, in 
themselves, would endanger the Group’s viability. 

The scenarios took no account of the likely mitigating actions 
available to the Directors through adjustments to the Group’s 
strategy and other means in the normal course of business for 
example reducing employee bonuses, lower capital investment or 
reduced dividends. They did assume the Group would refinance its 
outstanding debt in 2024.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Viability statements
continued

This assessment was informed by Management’s and the Board’s 
combined judgement as to the potential financial (particularly 
liquidity) impact of these risks if they were to materialise, together 
with their likelihood of occurrence. The Directors reviewed and 
discussed the process undertaken by Management and also 
reviewed the results of reverse stress testing performed to provide 
an illustration of the level of deterioration in operating income which 
would trigger a breach of the Group’s debt covenants. The 
conditions of the reverse stress test were considered implausible 
given that a reduction of more than $177 million EBITDA would be 
required in FY22 to create conditions which may lead to a covenant 
breach and substantially higher reductions in profitability in 
subsequent years.

In addition, the Board undertook an independent review of market 
information, including investors’ and analysts’ views and the insights 
from market commentators on the future viability of the Group and 
the market prospects. This review was undertaken to ensure that 
where there was an external view or information that was 
contradictory to the views of Management, the Board understood 
the rationale for the difference of opinion and agreed with 
Management’s view. This independent review and the scenario tests 
enabled the Board to conclude on the Group’s viability and resilience.

Viability statement
Having assessed the Group’s principal risks and uncertainties, and 
the consolidated financial impact of sensitivity analysis (including 
a severe, but plausible set of scenarios, which did not take into 
consideration any mitigating actions available to the Group), plus 
the Group’s level of cash generation and existing financing facilities, 
and the timing of the peak cash outflows, the Board has determined 
that it has a reasonable expectation that the Group will be able to 
continue to operate within its existing bank covenants and meet 
its liabilities over the Viability Period to December 2024.

The Group’s Going Concern statement is detailed on page 114 to 115.

Karim Bitar
Chief Executive Officer

Frank Schulkes
Chief Financial Officer

76
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Annual Report and Accounts 2021

Financial review 

Frank Schulkes
Chief Financial Officer

 “2021 was a year of continued 
financial progress – demonstrating 
that the Group is pivoting to 
sustainable and profitable growth 
while continuing to improve the 
balance sheet.”

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Financial review
continued

We have continued to make good progress executing our FISBE strategy and are demonstrating that we are pivoting to sustainable and 
profitable growth. Our revenue growth has been building over the last three years, showing momentum, and we have delivered adjusted 
operating profit growth in 2021, notwithstanding further investment in the Group and the exogenous inflationary and foreign exchange 
headwinds which contributed to a reduced adjusted operating margin percentage in 2021. We have continued to strategically appraise 
the shape of the Group and have, during the year, strengthened our CCC business through two acquisitions and by exiting some of the 
incontinence non-core activities. Furthermore, post year-end we announced the proposed acquisition of Triad Life Sciences which, once 
complete, will strengthen our AWC business. Our balance sheet is in good shape with year-end net debt at 1.9 times 2021 adjusted EBITDA 
and additionally we have strengthened our balance sheet – diversifying our debt and extending its maturity profile through the successful 
issuance of $500 million 2029 unsecured senior notes in October 2021, being the primary contributor to the repayment of $583.9 million 
of the 2024 bank loans during 2021.

Revenue
Cost of sales
Gross profit
Gross margin %
Operating expenses
Operating profit
Operating margin %
Net finance expense
Non-operating income/(expense), net
Profit before income taxes
Income tax expense
Net profit
Net profit %
Basic earnings per share (cents per share)
Diluted earnings per share (cents per share)
Dividend per share (cents)

Reported
2021
$m
2,038.3
(915.2)
1,123.1
55.1%
(919.5)
203.6
10.0%
(43.5)
(8.8)
151.3
(33.7)
117.6
5.8%
5.9¢
5.8¢
5.8¢

Reported
2020
$m
1,894.3
(875.5)
1,018.8
53.8%
(807.8)
211.0
11.1%
(48.4)
12.1
174.7
(62.2)
112.5
5.9%
5.7¢
5.6¢
5.7¢

Adjusted
2021
$m
2,038.3
(805.0)
1,233.3
60.5%
(871.6)
361.7
17.7%
(43.5)
(8.8)
309.4
(46.4)
263.0
12.9%
13.1¢
13.0¢

Adjusted
2020
$m
1,894.3
(767.5)
1,126.8
59.5%
(776.6)
350.2
18.5%
(48.4)
(4.4)
297.4
(56.9)
240.5
12.7%
12.1¢
12.0¢

The Group’s Financials and Adjusted results 
The Group’s financial performance, measured in accordance with IFRS, is set out in the Financial Statements and Notes thereto on pages 
150 to 197 and referred to in this Annual Report as ‘reported’ measures. 

The commentary in this Financial review includes discussion of the Group’s reported results and alternative performance measures (‘APMs’). 
Management and the Board use APMs as meaningful supplemental measures in monitoring the performance of the business. These 
measures are disclosed in accordance with the ESMA guidelines and are explained and reconciled to the most directly comparable reported 
measure prepared in accordance with IFRS on pages 207 to 210. 

Constant Currency Growth (CER) 
Management and the Board review revenue on a constant currency basis which removes the effect of fluctuations in exchange rates to 
focus on the underlying revenue performance. Constant currency information is calculated by applying the applicable prior period average 
exchange rates to the Group’s reported revenue performance in the current period. Revenue and the revenue growth on a constant 
currency basis are non-IFRS financial measures and should not be viewed as replacements of IFRS reported revenue. 

Alternative performance measures (“APMs”)
In line with the Group’s APM policy, included within our alternative performance measures in 2021 are termination benefits in respect of 
transformation activity of $4.3 million (2020: $12.2 million), amortisation of acquired intangibles of $130.4 million (2020: $125.3 million), 
costs related to acquisition and divestment activity of $17.8 million (2020: gain of $16.5 million), and a dispute settlement of $5.6 million. 

The Board, through the Audit and Risk Committee, continuously reviews the Group’s APM policy to ensure that it remains appropriate and 
represents the way in which the performance of the Group is managed.

For further information on Non-IFRS financial information, see pages 207 to 210.

78
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Annual Report and Accounts 2021

Revenue
Group reported revenue for the year ended 31 December 2021 of $2,038.3 million (2020: $1,894.3 million) increased 7.6% year-on-year, 
or 5.8% on a constant currency basis. Adjusting for the acquisitions of Cure Medical and Patient Care Medical, and the divestment of the 
incontinence activities in 2021 and US Skincare products in 2020, Group revenue grew by 5.3% on an organic constant currency basis. 
The primary drivers of this organic growth performance were the rebound in AWC, following weakness in 2020 caused by the pandemic 
when there was a significant reduction in elective procedures and restricted access to healthcare settings, coupled with continued strong 
growth in IC. For more detail about the category performance, refer to the Operating Review.

Revenue by product category

Advanced Wound Care 
Ostomy Care 
Continence and Critical Care 
Infusion Care 
Total

2021
$m
592.3
546.5
542.9
356.6
2,038.3

2020
$m
546.8
525.9
498.6
323.0
1,894.3

Reported
growth
%
8.3%
3.9%
8.9%
10.4%
7.6%

Foreign 
exchange 
impact
%
2.8%
2.2%
1.0%
0.8%
1.8%

Constant 
currency 
growth
%
5.5%
1.7%
7.9%
9.6%
5.8%

Organic
growth
%
9.2%
1.7%
2.1%
9.6%
5.3%

AWC revenue grew 8.3%, or 5.5% on a constant currency basis, with strong growth over the relatively weak 2020 comparative partially 
offset by the impact of the US Skin Care disposal. OC revenue grew 3.9% and 1.7% year-on-year on a constant currency basis with improving 
growth in the ConvaTec products partially offset by the deliberate product rationalisation and declines in sales of Non-ConvaTec ostomy 
products. CCC revenue grew 8.9%, or 7.9% on a constant currency basis, principally reflecting the incremental sales from the Cure Medical 
acquisition partially offset by a slight decline in certain products, following strong demand for those products during 2020 as a result of the 
pandemic. IC revenue grew 10.4%, or 9.6% on a constant currency basis, driven by continued strong demand for our innovative infusion sets 
by diabetes patients. See pages 24 to 31 for detail on the performance of each category. 

Reported net profit 
Reported operating profit was $203.6 million, a decrease of $7.4 million, reflecting the 7.6% growth in revenue (of which 1.8% was a foreign 
exchange tailwind) and an improvement in gross margin, being more than offset by an increase in operating expenses primarily driven by 
higher investments in Sales & Marketing and R&D. 

Reported net finance expenses and non-operating expenses totalled $52.3 million (2020: $36.3 million). Net finance expenses reduced by 
$4.9 million to $43.5 million, reflecting lower interest expenses and a reduction in the Group’s gross debt following scheduled repayments in 
2021. The non-operating expenses of $8.8 million principally relate to foreign exchange losses (2020: $12.1 million gain principally from the 
disposal of the US skincare product line). 

After income tax expense of $33.7 million (2020: $62.2 million), reported net profit was $117.6 million (2020: $112.5 million) generating basic 
earnings per share of 5.9 cents (2020: 5.7 cents) 

Adjusted net profit
The 7.6% growth in revenue was accompanied by 100bps improvement in the adjusted gross margin, with productivity gains and 
positive price/mix more than offsetting inflationary headwinds, resulting in adjusted gross profit increasing by $106.5 million (9.5%) to 
$1,233.3 million. However, increased investment in Sales and Marketing and R&D and the negative impact of foreign exchange on adjusted 
EBIT, plus other adverse movements in certain costs, including increase in Transformation-related investments, resulted in the adjusted 
operating profit increasing by only $11.5 million (3.3%) to $361.7 million (2020: $350.2 million). As a result, adjusted EBIT margin percentage 
was down 80bps, at 17.7%.

Adjusted net profit rose 9.4% to $263.0 million (2020: $240.5 million) supported by a $4.9 million reduction in net finance expense coupled 
with a $10.5 million reduction in adjusted income tax expense (which is explained below). 

Adjusted basic and diluted EPS was 13.1 cents and 13.0 cents respectively (2020: 12.1 cents and 12.0 cents), calculated on the basic weighted 
average ordinary shares of 2,009 million shares (2020: 1,992 million shares) and 2,026 million diluted shares (2020: 2,007 million) respectively.

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ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Financial review
continued

Taxation and tax strategy

Profit before income 
taxes
Income tax expense
Effective tax rate

2021
$m
151.3

2020
$m
174.7

Adjusted
2021
$m
309.4

Adjusted
2020
$m
297.4

(33.7)
22.3%

(62.2)
35.6%

(46.4)
15.0%

(56.9)
19.1%

The Group’s income tax expense was $33.7 million (2020: 
$62.2 million). The Group’s effective tax rate of 22.3% for the year 
was lower than the prior year (2020: 35.6%) mainly due to the 
recognition of a deferred tax asset following the acquisition of Cure 
Medical (in respect of previously unrecognised tax losses in the US), 
lower incidence of certain minimum taxes in the US, and a net tax 
benefit in the UK for additional tax reliefs claimed in respect of prior 
years. These factors were partially offset by the impact of profit 
mix between jurisdictions in which the Group has a taxable presence 
and an increase in deferred tax expense arising from an increase 
in the UK corporation tax rate from 19% to 25% from 1 April 2023. 
For further information, see Note 5 to the Consolidated 
Financial Statements. 

The adjusted income tax expense for 2021 of $46.4 million excludes 
adjusted tax items which are the $11.5 million tax benefit effect on 
adjusting items relating to current year amortisation of intangible 
assets and termination costs in respect of major change 
programmes. The adjusted income tax expense also excludes other 
discrete tax items relating to $6.8 million tax benefit following the 
acquisition of Cure Medical (as noted above) and a deferred tax 
expense of $5.6 million for the increase in UK corporation tax rate 
that applies to UK acquired intangibles (where the amortisation of 
these acquired intangibles is excluded from adjusted net profit). 

In 2020, the adjusted income tax expense of $56.9 million excluded 
$17.6 million related to the change in basis of estimation of a 
deferred tax asset arising from Swiss tax reform (other discrete tax 
item), and a tax benefit of $12.3 million in respect of the tax effect 
of amortisation of intangible assets and the cost of termination 
benefits in respect of specific Group-wide initiatives.

The adjusted effective tax rate for 2021 was 15.0% (2020: 19.1%). 
The decrease of 4.1% primarily reflects the same factors affecting 
the reported effective tax rate (as noted above), excluding the 
impact of adjusted tax items.

The adjusted effective tax rate of 15.0% was also lower than the 
19.8% estimated in the H1 2021 results due to a combination of net 
benefits. These include profit mix between the jurisdictions, reliefs 
claimed in the second half of 2021 in respect of a number of years 
where the analysis performed was completed after the 
announcement of the interim results, and reassessment of the 
provision for uncertain tax positions based on developments in 
H2 2021.

ConvaTec is a responsible business and promotes the highest 
standards of compliance and ethical behaviour. Management takes 
a responsible attitude to tax, recognising that it affects all of our 
stakeholders. The Group had on average more than 10,000 
employees worldwide during 2021 and operated in over 100 
countries through direct sales and local distributors. As a result, our 
business activities generate a substantial amount of taxes. These 
include both corporate income taxes and non-income taxes such as 
payroll taxes, property taxes, VAT/Sales & Use taxes, and other taxes. 
In order to provide transparency on the Group’s approach to tax, 
the Global Tax Strategy has been published, which is available on the 
corporate website (https://www.convatecgroup.com/corporate-
responsibility/socio-economic-contribution/tax-statement).

Strategic transformation 
During 2021, the Group continued with its strategic transformation 
programme and invested a further $171.7 million, comprising: 
 – $30.4 million of non-recurring operational costs 

(2020: $50.6 million)

 – $71.8 million of recurring transformation investment 

(2020: $41.9 million)

 – An additional $4.2 million of costs to be excluded from 

adjusted EBIT (2020: $12.2 million) 

 – $65.3 million of capital expenditure (2020: $26.0 million)

In addition to the above organic investments, the Group also 
explored and executed acquisitions or divestitures to improve 
the strategic positioning of the Group and increase focus on our 
four key categories. During 2021, this included the acquisition 
of Cure Medical and Patient Care Medical, the divestiture of the 
incontinence activities, the announcement on 28 January 2022 of 
the proposed acquisition of Triad Life Sciences and other projects. 
Costs related to all these projects, which have been executed, 
aborted or are in-flight, were $17.8 million in 2021 and these costs 
have been excluded from adjusted EBIT given their one-off nature. 

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Annual Report and Accounts 2021

Acquisitions 
As noted above, in line with our strategic transformation and 
consistent with the “Focus” pillar of FISBE (see page 13), we 
acquired Cure Medical and Patient Care Medical for a net 
consideration of $113.8 million and disposed of an incontinence 
patient list in the US for $1.4 million, generating a gain of $0.5 million. 

Cure Medical, a California-based manufacturer and distributor of 
catheter-related supplies, was acquired in March 2021 for a net cash 
consideration of $84.7 million. The sellers may earn an additional 
consideration of up to $10.0 million which is contingent on post-
acquisition performance targets and is payable within three years 
of the acquisition date. The acquisition of Cure Medical allows the 
Group to better serve the US intermittent catheter market, 
improving and expanding relationships with patients, care givers 
and partners. 

Patient Care Medical is a US distributor and service company 
focused on disposable, intermittent catheters in the US market. It 
was acquired in December 2021, for a consideration of $29.1 million 
which included $6.0 million of deferred consideration paid into 
escrow. 

Refer to Note 8.4 to the Consolidated Financial Statements for 
further details.

Post the 31 December 2021 balance sheet date, the Group 
announced it had signed an agreement to acquire Triad Life 
Sciences, subject to obtaining the necessary regulatory approvals 
and other customary clearances. This proposed acquisition, which is 
expected to be completed in March 2022, is another important step 
forward as the Group pursues its FISBE strategy and continues its 
journey of pivoting to sustainable and profitable growth. It will 
strengthen AWC’s position in the U.S. (“Focus”) and provide access 
to a complementary and innovative technology platform 
(“Innovate”) that enhances advanced wound management and 
patient outcomes. Refer to Note 26 to the Consolidated Financial 
Statements for further details.

Dividends
Dividends are distributed based on the realised distributable 
reserves of the Company and primarily derived from the dividends 
received from subsidiary companies and not based on the Group’s 
retained earnings. The realised distributable reserves of the 
Company at 31 December 2021 were $1,590.3 million (2020: 
$1,653.1 million).

As discussed in the Chairman’s letter, the Group’s dividend policy is 
to target a pay-out ratio of between 35% and 45% of adjusted net 
profit. In selecting the dividend policy, the Board considers the 
Group’s strategic objectives, capital management, the Group’s 
various stakeholders (for further information see the s172 statement 
on page 22), review of our comparator peer group, available and 
forecast realised distributable reserves of the Company and the 
forecast cashflows and liquidity of the Group. For further 
information see the Directors’ report on page 146.

In July 2021, the Board declared an interim dividend of 1.717 cents 
per share and has proposed a final dividend of 4.154 cents per share. 
The Board has recommended a dividend increase of 3.0%. This 
represents a pay-out ratio (when compared to adjusted net profit) 
for 2021 of 45.0%, which is in line with the stated pay-out policy of 
35% to 45% and reflects the Board’s confidence in the future 
performance of the Group, its underlying financial strength, realised 
distributable reserves position, cash generation and liquidity. Further 
information about the Group’s dividend policy and dividends paid 
can be found on page 146 and information on capital maintenance 
and the available distributable reserves position can be found on 
page 185.

Foreign exchange 
The following table summarises the exchange rates used for the 
translation of currencies into US dollars that have the most 
significant impact on the Group results: 

Currency
USD/EUR

USD/GBP

USD/DKK

Average rate/
Closing rate
Average
Closing
Average
Closing
Average
Closing

2021
1.18
1.14
1.38
1.35
0.16
0.15

2020
1.14
1.22
1.28
1.37
0.15
0.16

During 2021, revenue was predominantly USD denominated (50%). 
Other significant currencies were EUR (22%), GBP (7%) and DKK 
(2%). The balance comprises a basket of other currencies which, 
on an individual basis, were each less than 2% of revenue.

81
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Financial review
continued

Sources and uses of cash 
Sources of cash 
The Group’s primary source of liquidity is net cash generated 
from operations. 

Net cash generated from operations

EBITDA
Net cash generated from operations
Net interest paid
Income taxes paid
Net cash generated from operating 
activities

2021
$m
420.1
400.6
(35.5)
(59.2)

2020
$m
420.4
502.5
(48.5)
(54.5)

305.9

399.5

2021

Uses of cash
Cash and cash equivalents decreased by $102.0 million to 
$463.4 million at 31 December 2021 (31 December 2020: 
$565.4 million). The $400.6 million of net cash generated from 
operations was used to acquire Cure Medical and Patient Care 
Medical for a combined net consideration of $113.8 million, capital 
expenditure of $94.1 million on manufacturing lines and digital 
technologies, net repayments on borrowings of $92.1 million, pay 
$22.0 million in lease payments and $85.8 million in dividends to 
shareholders. The year-on-year increase of $22.9 million in the 
cash dividend payment reflects the level of uptake of the scrip 
alternative as compared to the prior year. 

Significant cash outflows ($m)

Net cash generated from operations decreased by $101.9 million 
to $400.6 million during the year, mainly due to working capital 
movement. The increase in working capital in the year ended 
31 December 2021 is due to growth in revenue and the associated 
increase in the receivables position, an increase in inventory levels to 
build up resilience to serve a diverse set of chronic care categories, 
payments in relation to year-end capital expenditure and strategic 
project accruals and payments under the Group’s employee 
incentive plan. Additionally, in 2020, the net cash generated from 
operations was supplemented by income from the sale of the US 
Skincare product line ($29.8 million). 

Net cash generated from operating activities was $305.9 million 
(2020: $399.5 million), reflecting the decrease in net cash 
generated from operations. Net interest paid decreased by 
$13.0 million to $35.5 million, reflecting lower interest costs on the 
Group’s borrowings, which was offset by an increase in tax paid of 
$4.7 million due to the timing of payments on account and an 
increase in tax payments in the US.

2020

Debt servicing

Dividend paid

Acquisition of PP&E and 
intangible assets

2021

2020

$149.6m

$142.1m

$85.8m

$62.9m

$94.1m

$86.2m

Tax paid

$59.2m

$54.5m

Acquisition, net of cash acquired

$113.8m

$nil

Purchase of own shares

$nil

$5.6m

Cash flows from debt servicing includes net repayments on borrowings of $92.1 million 
(2020: $73.0 million), lease payments of $22.0 million (2020: $20.6 million), and net 
interest payments of $35.5 million (2020: $48.5 million).

82
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Annual Report and Accounts 2021

Cash conversion 
Cash conversion is a measure that is used to ensure value is derived from our operations and supports our decision making for potential 
future investments. 

The cash conversion was 73.0% (2020: 99.0%) and adjusted cash conversion was 71.9% (2020: 90.3%). 

EBITDA
Share-based payments
Working capital movement
(Loss)/gain on foreign exchange derivatives
Capital expenditure (net)
Net cash generated from operations, net of capital expenditure
Cash conversion
Income taxes paid
Free cash flow

2021
$m
420.1
16.4
(31.6)
(4.3)
(94.1)
306.5
73.0%
(59.2)
247.3

2020
$m
420.4
12.4
47.8
21.9
(86.2)
416.3
99.0%
(54.5)
361.8

Adjusted
2021
$m
464.2
–
(32.3)
(3.9)
(94.1)
333.9
71.9%
(59.2)
274.7

Adjusted
2020
$m
445.0
–
42.9
0.2
(86.2)
401.9
90.3%
(54.5)
347.4

Adjusted free cash flow is one of the four key performance indicators used to monitor the delivery of the Group strategy. Adjusted free cash 
flow was $274.7 million (2020: $347.4 million) with the decrease of $72.7 million principally reflecting the increase in working capital and 
capital expenditure.

The $4.3 million cash loss (2020: $21.9 million gain) from foreign exchange derivatives is a result of hedging activity to help mitigate the 
impact on underlying exposures from volatility in foreign exchange rates. 

Liquidity and net debt
Borrowings and net debt

At 1 January 2020
Repayment of borrowings
Cash flow
Lease movements
Foreign exchange
Non-cash movements
As at 31 December 2020
Net proceeds of new borrowings
Repayment of borrowings
Cash flow
Lease movements
Foreign exchange
Non-cash movements
As at 31 December 2021

Net debt/adjusted EBITDA
At 31 December 2020
At 31 December 2021

Senior notes
$m
–
–
–
–
–
–
–
(491.8)
–
–
–
–
(8.2)
(500.0)

Credit 
facilities
$m
(1,486.1)
73.0
–
–
(39.0)
(4.3)
(1,456.4)
–
583.9
–
–
26.5
1.4
(844.6)

Total 
borrowings
$m
(1,486.1)
73.0
–
–
(39.0)
(4.3)
(1,456.4)
(491.8)
583.9
–
–
26.5
(6.8)
(1,344.6)

Cash and 
cash 
equivalents
$m
385.8
–
181.1
–
(1.5)
–
565.4
–
–
(100.5)
–
(1.5)
–
463.4

Lease 
liabilities
$m
(88.5)
–
–
(0.4)
(3.2)
–
(92.1)
–
–
–
(2.1)
3.7
–
(90.5)

Interest-
bearing 
liabilities
$m
(1,188.8)
73.0
181.1
(0.4)
(43.7)
(4.3)
(983.1)
(491.8)
583.9
(100.5)
(2.1)
28.7
(6.8)
(971.7)

Net debt
$m
(1,100.3)
73.0
181.1
–
(40.5)
(4.3)
(891.0)
(491.8)
583.9
(100.5)
–
25.0
(6.8)
(881.2)

2.0x
1.9x

83
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Financial review
continued

In October 2021, the Group successfully secured $500 million with a debut US bond issue – diversifying the Group’s debt structure, lengthening 
our debt maturity profile and reducing our refinancing risk. As part of our Group Treasury policy, we continuously review our debt structure, seeking 
opportunities to optimise profile and pricing. The $500 million bond has an eight-year tenor and priced at a coupon of 3.875%, demonstrating the 
attraction of our industry and confidence in ConvaTec’s ability to pivot to sustainable and profitable growth. The proceeds were used to partially 
prepay existing bank debt (with $8.2 million of issuance costs incurred and to be amortised over the life of the senior notes), leaving the Group 
at 31 December 2021 with $844.6 million (excluding unamortised fees) of bank debt maturing in October 2024 and $500.0 million of bond 
debt maturing in 2029. This new debt profile will support our continued investment and growth, aligned to our FISBE strategy (see page 12). 

In addition, the Group has a $200 million revolving credit facility maturing in October 2024, which remained unutilised throughout the year and 
was undrawn as at 31 December 2021, which, with cash of $463.4 million, provided the Group with total liquidity of $663.4 million at that date. 
This includes $37.5 million which is held in territories where there are restrictions related to repatriation (31 December 2020: $42.4 million).

At 31 December 2021, the Group was in compliance with all financial and non-financial covenants associated with the Group’s outstanding 
borrowings. The Group has two financial covenants, being net leverage and interest cover, each of which is defined, where applicable, 
within the borrowing documentation. The table below summarises the Group’s most restrictive covenant thresholds and position as at 
31 December 2021 and 2020.

31 December 2021
31 December 2020

Maximum 
covenant net
leverage*
3.50x
3.75x

Covenant net
leverage*
1.97x
1.93x

Minimum 
covenant 
interest
cover*
3.5x
3.5x

Covenant 
interest
cover*
11.7x
10.4x

* 

 Interest cover is adjusted EBITDA/interest expense (net) and net leverage is net debt/adjusted EBITDA in accordance with the definitions contained in underlying borrowing 
documentation and are not the same as the definitions of these measures presented in the Alternative Performance Measures section on pages 207 to 210 and applied in the 
commentary in this Financial review.

At 31 December 2021, the Group had total interest-bearing liabilities, including IFRS 16 lease liabilities, of $1,435.1 million 
(2020: $1,548.5 million). Offsetting cash of $463.4 million (2020: $565.4 million) and excluding lease liabilities, net debt was 
$881.2 million (2020: $891.0 million), equivalent to 1.9x adjusted EBITDA (2020: 2.0x adjusted EBITDA). 

For further information on borrowings see Note 19 to the Consolidated Financial Statements.

Financial position

At 31 December
Intangible assets and goodwill
Other non-current assets
Cash and cash equivalents
Other current assets
Total assets
Current liabilities
Non-current liabilities
Equity
Total equity and liabilities

2021
$m
2,058.5
504.7
463.4
647.4
3,674.0
(569.2)
(1,410.0)
(1,694.8)
(3,674.0)

2020
$m
2,089.6
498.4
565.4
613.1
3,766.5
(513.2)
(1,582.6)
(1,670.7)
(3,766.5)

Change
$m
(31.1)
6.3
(102.0)
34.3
(92.5)
(56.0)
172.6
(24.1)
92.5

Intangible assets and goodwill
Intangible assets and goodwill reduced by $31.1 million to $2,058.5 million (2020: $2,089.6 million). This decrease arises primarily from the 
in-year amortisation of intangible assets of $147.2 million and the net effect of foreign exchange of $24.6 million, partially offset by increases 
in intangible assets and goodwill due to the Cure Medical and Patient Care Medical acquisitions.

Other non-current assets
Other non-current assets, including property, plant and equipment, right-of-use assets, deferred tax assets, restricted cash and other assets 
increased by $6.3 million to $504.7 million (2020: $498.4 million). The increase primarily reflects continual investment in our manufacturing 
facilities, with additions in PP&E of $70.8 million offset by depreciation of $40.6 million. The net increase in other non-current assets 
includes a $18.2 million unfavourable foreign exchange movement. Deferred tax assets decreased by $12.5 million to $28.9 million principally 
relating to the decrease in intra-group profits eliminated on intercompany inventory and other temporary difference.

84
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Annual Report and Accounts 2021

Current assets excluding cash and cash equivalents
Current assets excluding cash and cash equivalents increased by 
$34.3 million to $647.4 million (2020: $613.1 million), primarily driven 
by the net effect of foreign exchange of $33.4 million within 
inventories and trade and other receivables. 

Current liabilities
Current liabilities increased by $56.0 million to $569.2 million 
(2020: $513.2 million), reflecting a $58.2 million increase in the 
current portion of borrowings resulting from the scheduled 
repayments under the Group’s credit agreement, and a $8.4 million 
increase in trade and other payables, primarily due to increases in 
accruals for strategic projects and employee incentives.

Non-current liabilities
Non-current liabilities have reduced by $172.6 million to 
$1,410.0 million (2020: $1,582.6 million). This includes a reduction 
in non-current borrowings of $170.0 million, resulting from 
repayments of $583.9 million during the year, and an increase in 
the current portion of borrowings as described above, partially 
offset by $26.4 million in respect of the foreign exchange impact 
on Euro denominated borrowings and the net proceeds from the 
$500 million senior notes issued. 

Going concern
As discussed above, the overall financial performance of the 
business has remained robust with a strong liquidity position 
maintained throughout the year and access to committed funding 
through to October 2024, of which $200 million has remained 
undrawn throughout the year. In preparing the Group’s Viability 
statement, the Board-approved strategic plan was used as a 
foundation, overlaid with the forecasts and maximum consideration 
for the proposed acquisition of Triad Life Sciences and severe but 
plausible downside scenarios linked to the Group’s principal and 
potential emerging risks, including supply chain disruption 
(incorporating the effect of climate change), delivery of 
transformation initiatives, and customer and markets, applied 
against the strategic plan. Brexit was not considered a significant risk 
for the Group and therefore, is not included in the scenarios. After 
the application of these scenarios, and before mitigations to address 
them, the Group is forecast to maintain a strong liquidity position 
and to operate comfortably within the debt covenants. A reverse 
stress test, before mitigation, was also considered but the conditions 
of the reverse stress test were considered implausible given that 
a reduction of >$177 million EBITDA would be required in 2022 to 
create conditions which may lead to a potential covenant breach and 
substantially higher reductions in profitability in subsequent years.

In relation to going concern, given available cash resources, forecast 
performance for the next 18 months, including covenant compliance, 
the going concern assumption has been adopted in the preparation 
of the Financial Statements. In reaching this conclusion and given 
the economic uncertainty that has been created by the pandemic, 
the Board applied the same severe but plausible scenarios utilised 
in the preparation of the Viability statement. Under each scenario, 
the Group retained significant liquidity and covenant headroom 
throughout the going concern period i.e., 12 months from the date 
of this report. For further information on the Viability statement 
see pages 74 and 76 and for Going concern, see Note 1.2 to the 
Financial Statements.

Impairment of goodwill and other intangible assets
We regularly review our trading performance to establish whether 
there are any triggers that would require an impairment review of 
goodwill or other intangible assets. As part of the review, we have 
determined that the ongoing transformation programme and the 
further embedding of the new operating model during the year has 
triggered a change in CGU groups categorisation, and have identified 
new CGU groups. The annual CGU impairment review was 
conducted on the new and former CGU groups and, taking into 
consideration our future forecasts and reasonably possible scenarios, 
significant headroom remained in the carrying value of all CGUs in 
comparison to the sensitised recoverable value. No impairment has 
been recognised. In addition, management considered the severe but 
plausible downside scenarios used in the Viability assessment and, 
again, headroom remained on the carrying value of all CGUs. Further 
information on goodwill and other intangible assets can be found in 
Note 8.5 to the Financial Statements.

Financial control environment
With a substantial number of office-based employees continuing 
to work from home during the year, including within the finance 
community, we continued to monitor closely the financial and IT 
general control environment.

The Group uses a single system for the self-certification of global 
financial controls across all markets. The self-certification process 
continued throughout the year with no deterioration in response 
rates, which remained high. The Global Financial Controls team, 
acting as the second line of defence, investigates all notified control 
failures to ensure that there is no risk of material financial 
misstatement. Where issues were identified the financial controls 
team would give focused support and training to ensure adherence 
with global standards. In addition, internal audit reviews continued to 
be completed, reviewing our financial internal controls as part of 
their audit programme. 

As the finance activity transitioned to our Global Business Services 
facilities in Lisbon and Bogota continues to embed, detailed analysis 
of segregation of duty activities continues, controls documentation 
has been prepared, and subsequent operation of those controls 
reviewed to ensure that the control environment continues 
to improve. 

A review of the operation of IT general controls was conducted 
on a regular basis during the year by the IT governance risk and 
compliance team and continue our process of internal control 
improvement and rationalisation into 2022.

Frank Schulkes
Chief Financial Officer
7 March 2022

85
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Governance report at a glance

Contents
87  Board statements

The statements which the UK Corporate Governance Code 
2018 requires the Board to make.

88  Chairman’s governance letter 

The Chairman’s overview of governance developments during 
the year.

90  How we have applied the Code’s core principles
94  Board of Directors
96  ConvaTec Executive Leadership Team
98  How we are governed 
100  Board activity and actions 
107  Nomination Committee report
110  Audit and Risk Committee report
122  Directors’ Remuneration report

123  Letter from the Chair of the Remuneration Committee 
125  Our remuneration at a glance
127  Our Annual Report on Remuneration
136  Our Remuneration Policy

146  Directors’ report
149  Directors’ responsibilities statement

Governance highlights
Board
 – Acquisition of Cure Medical, LLC for upfront net consideration

of $84.7million.

 – Ongoing review of M&A opportunities. 
 – Approval of issue of $500 million Senior Notes due 2029 and

repayment of bank debt. 

 – Capital expenditure approvals for manufacturing expansion
 – Approval of Group’s Strategic Plans. 

Nomination Committee 
 – Search for new Non-Executive Directors and subsequent 

appointments effective from 1 February 2022 and 1 March 2022.

 – Search for new Chief Financial Officer and subsequent

appointment effective from 12 March 2022.

 – Undertook succession and talent review of CELT and wider Global

Leadership Team. 

Audit and Risk Committee
 – Considered new ESG framework and strategy; reviewed and

approved TCFD disclosures and ESG assurance.

 – Approved audit plan for the 2021 statutory audit and assessed

effectiveness of external auditor.

Remuneration Committee
 – Alignment of remuneration arrangements to support Group’s 

culture and strategy.

 – Approved remuneration aspects relating to a change in CFO.

Board statistics 
Gender1

1.  Male: 6
2.  Female: 5

Length of tenure

1.  1 year or less: 2
2.  1–2 years: 2
3.  2–3 years: 3 
4.  3–4 years: 1
5.  4 years or more: 3

1.   Composition as at 7 March 2022. At 

31 December 2021, the Board comprised 
seven males and three females.

86
ConvaTec Group Plc
Annual Report and Accounts 2020

1.

1.

2.

5.

4.

2.

3.

Board and Committee meetings:

9Board meetings
7Audit and Risk meetings 
3Nomination Committee meetings 
5Remuneration Committee meetings

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Board statements
ConvaTec is subject to the requirements of the UK Corporate Governance Code 20181 (the “Code”) on which the Board is required  
to make a number of different statements. 

These are set out in the table below. 

Requirement
UK Corporate Governance Code 
compliance

Going concern

Viability statement

Fair, balanced, and understandable

Assessment of the Group’s principal and 
emerging risks

Annual review of risk management and 
internal control systems

More information
Page 89

Page 155

Page 74

Page 115

Page 68

Page 104

Board statement
Throughout the financial year ended 
31 December 2021, except as explained on 
page 89, the Company has complied with 
the Code.

The Directors are satisfied that the Group has 
sufficient financial resources to continue 
operating for at least 12 months from the date 
of signing and, therefore, have adopted the 
going concern basis in preparing the Group’s 
2021 Financial Statements.

The Directors have assessed the viability of 
the Group over a three-year period ending 
31 December 2024, taking into account the 
principal risks identified by the Board as set 
out on pages 74 to 76 This assessment had led 
the Board to the reasonable expectation that 
the Group will remain viable and continue in 
operation and meet its liabilities as they 
become due over the Viability Period through 
to December 2024.

The Directors consider that the Annual Report 
and Accounts, taken as a whole, are fair, 
balanced and understandable, and provide the 
necessary information for all stakeholders to 
assess the Group’s position and performance 
and its business model and strategy.

The Directors confirm that they have 
undertaken a robust assessment of the 
principal and emerging risks facing the Group.

The Board undertook a review of the 
effectiveness of the Group’s risk management 
framework and internal controls, including 
those over the financial reporting period and 
concluded that these provided assurance that 
there were no control failures in the year which 
could materially impact the financial 
statements or the future financial 
performance of the Group.

Stakeholder engagement

The Board has taken steps to understand 
stakeholders’ views and has considered them 
in its discussions and decision-making process.

Page 102

1.  A copy of the 2018 Code is available from the Financial Reporting Council’s website.

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Chairman’s governance letter

“Despite following remote and hybrid models 
of working during the year, our governance 
arrangements, including risk management 
and internal controls, continue to be strong 
and effective.” 

Dr John McAdam CBE
Chairman

Dear Shareholder
This governance report covers key 2021 developments, progress 
with execution of our FISBE strategy and evolution of our ESG 
strategy. 

Our key priorities during 2021: 
 – Oversight and delivery of the Group’s FISBE strategy with a focus 

on execution excellence. 

 – Ensuring that, despite following remote and hybrid models of 

working during the year, our governance arrangements, including 
risk management and internal controls, continue to be strong and 
effective.

 – Adoption of a new ESG framework

Governance practices
During the year the Board continued to hold board meetings using 
video and audio conference facilities. Although our governance 
arrangements continue to remain effective despite holding virtual 
meetings, we were pleased to return to holding physical meetings 
in October 2021. Our 2021 Annual General Meeting took place 
as a hybrid physical and electronic meeting, with the added 
functionality of enabling shareholders to fully participate in voting 
and asking questions.

Board and leadership changes
On 9 December 2021, the Company announced that Frank Schulkes 
will be stepping down as Chief Financial Officer on 11 March 2022. 
Jonny Mason joined ConvaTec as Chief Financial Officer Designate 
on 31 January 2022 and will become Chief Financial Officer and 
a Director of the Company on 12 March 2022.

On 16 December 2021, the Company announced the appointment 
of Kim Lody as a Non-Executive Director effective from 1 February 
2022. On 28 February 2022, the Company announced the 
appointment of Sharon O’Keefe as a Non-Executive Director with 
effect from 1 March 2022.

Also on 28 February 2022, the Company announced that Rick 
Anderson, Non-Executive Director, would be stepping down from 
the Board with effect from 3 March 2022.

The Board has reviewed the resulting composition of the Board and 
has concluded that, following the above changes, there continues to 
be an appropriate mix of skills to fulfil the Board’s vision and support 
the delivery of our FISBE strategy. 

Membership of each of the Board’s committees is detailed within 
the reports on pages 107, 110 and 122.

In accordance with the UK Corporate Governance Code 
requirements, an externally facilitated performance evaluation of 
the Board and Board Committees, by way of questionnaires, was 
carried out in Q4 of 2021. Details of the evaluation process and key 
points arising from the 2021 review can be found on page 105.

Vision, values and culture
We have a clear vision statement which encapsulates our purpose 
and ambition and a set of values that reflect our culture which is 
becoming embedded throughout the Group. Our vision and values 
are set out on page 20.

We continued to prioritise employee safety during the pandemic 
and observed strict adherence to applicable guidelines. 
Although the restrictions partially hampered the Board’s employee 
engagement programme, we launched “Our Work Life” to 
encompass our new approach to working in more agile and flexible 
ways, and support employees’ physical health and wellbeing. This 
consisted of mental health awareness campaigns and other 
wellbeing workshops, support to encourage fitness activities, and 
seminars and focus groups. The Board has continued to assess and 
monitor culture through reports provided regularly to the Board, 
including progress on our people strategy and reports on talent and 
succession planning. 

Stakeholder engagement
Our key stakeholder groups are identified and detailed on pages 36 
and 37. Recognising that the sustainable success of our business is 
dependent on our stakeholders and, mindful of our duty under 
section 172 of the Companies Act 2006, we have ensured that 
all Directors have timely and effective access to information about 
our stakeholders’ (including employees) issues and concerns. 
Information about our stakeholders and how the Board has taken 
account of section 172 considerations in our Board discussions 
and decision-making processes is set out on pages 102 to 103. 
Our section 172 statement is on page 22.

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Annual Report and Accounts 2021

Diversity
The Board is committed to achieving diversity and inclusion across 
the Group. As at 31 December 2021, the proportion of women on 
our Board was 30%, in alignment with our internal target of at 
least 30%. 

Following the changes to our Board’s composition since the year 
end (as outlined on the adjacent page), at the date of this report, 
the Board comprises 11 directors, of whom five (45%) are female. 

We are compliant with the recommendations of the Parker 
Review on ethnic diversity and will continue to monitor board 
composition to ensure that we maintain an appropriately diverse 
Board in all respects.

We have set a new objective to achieve 40% of senior management 
roles (members of the CELT and their direct reports, excluding 
administrative staff) held by female executives by the end of 2025. 
As at 31 December 2021, women held 32% of our senior 
management roles. 

During the year the Board has considered diversity, equity, inclusion 
and wellbeing insights across a range of metrics and globally with 
a focus on gender, and also received insights from our Employee 
Resource Groups (see page 48 for details). Initiatives to increase 
diversity, equity, inclusion and wellbeing are being consistently 
implemented across the Group and the Board and the Nomination 
Committee will continue to review and monitor the Group’s efforts 
and the implementation of its people strategy.

Our diversity policy for the Board and wider workforce is a key pillar 
of our ESG strategy (see page 33) and is fully aligned to our FISBE 
strategy and our people strategy. The objectives of our diversity 
policy are set out on page 45 – Diversity, Equity & Inclusion 
and Wellbeing.

Environmental, social and governance (“ESG”) 
The Board oversees our responsible business programme and 
details of its work in this area during the year are included on 
page 34. 

In recent years we have laid strong foundations to ensure we 
operate in a responsible and sustainable way (see pages 54 to 59) 
and in 2021, we made progress against sustainability targets, and 
have set new targets in a number of areas. During the year the Audit 
and Risk Committee continued to review the Group’s progress in 
meeting the increasing stakeholder and regulatory reporting 
requirements and disclosures, including TCFD reporting (see 
page 60).

During the year we established a CELT-led ESG Steering Committee 
chaired by the CEO. The Committee developed a new ESG 
framework and strategy which was approved by the Board and is 
described on pages 33 to 35. The committee will provide regular 
updates to the Board on ESG strategic aims, and to the Audit and 
Risk Committee in relation to TCFD disclosures and ESG assurance. 
The remit of the ESG Steering Committee includes reviewing 
progress on our sustainability targets, setting new targets where 
required and enhancing our TCFD disclosures. 

The Code 
During the year we have complied with the Code other than:
 – Provision 36: formal policy for post-employment shareholding 

requirements. As stated in our Remuneration Policy, the 
Remuneration Committee believes that the current structure 
of the Deferred Bonus Plan and LTIP sufficiently support the 
requirement for Executive Directors to maintain a meaningful 
shareholding in the Company for a period of time after they leave 
the Group. However, the Committee has considered feedback 
from shareholders and evolving investor sentiment on post-
employment shareholding requirements and is committed to 
developing a post-employment shareholding requirement which 
will form part of any proposals for a new policy which is due for 
renewal in 2023 (see page 124). 

 – Provision 38: pension contribution rate for Executive Directors 

should be aligned to those available to the workforce. The pension 
benefit for Karim Bitar reflects the shareholder approved Policy 
in force at the time of his appointment, but will be aligned to the 
wider UK workforce by 1 January 2023. (See page 140). The 
contribution rate for the Chief Financial Officer Designate, 
appointed with effect from 31 January 2022 is already aligned 
with the wider UK workforce.

 – Provisions 40 and 41: the Board firmly supports the principle of 

engagement with key stakeholder groups; and the Remuneration 
Committee periodically engages with shareholders on 
remuneration policy design and at such time as any material 
changes to the implementation of policy is under consideration. 
As set out on page 122, the Committee will be reviewing 
remuneration policy design during 2022, and looks forward to 
engaging with shareholders throughout this process. However, 
during 2021, no company-led engagement with shareholders took 
place on remuneration matters. The Board recognises that 
another key stakeholder group is our workforce, and continues to 
develop processes and mechanisms for engaging with employees. 
Face-to-face employee engagement (led by Regina Benjamin) 
remained limited during 2021 due to the ongoing impact on travel 
because of the COVID-19 pandemic, but the Board hopes to re 
commence these activities during 2022, and evolve this to 
capture a broader range of topics (including executive 
remuneration, as appropriate).

We explain how we have applied the Code’s core principles on pages 
90 to 93. These core principles also serve as a framework for the 
following sections of this Annual Report which explain our 
governance structure and the processes we operate to support the 
Group’s long term success. 

2022 priorities
 – Continue to drive successful delivery of our FISBE strategy, with 

continued focus on execution 

 – Complete the development of, and successfully launch, a range of 

new products

 – Expand manufacturing capacity to build resilience and meet 

additional demand

 – Continue to monitor the transition of key central functions to our 

Global Business Services team in Lisbon

Dr John McAdam CBE
Chairman
7 March 2022

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Board leadership and purpose

Principles
A. 
An effective and entrepreneurial Board 
that promotes long-term sustainable 
success that generates value for 
shareholders and contributes to society.

B. 
Establishment of purpose, values and 
strategy and promotion of desired 
culture.

C. 
Ensuring resources are in place to meet 
objectives, measuring performance and 
establishing controls which assess and 
manage risk. 

Application 
The Board discharges its responsibilities 
through a programme of activities that 
include review and approval of the Group’s 
strategy, regular progress reviews of its 
implementation, discussion on arising key 
issues and monitoring of performance, to 
enable the Group to deliver sustainable and 
profitable growth.

The Board endorses the Group’s vision 
statement (which encapsulates our purpose 
and ambition), and its values. During the year 
it has reviewed the Group’s strategy and 
continued to assess and monitor culture to 
ensure their alignment. 

The Board regularly reviews the Group’s 
financial and non-financial resources to 
ensure that it has the resources available to 
deliver its strategy. The Board has approved 
and regularly reviews a series of KPIs. The 
Board has established an effective risk 
management framework.

D. 
Effective stakeholder engagement and 
participation.

To fulfil its duty to promote the Group’s 
long-term success and generate value for 
shareholders and wider society, the Board 
has established a number of mechanisms 
to facilitate stakeholder engagement and 
ensure that the Directors consider all 
relevant stakeholder issues and concerns.

E. 
Ensuring workforce policies and 
practices are consistent with the 
company’s values and support long-term 
sustainable success, and that 
mechanisms are in place to allow the 
workforce to raise concerns.

The Board has ensured that workforce 
policies and practices are consistent with 
the Group’s values and has established 
mechanisms, including an independently 
provided whistleblowing/ speaking-up 
facility to allow the workforce to raise 
concerns.

Where further information is available 
Key matters the Board considered 
during 2021

Pages 100 to 104

Purpose, vision, values and culture

Pages 12 to 17

The Group’s KPIs

Pages 18 and 19

The Group’s risk management framework

Pages 64 and 65

Audit and Risk Committee report

Pages 110 to 121

Stakeholder engagement and 
consideration of issues including section 
172 statement 

Pages 102 and 103

Page 22

Culture and policies

Page 43 to 46

Compliance Helpline and web link

Page 50

Audit and Risk Committee report

Page 110

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Annual Report and Accounts 2021

Division of responsibilities

Principles
F. 
The Chair’s role.

G. 
Clear division of responsibilities and 
appropriate combination of executive 
and non-executive roles.

H. 
Time commitment, constructive 
challenge and strategic guidance.

I. 
Effective and efficient Board.

Application 
The Chairman’s role is clearly defined. 

Where further information is available 
Chair’s role

The Board includes eight Non-Executive 
Directors and two Executive Directors. 
Their responsibilities are clearly defined. 

Page 99

Directors’ responsibilities and roles 

Pages 98 and 99

All Directors have demonstrated that they 
have sufficient time to fulfil their duties 
and responsibilities. In their roles the 
Non-Executive Directors have provided 
constructive challenge, strategic guidance 
and held management to account. 

Time commitment confirmation

Page 108

How the Non-Executive Directors have 
fulfilled their roles 

Pages 98 and 99

Effective and efficient Board 

Pages 105 and 106

All Directors have access to an encrypted 
electronic portal system which enables 
them to receive accurate and timely 
information. They also have access to the 
advice of the Company Secretary and 
independent professional advice at the 
expense of the Group. The Board undertook 
an externally facilitated Board evaluation by 
way of detailed questionnaires, the 
conclusions of which are contained within 
this report.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220How we have applied the Code’s core principles
continued

Composition, succession and evaluation

Principles
J. 
Board appointments and succession. 

K. 
Combination of skills, experience and 
knowledge.

Application 
Board appointments are made in 
accordance with a formal, rigorous and 
transparent procedure. 

Our Board is balanced and diverse and its 
members have proven leadership 
capabilities and relevant healthcare, 
operational and financial skills and 
experience.

L. 
Annual evaluation.

In compliance with the Code, during 2021 
the Board undertook an externally facilitated 
evaluation of its performance and that of its 
committees. The evaluation was by way of 
detailed questionnaires facilitated by 
Lintstock.

Where further information is available 
Board appointment procedure

Page 108

Directors’ biographical information

Pages 94 and 95

Skills and experience matrix

Page 94

Key findings of 2021 Board review

Pages 105 to 106

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Annual Report and Accounts 2021

Audit, risk and internal control

Principles
M. 
Independent and effective internal and 
external audit functions.

N. 
Fair, balanced and understandable 
assessment.

O. 
Risk management and internal control 
systems.

Remuneration

Principles
P. 
Remuneration policy and practices.

Q. 
Development of remuneration policy and 
packages.

R. 
Independent judgement and discretion.

Application 
The Board has delegated a number of 
responsibilities to the Audit and Risk 
Committee including oversight of the 
Group’s financial reporting processes 
and ensuring the effectiveness and 
independence of the external and 
internal auditors. 

The Board has established arrangements 
to ensure that reports and other information 
published by the Group are fair, balanced 
and understandable. 

The Board sets the Group’s risk appetite 
and assesses the nature and extent of its 
principal risks. Annually the Board reviews 
the effectiveness of the Group’s risk 
management and internal control systems 
and processes. The Audit and Risk 
Committee regularly reviews the 
effectiveness of these systems and 
processes throughout the year.

Application 
The Group’s Remuneration Policy, which 
was approved by shareholders at the 2020 
AGM, is designed to support our strategy, be 
aligned to our vision and our employee and 
shareholder interests and promote long-
term sustainable success. 

Following a formal and transparent 
procedure, the Remuneration Committee 
sets the remuneration for the Executive 
Directors and oversees the remuneration of 
senior management. In doing so it applies 
judgement and, if required, discretion to 
ensure a considered outcome on 
remuneration issues.

Where further information is available 
Audit and Risk Committee report

Pages 110 to 121

Audit and Risk Committee report

Page 115

Risk management

Pages 64 to 73

Audit and Risk Committee report

Pages 116 and 117

Where further information is available 
Remuneration Policy

Pages 136 to 145

Remuneration Committee report

Pages 122 to 145

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Board of directors

A diverse Board with proven 
leadership capabilities and 
relevant healthcare, operational 
and financial skills and 
experience. This reflects the 
Board’s composition as at 
7 March 2022, being the date 
of this report.

Key to Committee

AR

Audit and Risk Committee

N

R

Nomination Committee

Remuneration Committee

* Committee Chair

Skills and experience

Listed company
Finance
Healthcare
Innovation
M&A
Global
Operations

  90%
  70%
  70%
  30%
  70%
 80%
  70%

N*

Dr John McAdam CBE
Chairman

Karim Bitar 
Chief Executive Officer

Date of appointment 
September 2019

Independent
Yes (on appointment)

Date of appointment
September 2019

Independent
No

Relevant skills and experience
–  Extensive chair and board leadership experience 
including as former Chair of Rentokil Initial plc 
and United Utilities Group PLC and as a 
Non-Executive Director of a number of FTSE 
100 and US companies.

Relevant skills and experience
–  Significant board level and leadership 

experience including as Non-Executive Director 
of Spectris plc between 2017 and 2021 and 
Chief Executive Officer of Genus plc between 
2011 and 2019.

–  Extensive experience of leading companies 

–  Successful business transformation 

undergoing transformation including as Chief 
Executive of ICI plc between 2003 and 2008.

Current external appointments
Advisor to BlackRock’s Long Term 
Investment Group

track record.

–  Extensive and broad management experience.
–  Relevant sector knowledge and experience 
including 15 years with Eli Lilly where from 
2008 he was President of Europe, Australia 
and Canada.

Current external appointments
Member of the University of Michigan, Ross 
School of Business Advisory Board.

AR*

N

AR

N

R*

Frank Schulkes 
Chief Financial Officer 

Margaret Ewing
Senior Independent 
Director 

Brian May 
Non-Executive Director

Date of appointment
November 2017. The Company announced on 
9 December that Frank will be stepping down 
from the Board on 11 March 2022

Date of appointment
August 2017

Independent
Yes

Date of appointment 
March 2020

Independent 
Yes

Independent
No

Relevant skills and experience
–  Chartered Accountant with significant financial 

Relevant skills and experience
–  Previously CFO of Wittur Group, a privately-held 

experience including as former Managing 
Partner of Deloitte LLP and CFO of BAA plc.

industrial company based in Germany, and 
former Executive Vice President and CFO of GE 
Healthcare (“GE”).

–  Significant global healthcare experience and 

strong financial background across a variety of 
increasingly senior financial roles which includes 
27 years spent with GE

Current external appointments
Director of Floquet de Neu SARL

–  Extensive audit and risk management 

experience.

–  Strong board experience, having served as a 

Non-Executive Director of Whitbread plc and 
Standard Chartered plc and CFO of BAA plc and 
Trinity Mirror plc

Current external appointments
Non-Executive Director and Chair of the Audit 
and Risk Committee of ITV plc. Non-Executive 
Director, Chair of the Audit and Compliance 
Committee and a member of the Nominations 
Committee of International Consolidated Airlines 
Group, S.A.

Relevant skills and experience:
–  Significant financial and international business 
experience including as Chief Financial Officer 
of Bunzl plc from 2006 to 2019 and, prior to 
that, he held a number of senior management 
finance roles with Bunzl, including divisional 
Finance Director, Group Treasurer and Head 
of Internal Audit.

–  Experience as a Non-Executive Director 

including of United Utilities Group Plc between 
2012 and 2021, where Brian was also Chair of 
the Audit Committee.

–  Extensive experience of significant strategic 

initiatives that delivered growth and sustained 
shareholder returns over the long term. 

–  Chartered Accountant.

Current external appointments
Non-Executive Director of Ferguson plc where 
Brian is also a member of its Nominations and 
Audit Committees. Non-Executive Director of OFI 
Group Limited.

94
ConvaTec Group Plc
Annual Report and Accounts 2021

 
 
 
N

R

N

R

N

R

Dr Regina Benjamin 
Non-Executive Director

Professor Constantin 
Coussios FREng
Non-Executive Director

Kimberly Lody 
Non-Executive Director 

Date of appointment 
August 2017

Independent: 
Yes

Date of appointment 
September 2020

Independent: 
Yes

Date of appointment: 
February 2022

Independent
Yes

Relevant skills and experience
–  Extensive healthcare knowledge and experience 

Relevant skills and experience
–  Internationally recognised key opinion leader in 

Relevant skills and experience
–  Extensive healthcare experience and a 

both as a practicing physician and in senior 
management roles including as former United 
States Surgeon General (2009 to 2013), 
member of the board of the Medical Association 
of Alabama and the first Young Physician to be 
elected to the American Medical Association 
Board of Trustees.

–  Holds an endowed Chair in Public Health 
Sciences at Xavier University of Louisiana.

Current external appointments
CEO and a practicing physician at the Bayou La 
Batre Rural Health Clinic. Independent Director of 
Oak Street Health, Inc., Computer Programs and 
Systems, Inc., where Regina is a member of the 
Audit and Innovation Committees and Chair of the 
Corporate Governance Committee. Independent 
Director of Kaiser Foundation Health Plan and 
Hospitals, Ascension Health Alliance, Doximity, 
Inc., 98point6, Inc., Professional Disposables 
International, Inc., Nurx, Inc. and EverlyWell, Inc.

the field of biomedical engineering.

–  Proven track record of translating research into 
commercial technologies through academic 
entrepreneurship including as Founder, Chief 
Technology Officer and Chief Scientific Officer 
of three successful spin-outs.

–  Significant experience of drug delivery devices 
and technologies including between 2014 and 
2020 directing and leading the Oxford Centre 
for Drug Delivery Devices, a cross-disciplinary 
centre working across pharmaceutical and 
medical device companies and the NHS.

Current external appointments
Director, Institute of Biomedical Engineering, 
University of Oxford. Professorial Fellow, 
Magdalen College, Oxford, Founder and Director 
of OrganOx Limited, OxSonics Limited and 
OrthoSon Limited. Trustee of the Oxford 
Transplant Foundation and Governor of Magdalen 
College School Oxford.

background in international and multi-cultural 
environments.

–  Leadership and management experience, 
serving as President of Resound in the US, 
President of GN Hearing for North America and 
President of Chronic Care for the US subsidiary 
of Coloplast. Kimberly has also held various 
other senior leadership roles.

Current external appointments
President and CEO of Sonida Senior Living 
Corporation.

AR

N

N

R

Heather Mason
Non-Executive Director

Sharon O’Keefe
Non-Executive Director

Sten Scheibye
Non-Executive Director

Date of appointment 
July 2020

Independent
Yes

Date of appointment: 
March 2022

Independent
Yes

Date of appointment 
July 2018

Independent 
No

Relevant skills and experience
–  Significant international healthcare experience 

Relevant skills and experience
–  Extensive healthcare and executive experience, 

Relevant skills and experience
–  Substantial healthcare knowledge and 

with focus on driving quality, efficiency and 
innovation.

–  Previously President and Chief Operating 
Officer of U Chicago Medicine and Non-
Executive director of Aviv REIT.

significant operational experience as former 
President and CEO of Coloplast A/S.

–  Board experience including previous roles as 
Chair of the Novo Nordisk Foundation and of 
Novo Holdings A/S.

–  Holds an M.S in Nursing Administration from the 

–  Extensive governance experience including 

Loyola University of Chicago, and a B.S in 
Nursing from the Northern Illinois University.

Current external appointments
–  Non-Executive Director of Adtalem Global 
Education, and of Vocera Communications.

as a member of the Danish Corporate 
Governance Committee, also serving as the 
committee’s Chair.

Current external appointments
Senior Advisor to Novo Holdings A/S. Chairman 
of, BioInnovation Institute Foundation, BII 
Holdings A/S, EA/S Knud Højgaards Hus, 
Højgaard Ejendomme A/S, The Danish Industry 
Foundation, The Knud Højgaard Foundation, BII 
Holdings A/S and Simpel Kredit A/S.

leading fully integrated global businesses 
including 27 years with Abbott Laboratories 
where she held a number of global senior 
operational and strategic leadership roles, 
including Senior Vice President of Abbott 
Diabetes Care and most recently Executive Vice 
President of Abbott Nutrition. 

–  Extensive relevant international, commercial and 

operational experience. 

–  Proven track record of overseeing the 

development of commercially viable new 
product pipelines and brand building.

Current external appointments
Non-Executive Director and member of the Audit 
and Compensation Committees of Immatics, Inc., 
Non-Executive Director of Pendulum 
Therapeutics, Inc. and of Assertio Therapeutics, 
Inc., where Heather is Chair of the Governance 
Committee and member of the Audit and 
Compensation Committees. Chair of SCA 
Pharmaceuticals, LLC and Co-Chair of the 
University of Michigan’s College of Engineering 
Innovation Committee and a member of its 
Leadership Advisory Board.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220ConvaTec Executive Leadership Team (“CELT”)

The CELT is responsible for 
the management and 
performance of the individual 
business units with frequent 
reporting to, and oversight by, 
the Board.

.

Karim Bitar, CEO and Frank Schulkes CFO, are also members 
of the CELT. Their details are provided on page 94.

*  Members of the ESG Steering Committee
1.  Joined the CELT on 10 September 2021.
2.   Joined CELT on 31 January 2022 as CFO Designate, to become CFO and 

a Director of the Company with effect from 12 March 2022.

→
CELT member biographical information is available at
www.convatecgroup.com

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David Shepherd
President and Chief Operating Officer,  
Global Advanced Wound Care

Dr. Mani Gopal 
President and Chief Operating Officer,  
Global Ostomy Care

Natalia Kozmina 
Executive Vice President, Chief Human Resources 
Officer and ESG Stewardship*

Kjersti Grimsrud 
President and Chief Operating Officer, 
Infusion Care

Seth Segel 
President and Chief Operating Officer, 
Continence Care & Home Services Group

Dr. Divakar Ramakrishnan 
Executive Vice President, 
Chief Technology Officer*

Bruno Pinheiro 
President and Chief Operating Officer (Interim),  
Global Emerging Markets1

Evelyn Douglas 
Executive Vice President, Chief of Corporate Strategy and Business 
Development, General Counsel and Company Secretary* 

Donal Balfe 
Executive Vice President, 
Chief of Quality and Operations* 

Jonny Mason 
Chief Financial Officer Designate2 

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220How we are governed 

An effective and diverse Board
Our Board comprises eleven Directors: Chair, two Executive 
Directors, seven independent Non-Executive Directors and one non-
independent Non-Executive Director (Sten Scheibye). Sten is the 
representative of our significant shareholder Novo Holdings A/S 
(“Novo”) (see page 148).

Our Directors have proven leadership capabilities and a range of 
healthcare, operational and financial skills and experience. Relevant 
biographical information, which includes up-to-date information 
about external appointments, where relevant, is set out on pages 94 
and 95. 

All Directors are collectively responsible for the success of the 
Group. The independent Non-Executive Directors exercise 
independent, objective judgement in respect of decisions of the 
Board, and scrutinise and challenge management. Through the 

Governance framework
Our governance framework, which includes the Board and its three committees, is set out below. 

Led by Chairman: Dr John McAdam CBE

Senior Independent Director: Margaret Ewing

Supported by the Company Secretary: Evelyn Douglas

The Board

Responsibilities:
 – Responsible for the long-term success of the Group and for ensuring 
that there is a framework of appropriate and effective controls which 
enables risk to be assessed and managed.

 – Sets the Group’s strategic aims, determines resource allocation to 

ensure that the necessary financial and human resources are in place 
for the Group to meet its objectives and reviews management 
performance.

 – Monitors and assesses the Group’s culture and ensures that its 

obligations to shareholders and other stakeholders are understood 
and met.

Nomination Committee

Audit and Risk Committee

Remuneration Committee

Led by Committee Chair, Dr John McAdam 
CBE

Responsibilities:
 – Proposes appointments to the Board and 

reviews Board composition.

 – Considers succession planning for the 

Board and senior management.

 – Sets diversity and inclusion targets and 

objectives for Board and senior 
management.

Led by Committee Chair, Margaret Ewing

Led by Committee Chair, Brian May

Responsibilities:
 – Oversees integrity of Group’s financial 
reporting, internal controls and risk 
management.

 – Ensures the Group complies with legal 

Responsibilities:
 – Ensures Remuneration Policy and 

practices are designed to support the 
Group’s strategy and promote long term 
sustainable success.

and regulatory governance requirements, 
including those related to environmental 
and climate change-related matters.

 – Oversees Remuneration Policy 

implementation for Executive Directors 
and senior management.

 – Assessment of the independence 

 – Regularly reviews its provisions. 

and effectiveness of the external and 
internal auditors.

Reviews workforce remuneration and 
related policies.

→ 
See pages 107 to 109

→ 
See pages 110 to 121

→ 
See pages 122 to 145

Led by CEO, Karim Bitar

ConvaTec Executive Leadership Team (“CELT”)

Responsibilities:
 – Responsible for the long term success of the Group and for ensuring 
that there is a framework of appropriate and effective controls which 
enables risk to be assessed and managed.

 – Executes and delivers against the Group’s strategic aims, determines 
resource allocation to ensure that the necessary financial and human 
resources are in place for the Group to meet its objectives and 
reviews management performance.

 – Monitors and assesses the Group’s culture and ensures that its 

obligations to shareholders and other stakeholders are understood  
and met.

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various committees of the Board, they have responsibility for 
ensuring the robustness and integrity of financial information, 
internal controls and risk management, and that remuneration 
arrangements appropriately support the Group’s culture and 
strategic ambition.

The Board is satisfied that the Company’s culture is fully aligned to 
the Company’s purpose, values and strategy. This is monitored 
primarily through regular progress reports on implementation of 
FISBE strategy and our people strategy.

The Board is responsible for setting the Group’s strategy and policies 
to support its implementation, overseeing risk and corporate 
governance, assessing and monitoring the Group’s culture, and 
monitoring progress towards delivery of objectives and annual plans. 
The Board is accountable to the Company’s shareholders for the 
proper conduct of the Group’s business and its long-term success 
and seeks to represent the interests of all stakeholders. The CEO, 
CFO and other members of the CELT take the lead in developing 
the Group’s strategy which, on an annual basis, is reviewed, 
constructively challenged and approved by the Board.

Key Board roles and responsibilities

Matters reserved for the Board

Board and committee meetings

The Board has a schedule of matters 
reserved for its approval and a formal 
structure of delegated authority. It has 
delegated certain responsibilities to the 
Board committees, which all operate in 
accordance with Board approved terms of 
reference. The Board has also delegated 
specified management control to the 
Executive Directors and the CELT. 

The principal activities undertaken during 
the year by the Nomination, Audit and Risk 
and Remuneration Committees are set out 
in their respective reports in this Annual 
Report. The paragraphs under the heading 
“Directors’ Remuneration report” on pages 
122 to 135 are incorporated by reference 
into this Corporate governance report.

The decisions which can only be made by 
the Board are clearly defined in the schedule 
of matters reserved for the Board. This 
schedule is available at www.convatecgroup.
com/investors/corporate-governance, and 
largely relates to matters of governance and 
business, where independence from 
executive management is important. No 
changes were made to this schedule during 
the year. The written terms of reference that 
each of the committees operates under can 
also be found within the web link referenced 
above. 

Details of the number of board and 
committee meetings which took place 
during the year can be found on page 86. 
Board meeting attendance was 100% by 
all eligible directors during the year. All 
meetings were conducted using video and 
audio conference facilities other than an in 
person Board meeting and committee 
meetings which took place in October 2021. 
The Non-Executive Directors met on 
one occasion during the year without the 
Chairman and Executive Directors present.

The Company Secretary and Deputy 
Company Secretary attend all Board 
meetings. External advisers also attend 
meetings where independent guidance and 
expertise is required to facilitate the Board 
in carrying out its duties. Where appropriate, 
senior executives below Board level, 
including members of the CELT, also attend 
relevant parts of meetings to make 
presentations and provide their input on 
a range of topics. 

24Board and committee 

meetings held

Chairman
 – Leads the Board 
 – Promotes high standards of governance 
 – Sets the Board agenda
 – Supports and guides CEO

Senior Independent Director
 – Sounding board for Chairman
 – Serves as intermediary for other directors 
 – Available to shareholders should they have 

concerns where contact through the 
normal channels has either failed to 
resolve or would be inappropriate

Non-Executive Directors
 – Provide constructive challenge and 

independent judgement

 – Monitor strategic execution in accordance 

with risk and control framework
 – Serve on the Board’s committees

Chief Executive Officer
 – Leads the executive management team 
in delivery of the Group Strategy and 
objectives as determined by the Board
 – Day-to-day responsibility for executive 

management matters

 – Responsible for maintaining dialogue 
with the Chairman and the Group’s 
stakeholders

Company Secretary
 – Responsible for advising the Board on 
all corporate governance matters and 
best practice

 – Works with the Chairman to ensure 

Directors receive accurate and timely 
information to enable them to discharge 
their duties

 – Works with Chairman to design induction 
programme for new Board members and 
ongoing training.

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Board focus and principal matters considered in 2021
The principal matters considered by the Board during 2021 and the link to the Company’s strategic priorities are set out in the table below.

As part of the business of each Board meeting, the CEO submits a progress report on business performance, including areas of progress and 
areas which are not progressing to plan. At each Board meeting, the Board also receives a report from the CFO providing updates on the 
Group’s financial progress. Members of the CELT regularly attend Board meetings to ensure that the Board has good visibility of the 
business developments, principal and emerging risks and their mitigation, and key operating decisions within the categories. The Board also 
receives presentations from internal and external speakers on topics relevant to the business and the environment it operates in.

Areas of focus

Activities 

Strategy
 – Approving the Group’s strategy and any changes and 

 – Acquisition of Cure Medical, LLC for $84.7 million.
 – Approval of issue of $500 million Senior Notes due 2029 

monitoring delivery.

 – Approving any major capital project, corporate action or 

investment by the Company.

Stakeholders considered: 
All stakeholders.

and repayment of bank debt.

 – Acquisition of Patient Care Medical for $29.1 million.
 – Reviewed progress of FISBE strategy including 

participation in three-day strategy session and approval 
of individual Business Unit strategic plans.

 – Reviewed corporate development opportunities to 

ensure alignment with our FISBE strategy and Business 
Unit plans.

 – Reviewed and approved ESG strategy and framework.
 – Reviewed and approved our people strategy.

Leadership
 – Making appointments to the Board, following 

recommendations from the Nomination Committee.

 – Reviewing the performance of the Board and its 

committees, individual directors and the Group’s overall 
corporate governance framework.

 – Approved appointments to the Board of Jonny Mason. 

Kimberly Lody and Sharon O’Keefe following 
recommendations from the Nomination Committee.
 – Board evaluation facilitated by external provider in Q4 

2021, see page 106 for details.

Stakeholders considered: 
All stakeholders.

Business plan and performance
 – Approving annual budget and business plan and regularly 

reviewing actual performance and latest forecasts against 
the budget and business plan.

Stakeholders considered: 
All stakeholders

 – Approved 2022 budget and business plan.

Strategic 
priorities

Focus

Innovate

Simplify

Build

Execute

Build

Execute

Focus

Innovate

Simplify

Build

Execute

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Areas of focus

Activities 

Financial reporting
 – Approving final and interim results, trading updates, 
the Annual Report and the release of price sensitive 
information.

 – Approving the dividend policy, determination of any 

interim dividend and the recommendation (subject to the 
approval of shareholders) of any final dividend to be paid 
by the Company.

 – Approved Viability and Going Concern statements.
 – Approved half-year and full-year results and quarterly 

trading announcements.

 – Reviewed dividend policy taking into account stakeholder 

perspectives and confirmed the policy.

 – Confirmed and approved interim dividend and 

recommended final dividend.

 – Approved Annual Report and Notice of AGM, held AGM as 

a hybrid physical and electronic meeting.

Stakeholders considered: 
All stakeholders

Strategic 
priorities

Focus

Execute

Risk
 – Ensuring the Group has effective systems of internal 

control and risk management in place, including approving 
the Group’s risk appetite.

 – Reviewed effectiveness of the Group’s risk management 

and internal control systems.

 – Approved enhancements to the Group’s risk management 

framework and processes.

 – Reviewed and approved the Group’s risk appetite. 

Focus

Stakeholders considered: 
All stakeholders.

Stakeholder engagement
 – Considering the balance of interests between the Group’s 

stakeholders.

 – Receiving and considering the views of the Company’s 

shareholders.

Stakeholders considered: 
All stakeholders.

Responsible business
 – Overseeing the Group’s responsible business programme.
 – Reviewing the Group’s responsible business strategy and 

its implementation.

Stakeholders considered: 
All stakeholders.

 – Considered investor feedback on the interim results 
provided by the Investor Relations team and also the 
Group’s corporate brokers. 

 – Reviewed employee gender pay gap data.
 – Reviewed progress report on diversity and inclusion 

initiatives including gender data.

 – The Board met healthcare practitioners and patients from 

the US and UK, to obtain valuable insights into their 
concerns and needs.

 – The Chairman had meetings with three of our top 20 

institutional shareholders during the year. 

 – Established a new ESG Steering Committee chaired 

by CEO.

 – Established new ESG framework.
 – Reviewed progress against sustainability targets and 

agreed priorities for 2022, including setting new targets 
where required.

Innovate

Simplify

Build

Execute

Innovate

Build

Execute

Innovate

Build

Execute

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Board activity and actions 
continued

Connecting with our stakeholders and discharge of 
section 172 duty
When making decisions, the Board acts in a way that the Directors 
consider most likely to promote the success of the Company, for the 
benefit of its stakeholders as a whole, while also considering the 
broad range of stakeholders who interact with the business.

Our section 172 statement is set out on page 22.

How we engage as a Company
We regard all of our stakeholders as highly important, as described 
on page 36. Identifying our key stakeholders was essential to 
underpin the implementation of our FISBE strategy. We are 
committed to maintaining strong relationships and good 
communication with all stakeholders as we consider this fundamental 
to the successful delivery of our strategy and long term prospects 
and aligns with our purpose.

Our vision, pioneering trusted medical solutions to improve the 
lives we touch, is fulfilled through interaction with our stakeholders. 
We proactively engage with a broad range of stakeholders to 
understand their issues and to build positive relationships (see pages 
36 and 37). Our values frame the Group’s culture and our 
employees’ behaviours, determine how we do business and 
underpin our strategy. Our vision and values also provide a 
framework which helps our employees make decisions in the best 
interests of the Group and our stakeholders. This approach ensures 
that stakeholder issues are considered throughout the organisation 
and not just at Board level.

How the Board understands stakeholders’ interests
The table below summarises how our Board gains an understanding 
of stakeholder issues. The table on pages 103 and 104 describes 
how the Board considered different stakeholders in making three 
key decisions in 2021.

Stakeholders
Our People 

Board-level engagement
Workforce engagement with our designated NED, Regina Benjamin, remained limited during 2021 due to 
the ongoing impact on travel because of the COVID-19 pandemic. We expect to recommence these 
activities in 2022. Engagement activities are expected to include participation in leadership team meetings, 
interaction with Employee Resource Groups; communications via ConvaTec’s intranet; site visits and our 
continuing OHI surveys. Updates to the Board will be provided by our designated NED at regular intervals.

Members of the management team regularly attend relevant parts of Board and committee meetings to 
present on specific topics. 

The Chairman will be attending the Global Leaders Meetings in 2022, bringing together our top 100 leaders 
across the business.

The Board and the Audit and Risk Committee receives reports from the Group’s compliance function 
detailing input from the Group’s Compliance Helpline and web link. When relevant, the Group’s compliance 
function provides the Audit and Risk Committee with details of investigations arising from information 
provided via the Compliance Helpline and web link and the resulting outcome (see page 117).

Management reported to the Board following extensive engagement with over 3,000 employees to obtain 
their feedback and insights as a foundation for the development of and discussion about the Diversity, 
Equity & Inclusion (DE&I) and Wellbeing strategy (approved by the Nomination Committee in Q4 2021) and 
the ESG framework (approved by the Board in Q4 2021).

Investors

All members of the Board are available to meet with shareholders. 

The Chairman had meetings with three of our top 20 institutional shareholders during the year. 

The Chairman and Committee Chairs have regular dialogue with ConvaTec’s major shareholder, Novo, 
through Novo’s representative on our Board, Sten Scheibye, and directly with the CEO of Novo.

Margaret Ewing met with the Institutional Voting Information Service (“IVIS”) proxy voting agency to discuss 
certain aspects of our 2020 Annual report and to ensure that our 2021 Annual Report and Accounts 
addresses any concerns that were highlighted.

The Board receives analysts’ notes published about the Group and the sector and receives regular updates 
on investor relations matters. 

Our IR programme, which includes activities undertaken by the Executive Directors, continued to be active 
despite the pandemic. We have continued to successfully engage with shareholders and potential investors. 
(See page 37).

Feedback and insights from investors are provided to the Board at regular intervals. The Board considers 
this feedback important to understand our investors’ views on ConvaTec’s progress in pivoting to 
sustainable and profitable growth. Investors’ feedback and insights are taken into account by the Board 
in our communications to shareholders.

All Directors participated in our 2021 AGM which took the form of a hybrid meeting, which enabled 
shareholders to attend, vote and ask questions.

Consumers/
Patients/Healthcare 
professionals

During the year, the Board held an in-depth session with two health care practitioners and two patients; 
from the UK and US which provided valuable insight into patient and HCP needs. These insights were 
applied to the constructive challenge and debate regarding the Group and Business Unit strategies in 
July, 2021.

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Stakeholders
Supply chain 
partners and channel 
partners

Board-level engagement
During the year, the Board received reports from the Global Quality and Operations team with respect to 
initiatives they have undertaken to improve the resilience of our supply chain as part of the strategic 
transformation programme and our COVID-19 response. 

Reports were received by the Audit and Risk Committee from Internal Audit with respect to audits 
undertaken on management of suppliers, distributors and other channel partners in certain markets. 

The Board confirms its compliance with the UK Payment Practices Reporting Duty and the Prompt 
Payment Code and similar legislation across the Group in relation to the year ended 31 December 2021.

The Board reviewed and discussed strategic plans for each of our business units during the year which 
included an in-depth review of our supply chain partners and channel partners. The Board supported 
engagement and close collaboration with one of our key partners, Medtronic, with whom we launched the 
first and only infusion set that can be worn for up to seven days. We work in close co-operation with all of 
our partners to develop products that improve the quality of life for patients. The Board also reviewed our 
supply chain resilience and approved a proposal to expand our manufacturing capabilities across two sites, 
in Denmark and Mexico, to strengthen ConvaTec’s supply chain and resilience whilst also scaling up 
production and availability of life-enhancing products for the customers and patients we serve.

Business Units have provided in-depth analysis of their customer relationships and competitive landscape.

The Board has received reports on the implementation of MDR from the Group’s regulatory function.

The Audit and Risk Committee received reports from the Global Tax function on taxation matters across 
the Group and approved the Tax Statement including tax strategy.

B2B customers

Regulators

Governments

All other stakeholders

The Board receives information relating to our stakeholder groups through the executive reports at each 
Board meeting and in the annual strategy sessions from Business Units.

Principal decision
Acquisition of Cure 
Medical LLC

Summary 
In March 2021 we acquired Cure 
Medical LLC for net cash consideration 
of $84.7 million and a contingent 
consideration of up to $10 million.

Based in California the business 
develops, manufactures and distributes 
intermittent catheters. Bringing 
together Cure Medical and ConvaTec’s 
Continence Care business allows us to 
better serve continence customers in 
the US. 

The two portfolios are 
complementary; together we will offer 
a more comprehensive range of 
continence products and services for 
patients and our partners to better 
serve their broad range of needs. 

S.172 – How the Board considered different stakeholders in 
making the decision
The acquisition was fully aligned with our FISBE strategy.

Investors: The acquisition strengthened our US position and 
accelerated revenue growth; increasing the potential for higher 
shareholder returns.

Patients and HCPs: The broadened portfolio is even better suited 
to meet the needs of patients in the US, which accounts for the 
largest demand for such products in the world.

Our People: While the integration impacted a small number of 
employees in redundant positions, the transaction benefited 
employees of both organizations by better serving customers and 
increasing the strength of the combined business and creating 
opportunities with a larger scale Continence Care business.

Communities: strengthening ConvaTec’s presence, product range 
and reach to the customers and patients we serve in communities 
across the US.

Suppliers and Distributors: building our partnerships with trusted 
suppliers and distribution network across the US.

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making the decision
The issue was fully aligned with our FISBE strategy and gave the 
group access to additional funding markets to support all prongs of 
its strategy going forward.

Investors: The issue strengthened our balance sheet, diversified 
Group debt and extended the weighted average maturity profile by 
c.2 years to 4.3 years. 

Lenders: The proceeds were used to repay a portion of existing 
bank debt.

Our people: An important step in strengthening the financial health 
of the enterprise.

Other stakeholders: The Board considered that the issue of the 
Senior Notes and resulting strengthening of our balance sheet 
was in the best interests of the Group and all stakeholders for the 
long term.

The investment was fully aligned with our FISBE strategy.

Customers and Patients: provides greater output of subcutaneous 
infusion set solutions for patients, particularly those with diabetes 
who rely on ConvaTec’s automated insulin delivery systems. It also 
provides more opportunity for ConvaTec to innovate and develop 
new technology for our customers and patients. 

Suppliers and Distributors: expanding our capacity to deliver more 
Infusion Care products not only provides more resilience in the 
supply chain for ConvaTec, but also spreads the manufacturing of 
these vital products across two different manufacturing sites, 
helping to ensure a consistent supply feed.

Investors: investing in manufacturing plant expansion is expected to 
lead to additional revenue for ConvaTec, and ultimately to higher 
returns for investors. It is also underpins confidence in ConvaTec’s 
future growth and the overall success of the business.

Local communities: the expansion plans will lead to employment 
opportunities for local communities in Osted and Reynosa. Being 
able to produce more of these vital and life-enhancing products will 
have a positive impact on our customers and patients in all 
communities around the world.

Statement of review
The Board’s statement of annual review of the effectiveness of the 
Group’s risk management and internal control systems is set out on 
page 87. 

Operation of the Board and its committees
The Directors have access to an encrypted electronic portal system, 
which enables them to receive and review Board and committee 
papers quickly and securely electronically. The meetings of the 
Board and its committees have been held via video conferencing 
throughout the year other than an in-person meeting which took 
place in October 2021. The Board intends to hold a combination 
of virtual and physical meetings during 2022. 

Board activity and actions 
continued

Principal decision
$500m Senior Notes 
issue

Summary 
In September 2021, we launched an 
offering of $500m Senior Notes 
due 2029.

The Notes bear interest at a rate of 
3.875% per annum. The proceeds 
of the issue were utilised to prepay 
a portion of existing bank debt.

Infusion Care 
manufacturing plant 
expansion

In May 2021, the Board approved an 
investment of around $30m to expand 
manufacturing facilities in Osted, 
Denmark and Reynosa, Mexico.

Board assessment of risk management and internal control 
effectiveness
The Board is ultimately responsible for overseeing how we manage 
both internal and external risks (current and emerging) that could 
impact our business model and strategic goals. The Board also 
determines the Group’s risk appetite and monitors adherence to it 
through reports received by the Audit and Risk Committee and VP 
of Internal Audit & Enterprise Risk. The Board also regularly reviews 
the Group’s principal risks and, on an annual basis, reviews the 
effectiveness of our risk management and internal control systems 
and undertakes horizon scanning to identify new emerging risks. 
The Group’s principal risks are set out on pages 68 to 73. 

During 2021, the Board has directly, or through delegated authority 
to the Audit and Risk Committee, monitored and reviewed the 
Group’s risk management activities and processes, including a 
review of the effectiveness of all material risk mitigations and the 
financial, operational and compliance internal controls. The Audit 
and Risk Committee’s activities in these areas are set out in the 
Audit and Risk Committee report on page 110. Following this review, 
the Board is satisfied that the Group’s risk management and internal 
control framework provided assurance that there were no control 
failures in the year that could have a material impact on the Group’s 
financial statements or its future financial situation. 

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Board evaluation

Chairman evaluation
The evaluation of the performance of the Chairman by the other 
Directors was led by the SID and absent the Chairman. The overall 
conclusion was that he was performing very well in all aspects of the 
role. The Chairman values the individual opinions of all Directors and 
seeks and listens to their views. He chairs effective meetings, allows 
debate and encourages contribution and challenge, with a focus on 
clarity and pragmatism in decision making. He has a strong 
relationship with the Executive Directors, particularly the CEO, and 
provides appropriate challenge and support. He has been in role 
since September 2019 and during that time the composition of the 
Board has changed significantly. He has proactively led the 
recruitment of new Non-Executive Directors.

The SID provided feedback to the Chairman, after the review of 
his performance. This included a request to the Chairman to ensure 
more time is devoted to topics on which investors are currently 
focused (such as ESG and climate change-related matters) and 
lead a further Board discussion about potential additional skills 
and experience, to be represented on the Board as the Group’s 
strategy evolves.

2020 Board evaluation progress report and 2021 Board 
evaluation review
During 2020 the Board undertook an internal evaluation of its 
effectiveness that focused primarily on identifying priority issues to 
be addressed during 2021 by the Chairman and CEO. Information 
about the key priorities arising from this evaluation and progress to 
date is set out below.

In October 2021 the Board undertook an evaluation of its 
effectiveness which took the form of detailed questionnaires, 
facilitated by an external provider, Lintstock. The key findings from 
the 2021 Board evaluation process, including the actions agreed to 
address recommendations resulting from the review process, are 
set out on the adjacent page. ConvaTec subscribes to Lintstock’s 
insider list management system. Lintstock has no other connection 
with ConvaTec or any of the individual ConvaTec Directors. 

Progress in relation to actions arising from the 2020 Board evaluation

Actions
Continue to challenge the Group’s strategy, overall and at a category 
level, to drive delivery of value to investors and stakeholders.

Improve the Board’s understanding of the Group’s competitive 
landscape, product development and product profitability.

Improve stakeholder insights. 
Ensure the Board receives direct input from and engagement 
with customers (being end-users and caregivers), including their 
evidence-based insights. Also maintain focus on meeting 
shareholder aspirations.

Progress
The Board held a three-day day strategy meeting in July 2021, 
which included a comprehensive review of the Group’s strategy with 
presentations from Business Unit and functional leaders which 
allowed the Board to not only challenge and question different 
aspects of the strategy but also to provide their valuable feedback 
and ideas. The strategy session was considered by all Board 
members to be extremely informative and an effective use of time. 
The Business Unit leaders also found the sessions, with direct input 
and insights from Board members, to be valuable.

The Board strategy sessions in July 2021 included deep dives 
into each of our Business units, their competitive landscape and 
product development.

The April 2021 board meeting included an in-depth session from 
two health care practitioners and two patients from the UK and USA 
which provided valuable insight into the needs of patients and HCPs.

Further develop succession planning and talent development. 
Continue to enhance the Group’s succession planning and talent 
development processes. The Board, through the Nomination 
Committee, will oversee the outputs of these processes and 
monitor progress of diversity and inclusion initiatives.

Significant change occurred during 2021 in the CELT team 
membership and the Global Leadership Team where a number of 
exceptionally experienced hires were secured, building capabilities 
in key areas of the business including commercial leadership, quality 
and operations, finance, talent and reward. 

Board meetings
Continue to embed new members of the Board. When possible, 
resume physical meetings to assist the development of a fully 
cohesive and effective Board. 

Newer members of the Board have settled into their roles very well 
during 2021 despite being unable to meet in person for most of the 
year due to the pandemic.

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continued

Key findings arising from 2021 Board evaluation together with priority actions for 2022

Key findings
Board composition
The profile of the Board should evolve over the next 3 to 5 years to 
match ConvaTec’s strategic goals. The Board should continue to 
ensure that digital, innovation and international experience is sought 
and in addition, medical expertise would be considered to further 
strengthen the Board, whilst ensuring a sufficient level of diversity 
is maintained.

Strategic and Operational Oversight
The Board would benefit from deep dives into areas such as 
technological developments in medical solutions; and greater 
understanding of medical regulations, patients’ needs and 
suppliers/distributors.

Priority actions for 2022
Nomination Committee to allocate dedicated time in 2022 to 
discuss Board composition and succession planning.

Deep dives in these areas to be included on Board agenda 
during 2022.

The evaluation questionnaire explored the functioning of the Board as a unit and the relationships among Board members. It was 
established that the Board considered its composition and diversity of skills and experience to be well balanced, although members felt that 
more time should be devoted to discussing future alignment of Board skills to ConvaTec’s strategic goals (see Chairman’s evaluation above). 
There was consensus that the continuation of virtual meetings in 2021 had been successful, but by their nature they were less free flowing 
and the return to physical meetings, achieved in October 2021, has further improved the effectiveness of meetings.

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Nomination Committee report 

Key numbers

3Meetings held
94%Attendance

“There has been significant progress in 
recruiting talent across our Global Leadership 
Team, helping us to accelerate execution of 
our strategy and realise our vision of building a 
skilled, diverse and effective leadership team.” 

Dr John McAdam CBE
Chairman of the Nomination Committee

Committee membership, meetings and attendance
The table below shows the number of meetings attended out of the 
number of meetings members were eligible to attend during 2021. 
Since the year end, Constantin Coussios was appointed as a 
member of the Committee on 27 January 2022, Kimberly Lody 
was appointed to the Committee on 1 February 2022, and Sharon 
O’Keefe was appointed to the Committee on 1 March 2022. 

Activity highlights
 – Reviewed and adjusted the composition of the Board’s 

committees. 

 – Considered and made recommendations for the appointment 

of new CFO and Non-Executive Directors.

 – Reviewed the progress and assessed metrics relating to our 

diversity, equity and inclusion strategy.

 – Undertook a comprehensive succession and talent review of 

the CELT.

2022 priorities
The Committee conducted an evaluation of its performance in the 
form of a detailed questionnaire facilitated by an external provider 
Lintstock, the results of which were highly rated overall and 
identified the following areas for attention in 2022:
 – Increase focus on succession planning for the Executive and 

Non-Executive Directors and senior management.

 – Provide additional support and training for new members of 

the Committee.

 – Continue to identify high potential talent and monitor plans for 

their development.

 – Continue to monitor progress and ongoing development of 
diversity, equity and inclusion initiatives across the Group.

Committee focus and activities in 2021

Director
John McAdam
(Chair from 30 September 
2019)
Margaret Ewing
Rick Anderson
Regina Benjamin
Heather Mason
Brian May 

Member since
September 2019

Attended 
3/3

May 2019
May 2019
September 2020
September 2020
September 2020

3/3
3/3
3/3
2/3
3/3

Focus areas
Board composition
 – Leads Board 

appointments process.
 – Reviews regularly the 
Board’s composition.

 – Oversees and 

recommends orderly 
Board and senior 
management 
succession.

Activities 
 – Reviewed skills, experience and 

characteristics of board members.

 – Recommendations for the 

appointment of new CFO and 
Non-Executive Directors.

The Deputy Company Secretary attends meetings as Secretary 
to the Committee and the EVP, Chief Human Resources Officer 
regularly attends the Committee’s meetings to provide information 
and support to the Committee to enable it to carry out its duties and 
responsibilities effectively.

Corporate governance 
 – Reviews whether each 
Non-Executive Director 
is devoting enough time 
to his or her duties.

 – Oversees the balance of 
skills and experience 
within the Group and on 
the Board.

 – Monitors diversity 

within the Board and 
across the Group. 

 – Reviewed progress and 

development of the Group’s 
diversity, equity and inclusion 
strategy and assessed key metrics. 
 – Reviewed succession planning for 

the CELT.

 – Reviewed progress in strengthening 

Global Leadership Team talent, 
achieved through making significant 
new hires during 2021, accelerating 
our vision to build a sustainable, 
diverse and inclusive organisation.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Nomination Committee report
continued

Dear Shareholder 
This report provides a summary of the Nomination Committee’s 
activities during the course of the year.

Our role
As we continue with our purpose of pioneering trusted medical 
solutions that improve the lives we touch, and create sustainable 
value for all our stakeholders, we continue to focus on ensuring that 
we have a skilled, diverse and effective Board and leadership team 
and a good pipeline of future talent. The effectiveness of our 
leadership team continues to be a primary focus as the Group 
continues its pivot to sustainable and profitable growth. The senior 
leadership team has a crucial role to play in inspiring and motivating 
our people to accelerate and deliver on our strategic aims.

As a Committee we continue to focus on recruiting the best talent to 
lead our business and have considered and made recommendations 
to the Board for the succession of appointments to the Board and 
for CELT. During the year, the appointments of Jonny Mason as our 
new CFO and Kimberly Lody, Non-Executive Director, were 
approved, and since the year end, the appointment of KImberly Lody 
was approved. In addition, a number of senior managers were 
successfully recruited during the year who are already making a 
valuable contribution and helping to accelerate the implementation 
of our strategic initiatives. The Committee will continue to focus on 
the development and retention of this important group of leaders.

Changes to membership 
During the year there were no changes to the composition of the 
Committee. Since the end of 2021, Constantin Coussios, Kimberly 
Lody and Sharon O’Keefe were appointed as members of the 
Committee.

Board composition
Following the resignation of Frank Schulkes, Jonny Mason will be 
appointed as Executive Director and CFO, with effect from 12 March 
2022, Kimberly Lody was appointed as a Non-Executive Director 
with effect from 1 February 2022. Sharon O’Keefe was appointed 
as a Non-Executive Director with effect from 1 March 2022. Rick 
Anderson resigned as Non-Executive Director on 3 March 2022.

Board committees’ composition
Constantin Coussios was appointed to both the Remuneration 
Committee and Nomination Committee with effect from 27 January 
2022. Kimberly Lody and Sharon O’Keefe were appointed to the 
Remuneration Committee and Nomination Committee with effect 
from 1 February 2022 and 1 March 2022 respectively. Rick 
Anderson stood down from his committee membership roles on 
3 March 2022 upon resigning as a Non-Executive Director of 
the Company.

Diversity 
The Board endorses the aims of the Davies’ report entitled “Women 
on Boards”, the Hampton-Alexander report entitled “FTSE Women 
Leaders – Improving Gender Balance in FTSE Leadership”, and the 
Parker report entitled “A Report into the Ethnic Diversity of UK 
Boards”. The Board also endorses the Government’s new five-year 
review to monitor women’s representation in FTSE350 companies, 
entitled “The FTSE Women Leaders Review”. 

At Board level we have members of various nationalities, gender 
and ethnicity who have an excellent range of appropriate skills and 
expertise. As at 31 December 2021, the proportion of women on 
our Board was 30% which is in line with our previous target of at 
least 30%. 

Following the appointments of Kimberly Lody, Sharon O’Keefe, and 
the resignation of Rick Anderson, the proportion of women on the 
board has increased to 45%. The Committee will continue to 
monitor Board diversity in other respects including experience, skills, 
personal attributes, age and ethnicity. In all instances individuals will 
continue to be appointed on merit and the Committee will remain 
focused on always ensuring that the Board has the relevant skills and 
expertise to perform effectively. The Committee acknowledges the 
challenge set by the Parker report for there to be one non-white 
director by 2024 for FTSE 250 companies.

As part of our ongoing diversity and inclusion strategy, we have set 
a new target to achieve 40% of senior management roles to be held 
by female executives by 2025 and this currently stands at 32%. 
During the year the Board has considered diversity insights across 
a range of metrics with a focus on gender and the initiatives to 
advance women in leadership. In 2022 it will continue to monitor the 
ongoing development of Diversity, Equity & Inclusion and Wellbeing 
initiatives across the Group.

Relevant skills and expertise 
The Board benefits from a wide variety of relevant of skills, 
experience and knowledge, details of which are on page 94. 

Board appointments
Appointments to our Board are made solely on merit with the 
overriding objective of ensuring that the Board maintains the 
correct balance of diversity, experience, skills, length of service and 
knowledge of the Group to successfully establish and oversee the 
delivery of the Group’s strategy. Appointments are made based on 
the recommendation of the Nomination Committee with due 
consideration given to the benefits of diversity in its widest sense, 
including gender, social and ethnic backgrounds. The Nomination 
Committee also reviews the ongoing commitments of candidates 
prior to making recommendations for the appointment of new 
Directors. Directors are required to seek Board approval prior 
to taking on additional commitments to ensure that existing roles 
and responsibilities continue to be met and conflicts are avoided 
or managed.

When recruiting new Non-Executive Directors, members of the 
Nomination Committee review and recommend candidates for 
appointment to the Board. Meetings are held between potential 
candidates, and the Chairman and CEO, CFO and Non-Executive 
Directors. Decisions relating to such appointments are made by the 
entire Board based on a number of criteria including the candidate’s 
skills and experience, the contribution they can make to our business 
and their ability to devote sufficient time to properly fulfil their duties 
and responsibilities.

Re-appointment of Directors
All Directors are subject to annual re-election and will be proposed 
for election or re-election (as appropriate) by shareholders at the 
AGM to be held on 12 May 2022. In relation to the re-elections, the 
Chairman has confirmed that following evaluation, all Directors 
continue to be effective and have the time available to commit to 
their role.

Non-Executive Directors are initially appointed for a three-year 
term and retiring Directors, if willing to act, will be deemed to be 
re-appointed unless the resolution for their re-appointment is 
not approved.

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Talent and succession planning 
Succession planning work during 2021 focused on the CELT and the 
Global Leadership Team. The Committee has considered succession 
planning for each member of the CELT.

External search firms
For all independent Non-Executive and Executive Director 
appointments, we engage international search and selection firms to 
support the Board including Heidrick & Struggles, Spencer Stuart, 
Russell Reynolds and Korn Ferry. None of them have any connection 
with the Group, or any Director, other than they may be engaged to 
assist with Board and senior management appointments from time 
to time.

Board induction and development 
On joining the Board, all Non-Executive Directors participate in a 
formal induction programme. The programme is monitored by the 
Chairman (other than in relation to his own induction, which is 
guided by the Senior Independent Director) and is the responsibility 
of the Company Secretary. Its purpose is to ensure that each newly 
appointed Non-Executive Director is able to contribute to Board 
discussions as quickly as possible. While each induction programme 
is tailored to the individual Director’s needs based on their skills and 
experience, typically each programme provides new Directors with 
insight into the Group’s strategy, culture and operations and informs 
them about the governance and compliance processes and 
procedures we operate. We were pleased to resume in-person 
Board meetings in October 2021 and have a full schedule of Board 
meetings and Board visits arranged for 2022, including a board visit 
to our Deeside plant.

During the year, the Directors received directors’ duties training and 
an update on governance and regulatory matters from our external 
lawyers Freshfields Bruckhaus Deringer. The Board also received 
updates and training from the Group’s senior management and 
external advisers covering a range of matters.

We continued to evolve our training programme and, in particular, its 
scope was expanded to include training from external advisers to 
both the Remuneration and Audit and Risk Committees. Training 
focused on matters specific to their respective committee activities, 
including corporate governance updates, executive remuneration, 
corporate reporting and audit updates.

All Directors have access to the advice and services of the Company 
Secretary and, through her, have access to independent professional 
advice in respect of their duties, at the Group’s expense.

Copies of all appointment letters are available for inspection at the 
Company’s registered office. 

On behalf of the Nomination Committee.

Dr John McAdam CBE
Chairman of the Nomination Committee
7 March 2022

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Audit and Risk Committee report

Key numbers

7Meetings held
100%Attendance

Activity highlights
 – Review of key judgements and estimates, adjusted measures 
and disclosures in respect of the 2021 financial statements 
 – Consideration of improvements to enterprise risk framework 

and embedding of related processes

 – Review of ESG and TCFD related disclosures, commitments 

and targets

2022 priorities
 – Undertake deep dives on known and emerging risks
 – Increased focus on plans for delivering environmental and other 

sustainability commitments and targets, and integrity of measures
 – Implementation of corporate governance reforms expected to be 

announced in early 2022

Committee’s role and responsibilities
The role and responsibilities of the Committee are set out in its 
terms of reference (available on the Company’s website), which were 
reviewed and updated by the Committee in January 2022 to reflect 
changes in relevant legislation and regulations and recommended 
good practice. 

The Committee’s responsibilities include, but are not limited to, the 
following matters:
 – Oversight of the integrity of the Company’s financial statements
 – Review of the Company’s half yearly and annual financial 

statements (including clarity and completeness of disclosure) and 
approval of the quarterly trading statements for quarter one and 
quarter three

 – Oversight of risk management and internal control arrangements
 – Oversight of compliance with legal and regulatory requirements, 
including those related to environmental and climate-change 
matters

 – Oversight of the external auditors’ performance, objectivity, 
independence and qualifications; the approval process for 
non-audit services; recommendation to the Board of the 
nomination of the external auditors for shareholder approval; and 
approval of their fees

 – Performance of the internal audit function

To help the Committee meet its oversight responsibilities, 
Management-organised knowledge sessions for the Committee 
during 2021 on cyber security, data privacy, the finance 
transformation programme, activities of the recently established 
GBS function and proposed regulatory reforms. 

Dear Shareholder 
On behalf of the Board, I am pleased to present the 2021 Audit and 
Risk Committee report, which provides an overview of the role of 
the Committee and the key matters considered in 2021, and to the 
date of this report, including how the Committee has discharged its 
responsibilities and provided assurance on the integrity of the 2021 
Annual Report and Accounts (“2021 ARA”). It is our responsibility to 
ensure the financial and non-financial information (including in 
respect of ESG-related matters, and specifically TCFD) published by 
the Group properly presents its activities to all stakeholders in a way 
that is transparent, useful and understandable and is aligned with the 
latest guidance and requirements of regulators. In addition, the 

“I am pleased to note that the pandemic had 
minimal impact on the Group’s 2021 financial 
affairs, control environment and reporting.”

Margaret Ewing
Chair of the Audit and Risk Committee

Committee membership, meetings and attendance
As Committee members, we collectively have a wide range of 
financial, audit, risk management and relevant sector and business 
experience that enables the Committee to provide constructive 
challenge and support to management. In accordance with the 
Code, the Board has determined that Margaret Ewing and Brian May 
have recent and relevant financial experience and is satisfied that 
the Committee has competence relevant to the sector and its 
overall responsibilities. 

The table below shows the number of meetings attended out of the 
number of meetings members were eligible to attend during 2021 
(all meetings were held virtually due to the pandemic, other than the 
October meeting).

Director
Margaret Ewing
(Chair from 28 June 2019)
Brian May
Heather Mason

Member since
August 2017

Attended
7/7

March 2020
September 2020 

7/7
7/7

The Deputy Company Secretary is Secretary to the Committee and 
attends all meetings. Other regular attendees, at the invitation of the 
Committee, include the Chairman, CEO, CFO, General Counsel and 
Company Secretary, Corporate Controller, VP Internal Audit and 
Enterprise Risk and external audit partners.

Throughout the year the Committee periodically met without 
others present and held separate private sessions with the CFO, 
VP Internal Audit and Enterprise Risk and the external audit 
partners, allowing the Committee to discuss issues in more detail. 

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Committee’s fundamental priorities include ensuring the quality 
and effectiveness of the external and internal audit processes and 
monitoring the management of the principal risks and effectiveness 
of the internal controls of the business.

During the year Management focused on ensuring that the Group’s 
response to the COVID-19 pandemic and Brexit continued to be 
agile and effective so that we could continue to serve and support 
the people who rely on our products and services. At the same time, 
extensive work and investment to deliver the Group’s strategic 
transformation continued. In planning the Committee’s agenda and 
reviewing the audit plans of the internal and external auditors, we 
took account of management’s areas of focus and any consequential 
significant issues and operational, compliance and financial risks 
likely to have an impact on the Group’s financial statements. 
I am pleased to note that the pandemic and Brexit had minimal 
impact on the Group’s 2021 financial affairs, control environment 
and reporting.

Throughout 2021 I have maintained regular dialogue with members 
of the Committee, the CFO, other members of management and 
the internal auditor, including meeting with agenda topic owners 
prior to Committee meetings, ensuring the Committee would be 
provided with the necessary information to enable it to guide, 
challenge and advise and, when required, make informed decisions. 
I also met regularly with the lead partners from Deloitte, the external 
auditor, as part of my ongoing review of their effectiveness.

The Committee held seven formal meetings during 2021, three 
meetings in 2022 to the date of this report and one ad hoc meeting 
at which we discussed the effectiveness of both the internal and 
external auditors and the risk management processes. The key 
items discussed by the Committee in discharging its oversight 
responsibilities and its areas of focus are set out in further detail in 
this report. I believe that, throughout 2021, we have ensured: the key 
challenges and risks faced by the Group were reflected in the 
external and internal audit plans; the Group’s control environment is 
monitored and enhancements discussed; changes in the Group’s 
principal and emerging risks were identified and effectively 
managed; compliance with all regulatory and legal obligations; and 

sound financial judgements and estimates continued to be made. 
The evaluation of the Committee’s effectiveness during 2021, which 
took the form of detailed questionnaires facilitated by an external 
provider, Lintstock, supported this conclusion. The evaluation 
findings, which were shared with the Board, indicated that the 
Committee continued to perform very effectively and had 
addressed its key priorities and action plan for 2021. 

Although no direct meetings with ConvaTec shareholders were held 
during 2021, I met with representatives of the Institutional Voting 
Information Service (“IVIS”), a proxy agency, to better understand 
IVIS’s priorities regarding audit committee activity and reports and 
their rating of the ConvaTec 2020 Committee report. In addition, 
I met with many stakeholders, including investors, during the 
consultation period for the Business, Energy & Industrial Strategy 
(“BEIS”) Audit and Corporate Governance Reform proposals. As a 
member of the Audit Committee Chair’s Independent Forum 
steering group in respect of the consultation, I participated in many 
discussions with BEIS representatives, CEO and management of the 
Financial Reporting Council (“FRC”), investor representatives and 
other key stakeholder groups. This allowed me to share the insights 
gained with the ConvaTec Board and Management, facilitating our 
detailed response to the consultation and our initial plans for 
implementation of relevant aspects of the proposals. 

I would like to thank Frank Schulkes, who steps down as our CFO on 
11 March after more than four years in the role, a period of significant 
change for the Group, Board and management. I also look forward 
to supporting and working with Jonny Mason as he steps into the 
role of CFO from 12 March. I would also like to thank my fellow 
Committee members and all teams involved with the Committee’s 
activities for their contribution during 2021 and their relentless 
focus on quality, sound judgements, controls and risk during another 
year when remote working was the norm.

I hope that you find this report informative and responsive to 
shareholders’ and other stakeholders’ expectations and can take 
assurance from the work undertaken by the Committee during the 
year and planned for 2022.

Committee focus and activities in 2021

Focus area
Financial statements 

External auditor

Activities
For recommendation to the Board
 – reviewed quarterly, interim and full-year results statements, prior to publication, together with 

supporting reports from CFO and Corporate Controller highlighting all key judgements and estimates 
and external auditor reports to the Committee in respect of the interim review and full year audit 

 – reviewed final draft 2021 ARA, the auditor’s and Management reports on all key judgements, scenario 

assumptions, supporting analysis/ evidence, including appropriateness of going concern basis of 
preparation and viability assessment.

Reviewed and approved
 – audit plan for the 2021 statutory audit, including the key audit risks, scope and materiality level
 – 2021 interim review plan 
 – audit fee for 2021 plus non-audit services, and related fees, provided by the external auditor 
Reviewed reports from the external auditor on the financial statements and areas of challenge and focus 
Assessed the effectiveness of the external auditor and recommended to the Board the reappointment 
of Deloitte. 

Enterprise risk 

Reviewed for recommendation to the Board
 – the Group’s principal and emerging risks, including the interim and full-year risk management 

statements and disclosures

 – assessment of the viability of the Group over the next three years considering severe but plausible 

scenarios of the impact of the Group’s principal risks

Review of/updates on 
 – proposed enhancements to enterprise risk management strategy and framework and subsequent 

monitoring of implementation 

 – progress in implementing improvements in cyber security and data privacy risk management processes 
 – effectiveness of the Group’s risk management processes

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continued

Focus Area
Compliance and fraud risk

Activities
Review of/updates on
 – global compliance programme, monitoring and assessment of processes and issues identified, and 

ESG and TCFD

Internal audit

Regulatory updates

Treasury, debt and insurance

Tax

matters at risk or pending litigation

 – fraud risk management framework, fraud risk control programme and fraud risk assessment
 – the independent whistleblowing processes and report on complaints received, trends and actions

Review of Management’s enhancements to ESG governance and framework, milestones in plans to 
achieve commitments and preparedness for complying with TCFD and other non-financial information 
reporting requirements

Review of/updates on
 – annual internal audit plan, resourcing and budget, subsequently approved
 – conclusions and recommendations arising from completed internal audits, including implementation 

of management actions

 – proposed enhancements to internal audit strategic priorities, including capabilities and approach
 – programmes to address internal control and compliance weaknesses identified in parts of the Group
 – effectiveness of the Group’s internal audit function and processes
Discussion of key themes emerging from internal audits with executive management 

Briefings and discussion on BEIS Audit and Corporate Governance reform proposals and approval 
of ConvaTec’s letter of response and initial assessment of implications for Board and management 
briefing on BEIS consultation on mandatory Climate-related Financial Disclosures

Review of
 – Group’s treasury policy (approved)
 – debt covenant compliance at relevant reporting dates
 – proposed issue of $500 million Senior Notes and repayment of $500m of bank debt (recommendation 

to Board) 

 – plans for transition from IBORs to new Alternative Reference Rates in existing funding facilities (approved) 
 – annual insurance renewal programme, subsequently approved (other than Board-approved 

D&O insurance) 

Review of 
 – Group’s key tax risks, effectiveness of related controls and mitigations and tax transparency agenda
 – appropriateness of the global tax strategy in supporting the Group’s FISBE strategy
 – Company’s published Tax Statement, subsequently approved by the Board
 – estimated effective tax rates applied in interim and full year financial statements, judgements and 

disclosures in respect of underlying key tax issues/risks

Finance transformation

Briefings on finance target operating model reflecting Group’s business unit/matrix operating model
 – monitoring of progress in implementation of global Finance Transformation, with focus on retention/

implementation of effective controls throughout the programme

 – progress on establishment of GBS and programme of transition of finance processes from country to 

Committee effectiveness 

GBS

 – conclusions from EY’s independent review of proposed finance operating model and contentious process 

assessment

Approved changes to Grant of Authority to reflect evolving operating model

Ensured all financial reporting, including 2021 ARA, reflects regulatory guidance
Updated the Committee’s terms of reference to reflect evolving best practice
Conducted externally facilitated review of Committee effectiveness, including input from regular 
Committee meeting attendees 
Committee members completed four mandatory compliance on-line training programmes

All relevant matters arising are brought to the attention of the Board. There were no topics addressed by the Committee where the 
conclusion resulted in significant disagreement between Management, the external auditor and the Committee or unresolved issues that 
needed to be referred to the Board. 

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How the Committee has discharged its responsibilities

Financial Statements 
In the process of applying the Group’s accounting policies, 
Management necessarily makes judgements and estimates that may 
have a significant effect on the amounts recognised in the financial 
statements. The Committee used its collective expertise, with input 
from the external auditor, to provide challenge to the approach and 
judgements made by Management in the treatment and value of 
financial matters and the resulting disclosures within the Group’s 
financial statements. The Committee discussed with the external 
auditor how Management’s judgement and assertions were 
challenged and how professional scepticism was demonstrated 
during their audit of these areas. Following considerable discussion 
and review of each potentially significant accounting judgement with 
Management and the auditor, the Committee was satisfied that 
there were relevant accounting policies in place that had been 
correctly applied and reasonable judgement had been exercised. 
The Committee consequently agreed with Management’s and the 
external auditor’s conclusion that there were no critical accounting 
judgements impacting the 2021 financial statements or key 
sources of estimation uncertainty that have the potential to give 
rise to a material adjustment to the Group’s financial statements 
during 2022.

Significant audit risks and accounting judgements
Although there are no critical accounting judgements, there were a 
number of judgements considered by the Committee as significant, 
and these were reviewed throughout the year and when 
recommending approval of the 2021 ARA to the Board and are 
summarised below. These include the four significant areas of audit 
focus, as described in the Independent Auditor’s Report on pages 
211 to 219. In addition, our external auditors, as required by auditing 
standards, also considered the risk of Management override of 
controls. Nothing has come to the Committee’s attention to suggest 
any material misstatement with respect to suspected or actual fraud 
relating to Management override of controls.

Change in CGU groups and goodwill impairment
During 2021 management reassessed the applicable Cash 
Generating Units (CGUs), including reallocation of goodwill, 
triggered by the evolution of the global operating model of the 
Group and, specifically, the change in monitoring cash inflows 
from geographical to category leadership. The identification of 
appropriate CGU groups and reallocation of goodwill and indefinite-
lived intangible assets involve significant judgements. The 
Committee reviewed and challenged management’s reasons for 
determining the appropriate CGU groups to be adopted and 
considered the external auditor’s conclusions. The Committee 
concluded that the evolution of the new operating model resulted 
in goodwill being predominantly monitored by categories and 
the resulting decision-making and approach to monitoring by 
management were significant triggers and concurred with the 
change in CGU groups (see pages 174 and 175).

Management reviews the carrying amounts of the Group’s goodwill 
and indefinite-lived intangible assets on an annual basis and its other 
intangible assets and property, plant and equipment assets when 
there is a trigger to determine whether any impairment of the 
carrying value of those assets is required to be recorded. An 
impairment review requires the exercise of considerable judgement 
and application of assumptions by Management in determining 
the value in use of each asset. The Committee challenged the 
appropriateness of the relative value measures used in the 
reallocation of goodwill to the revised CGU groups, which included 
consideration of alternative measures, and concurred with 
Management’s assessment. In respect of goodwill and indefinite-
lived intangible assets, the sensitivity of the headroom between the 
resulting value in use and carrying value is determined by applying 
reasonably possible changes in key assumptions, including the 
assumptions applied in the scenarios adopted in reviewing the 
Viability statement. Adopting the new CGU groups, management 
assessed the recoverable amount of each CGU group to identify 
potential goodwill impairment. After challenge of the 
reasonableness of the underlying assumptions applied in 
determining the value in use of each CGU group with Management 
and the external auditor, the Committee was satisfied that, while 
judgemental and uncertain, the assumptions applied, and the 
methodology used to identify any potential impairment triggers 
or indicators for each new CGU group, were appropriate. 
The Committee consequently agreed with Management’s 
conclusion that there were no impairment triggers or indicators 
to the carrying value of all CGU groups and the useful economic 
lives remained appropriate.

Acquisitions
As reported on pages 172 to 174, the Group acquired Cure Medical 
in March and Patient Care Medical in December for a total purchase 
consideration of $88.5 million and $29.1 million respectively and on 
28 January 2022 announced the agreed purchase of Triad Life 
Sciences (expected to be completed in March 2022 subject to 
regulatory clearances) for an initial consideration of $125 million and 
a total potential consideration of $450 million. In respect of the 
acquisitions during 2021, the Committee reviewed and challenged 
the key judgements made by Management in determining the fair 
value of the assets and liabilities acquired, particularly the key drivers 
of the valuation of intangible assets (specifically the appropriateness 
of the assumptions regarding the economic life of customer 
relationships) and the resulting value of goodwill. The materiality of 
the acquisition of Cure Medical poses a significant risk related to the 
accounting for this transaction. To address this risk, the Committee 
compared the performance of Cure Medical’s latest forecasts with 
the expectations in the acquisition business case and considered the 
audit work performed by Deloitte, including the conclusions of their 
valuation experts. The Committee also ensured that the implications 
of the proposed acquisition of Triad Life Sciences, including the total 
potential consideration, were reflected in management’s going 
concern and viability assessments. 

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Alternative performance measures (APMs)
In early 2021 the Committee approved a revision to the policy for 
identifying APMs to better reflect the Group’s strategy but also 
ensuring the Group’s policy, approach and disclosures in respect 
of APMs are compliant with the various FRC and ESMA guidelines. 
In reviewing management’s proposed 2021 adjusting items, the 
Committee recognised that certain aspects of the revised policy 
could be subject to an interpretation that was not the Committee’s 
intention. Consequently, the Committee agreed further 
amendments to the policy to provide the necessary clarity 
(see pages 207 and 208).

In October 2021 the Chairman received a letter from the FRC 
with respect to its thematic review of APM disclosures. The FRC 
undertook a limited scope review1 of the Company’s 2020 APM 
disclosures, which resulted in the FRC noting instances where our 
disclosure regarding APMs could be improved, including: clarifying 
the rationale for classifying amounts as adjusted items and the 
Company’s meaning of ‘underlying performance’; altering the 
labelling of APMs; and disclosing the impact of adjusting items 
on cashflows. 

The Committee reviewed Management’s proposals in respect of 
adjusting items, ensuring they were consistent with the updated 
policy; challenged the draft disclosure in respect of two items and 
agreed amended disclosure notes (having also considered the views 
of the auditors); and ultimately concluded that all items treated as 
adjusting items in the FY21 Financial Statements and other parts of 
the ARA were consistent with the updated policy and fully disclosed, 
reflecting the disclosure recommendations of the FRC, ensuring 
appropriate prominence of reported/statutory financial information 
compared to the APMs.

Uncertain tax positions on transfer pricing (“TP”) 
Refer to page 164. There is significant judgement involved in 
determining appropriate transfer pricing to allocate profits 
appropriately between jurisdictions, and particularly the UK, US, 
Switzerland, China and Denmark, given the Group’s evolving 
business model and the high volume of intercompany transactions, 
together with the increasing complexity of tax laws applicable to a 
global group. Management has provided for uncertain tax positions 
on TP where the risk of a successful challenge by tax authorities is 
considered probable, in line with the requirements of IFRIC 23. 
The Committee considered the impact of ongoing changes to the 
Group’s operating model, the supporting documentation for the 
TP position, existing tax authority challenges, the likelihood of new 
challenge by tax authorities and the external auditor’s assessment 
and challenge of management’s position and supported 
management’s provision for uncertain tax positions, agreeing 
that this does not represent a key source of estimation or 
critical judgement. 

Other important accounting and disclosure judgements
For each of the following areas the Committee considered the key 
facts and judgements outlined by Management. Members of 
Management attended the section of the Committee meeting 
where their item was discussed to answer any questions or 
challenges posed by the Committee. The issues were also 
discussed with the external auditor.

Viability and Going Concern statements 
At the request of the Board, the Committee reviewed the 
appropriateness of adopting the going concern basis of accounting 
in preparing the 2021 Financial Statements and assessed the 
longer-term viability of the Group in accordance with the 
requirements of the UK Code. The Board’s Viability statement and 
the Going Concern statement are included on page 76 and page 155 
respectively, and the methodology adopted in assessing the 
robustness and appropriateness of the supporting evidence to the 
Viability statement is set out on pages 74 to 76. The forecasts and 
stress test scenarios, including the reverse stress test, applied in 
assessing the viability of the Group were also applied in the 
Committee’s review of the appropriateness of adopting the going 
concern basis of accounting. 

The Committee’s viability assessment included: review of the 
process and methodology adopted by management; challenge of 
the appropriateness of a three-year viability period; consideration 
of the Group’s principal risks, their potential impact (in severe but 
plausible scenarios) during the viability period adopted and the 
mitigations available and Management of the risks; the payment of 
the potential full consideration of $450 million in respect of Triad 
Life Sciences, and the required performance of the company to 
realise the maximum consideration, during the viability period; and 
the Group’s ability to comply with the financial covenants within its 
financing facilities and maintain adequate liquidity headroom in each 
sensitivity scenario. The Committee also considered a reverse stress 
test, before mitigations, to determine the impact required on the 
performance of the Group to cause it to no longer be considered 
resilient or viable over the three-year period. The Committee 
concluded that this scenario is not plausible. When considering the 
principal risks that could impact the Group during both the going 
concern and viability periods, the Committee also assessed any 
potential impact of the ongoing COVID-19 pandemic, Brexit, current 
and forecast global economic conditions and climate change. Other 
than economic conditions, which are adequately taken into 
consideration in the scenarios applied, the Committee concluded 
that the impact of these factors was likely to be minimal during the 
viability period (as noted on pages 75 and 75 of this ARA). In addition, 
the Committee obtained a summary of external views (from 
investors, analysts, other stakeholders, and industry commentators) 
on the future direction of the sector and ConvaTec over the next 
three years and compared this to the viability scenarios as a 
reasonableness check. 

The external auditor confirmed that the Directors’ statements on 
Viability and Going Concern had been read and evaluated in 
conjunction with the balance of their audit work and concluded that 
they were consistent with the knowledge obtained during the audit. 
Based on the analysis and scenarios provided by management, the 
Committee’s review and challenge, and the report of the auditor, the 
Committee recommended to the Board that there is a reasonable 
expectation that the Group will be able to continue in operation 
and meet its liabilities as they fall due over the next 12 months and 
adoption of the going concern basis of accounting is appropriate. 
The Committee also recommended to the Board that the Group 
should remain resilient and have adequate liquidity throughout the 
three-year period of the viability assessment and providing the 
Viability statement is appropriate.

1.    We note the inherent limitations of the FRC’s review. The FRC stated that the scope 
of its review was based solely on the Group’s 2020 Annual Report and Accounts and 
was conducted by FRC staff who have an understanding of the relevant legal and 
accounting framework. The review did not benefit from detailed knowledge of 
the Group’s business or an understanding of the underlying transactions entered 
into. The FRC’s review only covered specific disclosures and does not provide 
assurance that the Group’s 2020 Annual Report and Accounts are correct in all 
material respects.

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Manual adjustments to revenue 
Current financial processes allow local markets’ financial 
management to make manual adjusting entries to the relevant 
component results, thereby giving rise to a presumed fraud risk 
that could result in a material misstatement of the Group’s results. 
Management’s control procedures and review of the adjustments, 
including supporting evidence, and the financial control self-
attestations across the Group, plus the review and challenge by 
the external auditor, have provided the Committee with confidence 
that this risk has not been realised. In addition, no revenue related 
frauds that would be material to the financial statements were 
identified by internal audit, external audit, compliance processes, 
financial control procedures, the Group’s whistleblowing facility or 
business unit management.

Taxation 
The Committee considered the Group’s tax risk profile in light of: tax 
authorities around the world undertaking an increasing number of 
tax audits; requirements for greater transparency; and new tax 
legislation in jurisdictions where the Group has a presence. The 
Committee also reviewed key aspects of the Group’s taxation affairs 
including compliance, accounting judgements, reporting, strategy 
and external reporting requirements of regulators and tax bodies 
and was satisfied that the Group manages its tax affairs carefully, 
ensuring that we operate within our tax risk appetite.

Recognition of US deferred tax assets (“DTAs”)
The Committee considered management’s proposal to not 
recognise DTAs on excess US tax losses other than to the extent 
there are suitable offsetting taxable temporary differences. 
Management provided papers setting out the background to the US 
DTAs and their proposed treatment. The Committee agreed with 
management’s proposal, having discussed the judgement applied 
with management, challenged the robustness of the underlying 
profitability forecast of the US operations and the corresponding 
expected utilisation of the tax losses and considered Deloitte’s 
assessment and challenge. 

Dividends and distributable reserves 
Based on analysis provided by management, with its integrity 
challenged by the Committee, the Committee considered the 
availability of realised distributable reserves and liquidity, including 
the effect of sensitivities aligned to the Viability statement. The 
Committee concluded that it was able to advise the Board that there 
were sufficient realised distributable reserves and cash resources to 
enable the Board to approve the 2021 interim and final dividends.

Operating segment reporting
The Committee considered management’s assessment to support 
the position that, for the purposes of financial reporting, no triggers 
had been identified that contradicted the view that the Group’s 
business should be regarded as a single segment entity. 
Management’s assessment concluded that the CEO continues to be 
the CODM and, whilst the business transformation has changed 
certain elements of the operational leadership structure, the 
business continues to operate in a matrix structure. Financial 
information in respect of revenues provided to the CEO for decision-
making purposes is made on both a category and key market basis. 
The primary focus of financial reporting in 2021 continued to be 
based on the consolidated Group results. In forming its own view, 
the Committee had regard to IFRS 8. The Committee also noted 
that resource allocation continues to be driven with the support of 
global functions and Centres of Excellence and, consequently, 
concurred with management’s view that the Group should continue 
to report as a single segment for the purposes of disclosures in the 
2021 ARA. As the Group completes its pivot to its new operating 
model and the Group’s internal reporting evolves, the Committee 
will continue to review the appropriateness of the single segment 
approach

Fair, balanced and understandable (“FBU”)
The Committee advised the Board that the 2021 ARA, taken as 
a whole, is fair, balanced, and understandable, and provides the 
information necessary for shareholders and other stakeholders to 
assess the Group’s performance, business model, strategy and key 
risks that challenge the Group, including the disclosures made in 
relation to COVID-19, Brexit, TCFD and ESG. The Committee’s 
review, conclusion and advice to the Board was informed by the 
assurance framework, process and controls that were applied in its 
preparation. This included:
 – a verification process dealing with the factual content
 – comprehensive reviews undertaken independently by senior 

management to consider messaging, adequacy of disclosures, 
compliance with regulatory and legal reporting requirements, 
and balance

 – specific reviews by the Board, CELT, and legal advisers in relation 
to key sections of the ARA and relevant sections of the ARA as 
audited by Deloitte

 – confirmation from management that the assurance framework 

had been adhered to for the preparation of the 2021 ARA

Discharge of other key areas of responsibility 
The Committee also addressed its other key areas of responsibility 
during the year, each contributing to its ability to provide assurance 
to the Board that it could conclude on the effectiveness of the 
Company’s internal controls and risk management processes 
throughout the year. 

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Enterprise risk 
management 
(“ERM”)

The framework and processes the Group operates to manage risk are set out on pages 64 to 67. 

A new VP Internal Audit and Enterprise Risk was appointed in March, bringing a fresh perspective and improvement 
in quality to the work of the Internal Audit and Enterprise Risk functions. At the July meeting, the Committee 
was provided with an overview of proposed improvements to audit and ERM approaches, an understanding 
of stakeholders’ expectations of the two functions, proposed execution improvements and the functions’ 
strategic priorities.

Throughout the year, the Committee monitored and reviewed the Group’s risk management activities and 
processes, including the bottom-up and top-down process utilised to identify risks, the movement of the principal 
risks, emerging risks, a refreshed risk heatmap, the development and implementation of mitigation controls and 
revisions to the Board-approved risk appetite. The improvements to the risk framework and processes have led 
to a better alignment to and focus on the Group’s strategic priorities, consideration of risk being inherent in 
Management’s decision-making and a better allocation of resources and time to ensure the effectiveness of the 
Group’s current and future risk mitigations.

At the Committee’s request, management demonstrated that the Group’s principal risks benchmarked well against 
a peer group of other relevant healthcare and pharmaceutical sector companies. In addition, the Committee 
undertook deep-dive reviews with Management in respect of cyber security and data privacy risks. The Committee 
also requested a deep dive into the supply chain risk that, given its criticality to the Group’s operations, was reviewed 
by the Board, rather than the Committee. These deep dives provided the Committee (and Board) with a more 
detailed understanding of Management’s approach to risk mitigations and proposed enhancements in respect of 
understanding of the relevant risks. In addition, the cyber security deep dive demonstrated the proposed further 
enhancements to the ERM framework, which will enable an improved definition of the principal risk drivers and risk 
appetite, including key risk indicators to monitor performance against appetite, and enhanced identification of 
mitigating controls, with the effectiveness of the controls monitored through a well-defined lines of defence model.

The Committee was pleased to note the significant progress in developing and embedding the risk framework, 
policies, risk identification and mitigation controls across the Group’s operations and concluded that the risk 
management processes had been effectively applied throughout the year, but recognised the Company is on a 
journey in respect of rolling out the enhancements across all of the Group. The Committee’s ERM effectiveness 
review highlighted that ERM is increasingly acknowledged by management as an integral element of driving the 
Group’s strategy, supporting the changing operating model and is gradually being adopted as a valuable tool used 
by management across the Group in their day-to-day activities.

Case study – cyber security and data privacy risks
At the request of the Committee, independent external experts assessed the Group’s cyber and privacy maturity 
against external benchmarks. This has resulted in the strategic approach to improving the Group’s cyber security 
risk mitigations being modified for best practice. This included accountability for privacy being driven deeper into 
the organisation, heightened risk visibility across the Group, new security testing capability for the Group’s 
strategic focus on Digital and Software as a Medical Device and role-specific training with higher impact.

The Committee also requested a review of cyber readiness of the Group’s main suppliers (including raw materials) 
that may materially impact the Group’s business. There is evidence that cyber maturity is growing across the 
Group’s key supplier base, with the majority either being already certified to security standards or recognising the 
risk and currently taking action to address it. This review resulted in management adopting risk-based supplier 
supervision for the highest-risk suppliers, including defining a minimum standard of security capability the Group 
expects from its suppliers, engaging with relevant suppliers to ensure standards are met and developing 
contingency measures. An oversight survey is to be conducted during 2022 as part of the cyber security strategy 
adoption of the National Institute of Standards and Technology (“NIST”) Privacy Framework.

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Internal controls 
over financial 
reporting

During the year the Committee received regular updates on the global financial control framework including:
 – Quarterly analysis of management’s self-attestation of compliance with the Group’s control framework, including 
details of control failures and their remediation, with independent reviews by the Corporate Control function. 
The Committee noted there were no control failures during 2021 that could have a material impact on the Group’s 
financial statements and mitigating actions were taken until the control failures were remediated.
 – The improvements in the entity level controls and global financial controls implemented during 2021
 – Internal audit reviews of financial controls in several countries and businesses, with agreed remediation plans in 
place for weaknesses identified. Again, no issues were identified that could, individually or collectively, have a 
material impact on the Group’s financial position and remediation is being implemented to address the 
weaknesses identified (although certain plans span more than the current year)

 – Reports from the external auditor on control weaknesses identified during their audit. Deloitte did not raise any 

material weaknesses in respect of the design and implementation of controls regarding significant audit risks with 
Management or the Committee and mitigating or remedial action has been taken to address those non-material 
weaknesses identified by Deloitte

In addition, the Committee received reports from the IT governance risk and compliance team in relation to the 
operation of IT general controls across the Group. The IT general controls continued to operate effectively throughout 
the year with no material control failures noted, despite remote and hybrid working models. The Committee also 
reviewed Management’s report on the ‘Annual Review of the control environment’, which included a summary of the 
global financial controls programme, IT general controls and operation and entity level controls. The Committee noted 
that the Finance Transformation and completion of the Group’s move to a category-led management structure 
impacted certain controls, with the focus on business categories rather than legal entities. The Committee requested 
Jonny Mason, the new CFO, undertakes a thorough review of the status and approach to the Finance Transformation, 
adapting the programme as necessary to ensure that the existing controls remain intact or are adapted to reflect the 
new structure, with the number of reported control failures expected to decrease during 2022. Management has 
already identified areas of focus for 2022 to address many of the existing control issues and, among other audits 
focused on controls, an internal audit of the control environment in the GBS in Lisbon will be undertaken.

Compliance, 
including 
whistleblowing 
and fraud

Throughout 2021, on behalf of the Board, the Committee has continued to review the Group’s compliance policies, 
procedures, global monitoring activities, business risk assessment plans and results, including the operation of the 
independent third-party (Navex Ethicspoint) managed whistle-blower hotline (referred to as the ‘Compliance 
Helpline’ within ConvaTec) and weblink to enable employees and third parties to report suspected breaches of our 
Code of Conduct or any other matter of concern and obtain guidance on any ethics concerns. 

In addition to receiving the annual ethics and compliance educational briefing, the Committee received regular 
reports from the Deputy General Counsel and Global Chief Compliance Officer in relation to the Group’s compliance 
programme. This included an overview of any enhancements to the Group’s policies or other standards of conduct 
and any updates to corporate education in response to regulatory requirements or reports of third-party enforcement 
activities in the industry. The Committee also received detailed reports on any significant issues raised directly to the 
Office of Ethics & Compliance or via the Compliance Helpline, an assessment of any identified trends in complaints, 
the nature of any noteworthy allegations, the corrective measures implemented to address substantiated 
complaints, the process applied to triage and correctly investigate complaints and the promotion to and education 
of the Group’s entire workforce on the availability of the Compliance Helpline. The Board also received this report. 
The Committee oversees the investigation and outcome of all significant issues reported via the Compliance 
Helpline, web link and any other whistleblowing source. During 2021 the Committee received reports on ongoing 
and concluded investigations from both the ConvaTec ethics and compliance team, internal audit and external 
advisers, Kirkland and Ellis. The Committee also considered the actions taken by Management as a result of the 
investigations’ conclusions and recommended additional actions where appropriate. Further information about our 
ethics and compliance programme and our Code of Conduct is included on page 50.

Case study – Fraud prevention, detection and investigation 
In 2020 the Committee asked management to undertake a review of the Group’s approach to managing the fraud 
risk environment. A cross-functional fraud controls working group has since been established to design and 
implement a fraud risk framework and enhance the fraud governance structures and policy across the Group. This 
working group, chaired by the Global Chief Compliance Officer, includes the Corporate Controller, VP Internal Audit 
and Enterprise Risk and other senior representatives from IT, HR and Legal, reports regularly to the Committee. 

Having identified the key fraud risk areas that exist across the Group, a deep dive is to be undertaken for each 
fraud risk to assess: the specific nature of potential fraud; completeness and effectiveness of existing mitigating 
controls; and potential control mitigation gaps. The deep dives are being prioritised for those fraud risks that 
present the greatest inherent risk to the Group, starting with those that could materially impact the Group’s 
financial statements. A pilot fraud risk review, of payroll and HR records, is currently in progress to ‘road test’ the 
methodology being applied in the assessment of the risk, which includes current process maturity. The output of 
the review should be a set of aligned payroll fraud controls which will be rolled out across the Group and allow 
monitoring of the effective operating of the controls.

The Committee is aware of the complexities involved in ensuring a consistent control baseline exists across the 
entire Group, including entities not currently operating on SAP and certain entities within GEM, but this is a 
necessity to provide the Board and Management with the assurance required in respect of the effectiveness and 
completeness of the Group’s fraud prevention, detection and investigation processes. The fraud risk framework, 
governance structures and policy being developed by the working group and monitored by the Committee will 
continue throughout 2022 and probably into 2023.

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Regulatory 
compliance – ESG 
and TCFD

Internal audit 

The Group’s progress in meeting the increasing stakeholder and regulatory reporting requirements and disclosures 
relating to the Group’s focus on sustainability, particularly in relation to its employee and community activities and 
climate change initiatives, including TCFD reporting, is a key area of focus for the Committee. The Committee 
received updates from the ESG Steering Committee chair and others on progress during the year, including:
 – the development of an ESG framework with a mission and strategic pillars 
 – achievement of milestones set in 2020
 – embedding of ESG, including climate-related risks, in the annual strategic planning process
 – commissioning DNV to undertake a gap analysis and stakeholder materiality refresh plus provide limited 

assurance over certain ESG related data and performance against targets, including those related to Scope 1 
and Scope 2 GHG 

 – hiring of dedicated ESG resource 

The Committee considered the proposed TCFD disclosures in the four primary pillars of governance, strategy, risk 
management and metrics and targets, and challenged management’s initial draft disclosure on TCFD, which led to 
improvements in the reporting. The Committee also encouraged management to, during 2022, make further 
improvements in the Group’s plans to realise its environmental targets, particularly in relation to the roadmap 
required to deliver against the climate change targets and further climate scenario modelling. The Committee also 
discussed the conclusions of DNV’s gap analysis and assurance opinion. Whilst the Committee concluded that the 
disclosures in the 2021 ARA are aligned with the existing regulatory requirements, with appropriate explanations 
provided for those aspects where the Group is not yet fully compliant, including an indication of plans to achieve 
compliance by December 2022, the Committee strongly recommended to the Board that ESG priorities, including 
environmental, be included in the CELT’s and Board’s regular agendas and actions and developments regularly 
monitored by the Committee and Board, with additional external assurance to be provided on the Group’s scientific 
based targets and data and improved external reporting and disclosures. The Board has identified Environment and 
Communities as a new principal risk, recognising the growing importance of this agenda to our stakeholders and the 
Group’s increased business focus on this matter. The Committee concurred with Management’s conclusion that the 
Group’s overall exposure to climate-related risk is relatively low over the next five years.

The internal audit function is a critical component of the Group’s corporate governance framework, affording 
essential support and assurance to the Board, Committee and Management in the execution and delivery of the 
Group’s strategy and transformation and the effectiveness of its internal controls and processes. It also delivers 
important insight on issues of culture and employee values across the diverse geographies in which the Group 
operates. The function utilises co-sourcing partners where there is a requirement for specialist skills or additional 
resource. The Committee routinely met, without management present, with the VP Internal Audit and Enterprise 
Risk to discuss the results of the audits performed and any additional insights obtained on the risk management and 
control environment plus culture across the organisation.

During 2021, audits of key transformational programmes, financial and IT general controls, areas relating to 
responsible behaviour and culture, and non-financial risk were completed. The Internal Audit team also partnered 
with the Ethics and Compliance function (including external legal advisers) to undertake compliance reviews. At 
three Committee meetings during the year, an update on Internal Audit activity was provided covering an overview 
of the work undertaken in the period, actions arising from audits conducted, the tracking of management’s remedial 
actions, and progress against the Internal Audit plan.

The Committee also reviewed and approved the proposed 2022 internal audit plan (including budget and resource 
requirements), which was compiled adopting a risk-based approach using the Group’s principal and emerging risks 
as the base and aligning with the Group’s control environment (particularly areas of controls remediation and 
improvement) and assurance arrangements. The Committee will continue to monitor the delivery of the 2022 plan 
and adapt it as appropriate to reflect changes in risk profiles or new initiatives. 

In December the Committee undertook an assessment of the effectiveness of the internal audit function, including 
obtaining feedback from CELT members and other relevant Management to understand if they are comfortable that 
they are receiving the assurance they need on the risks that matter to them and to ConvaTec. Both Management and 
the Committee concluded that Internal Audit within ConvaTec is effective, with greatly improved quality, stature and 
impact than in 2020. The Committee also noted the function remained independent, whilst also gaining ‘pull’ from 
Management for increased support and audits. The Committee will remain focused on ensuring the continuing 
evolution, strengthening and embedding of the Group’s internal audit function, processes and frameworks and its 
support in improving the internal control environment across the Group. 

Regulatory 
developments

During the year the Committee closely monitored regulatory developments relating to ESG, TCFD, climate change, 
audit and corporate governance and FRC and FCA reporting requirements.

The Committee was briefed on BEIS’s proposal regarding “Restoring trust in audit and corporate governance” by 
the external auditor and the Corporate Controller. This included an assessment of those aspects of the proposals 
that potentially would impact ConvaTec and proposed next steps. Given the status of the proposals, with many 
currently being concepts as opposed to clearly articulated requirements, and uncertainty as to the aspects of the 
proposals that will be introduced by legislation and/or regulation, the Committee agreed with Management’s 
proposal to continue with the improvement programmes on fraud and internal controls that commenced in 2020 
and 2021 (as ‘no regrets actions’) and to maintain a watching brief over the market’s adoption of other proposals 
(such as the resilience statement and audit and assurance policy) prior to the final reform requirements being 
announced or introduced. The Committee led the development of a full response to the proposals that was 
submitted to BEIS on 25 June 2021. 

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External audit 
Audit process
The Committee is responsible for overseeing the relationship with the external auditor, the audit process and, most importantly, the 
effectiveness, quality and robustness of the audit. The following table summarises the steps taken by the Committee in overseeing the 2021 
audit and its quality.

Significant matters for review 
The annual audit plan and strategy including the scope of the 
audit, changes in approach and methodology, emerging industry 
and Group-specific risks and change in the audit leadership team

Materiality level for audit including Group materiality and 
component materiality

Audit fee and terms of engagement

Audit scope and risk assessment

Audit findings, significant issues and other 
accounting judgements

Decisions and actions taken by the Committee
Reviewed and challenged, particularly in respect of the significant 
revenue audit risk, leading to an agreed plan (see page 120).

Reviewed methodology and agreed a higher level of materiality for 
2021. In reaching this initial conclusion the Committee agreed with 
the auditor that the same methodology as that applied in 2020 
remained appropriate and should be adopted. The Committee 
considered the adjusting items within the methodology and agreed 
that they were relevant.

Approved the audit fee and terms of engagement, ensuring no 
impact on scope of audit or quality of resource engaged due to the 
agreed fee level. 

As a result of the Committee’s challenge in 2020, and the further 
development of the Group strategy, all 12 of the Group’s focus 
markets were in audit scope – nine were subject to full scope audit 
procedures and three to local statutory audits by Deloitte, with 
desktop reviews undertaken by the central audit team. 

Deloitte undertook a thorough risk assessment process to identify 
the six areas of significant audit risk and other areas of audit focus. 
The Committee sought an explanation for the change in emphasis 
and focus of the revenue recognition risk and agreed with Deloitte’s 
decision. The Committee did not identify additional risks that could 
materially impact the consolidated financial statements.

Having considered the proposed audit scope, risk assessment and 
materiality level, the Committee approved the 2021 audit plan and 
subsequent changes to certain aspects of the plan to reflect the 
Group’s performance.

Discussed with Deloitte and management 

Deloitte’s independence, objectivity and quality 
control procedures

Independence and objectivity confirmed and quality control 
procedures reviewed (see page 120).

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Audit quality and effectiveness
Audit quality and effectiveness was reviewed throughout the year. 
The Committee sought to ensure the objectivity and quality of the 
external audit throughout the year by: 
 – Focusing on the assignment and rotation of key personnel, 

including their experience and quality. 

 – Meeting regularly throughout the year with the audit partners 
involved in the audit (with and without Management present).
 – Monitoring relationships and interactions with Management and 

the Committee.

 – Considering the quality and clarity of the auditor’s communication 

with Management, the Committee and the Board, both orally 
and written

 – Considering the FRC’s July 2021 summary report on the results 
of its audit quality inspections as it related to audits by Deloitte 
and the completeness of Deloitte’s actions to address the findings, 
particularly in areas that impact the ConvaTec audit

 – Considering the FRC’s publication “What makes a good audit?”. 

In addition, the Committee conducted a robust review of the 
effectiveness and quality of the external audit process, the findings 
of which were considered at its meeting in January 2022. The 
review concluded that the Company benefited from a capable and 
knowledgeable senior audit team, that provided the Committee with 
strong opinions, views and insights, with clear evidence of robust 
challenge of Management and exercise of appropriate scepticism 
in relation to key audit judgements and estimates (for example, 
in respect of US Deferred Tax Assets, which caused management 
to correct its forecasts of future US taxable profits), reliable 
interpretation of evidence provided by Management and use of 
external sources to support their conclusions when appropriate. 
The lead audit partner, new to the Group’s audit in 2021, had 
transitioned into the role extremely well and had brought a fresh 
perspective and additional challenge, which the Committee 
appreciated. Overall, the results of the external audit quality and 
effectiveness review and the evidence gathered by the Committee 
during the year confirm that Deloitte’s audit process and procedures 
were appropriate and effective, focused on the areas of greatest risk 
and that the audit team provided an effective, robust and objective 
challenge to Group Management. Based on the Committee’s 
conclusions, we recommended to the Board that Deloitte be 
proposed for reappointment by shareholders at the AGM to be 
held on 12 May 2022. 

Audit independence
The Committee has concluded that Deloitte remained appropriately 
independent in the role of external auditor. All non-audit 
engagements performed by the external auditor are approved by 
the Committee in strict accordance with the Group’s policy, which is 
compliant with the Revised Ethical Standard (‘2019 ES’). Permissible 
services are subject to a fee cap of 10% of average audit fees billed 
to the Company by the auditor in the past three financial years. The 
Group was compliant with the policy in 2021, when non-audit fees 
principally related to the interim review of the Group’s half-year 
unaudited financial statements and the requirements of the senior 
unsecured bond issue, in compliance with RegS/144A of SEC, 
New York. A summary of fees paid to the external auditor is set out 
in Note 3 to the Financial Statements.

In addition, the Committee’s review of the independence of the 
external auditor included: 
 – Confirmation to the Directors from Deloitte that they remained 
independent and objective within the context of applicable 
professional standards. 

 – Monitoring the tenure and rotation of audit partners and staff.
 – Observing the relationship and tone of communication between 

management and the auditor.

 – Deloitte re-considering and re-confirming their audit 

independence under 2019 ES given Margaret Ewing’s situation 
as both a former partner of Deloitte LLP and chair of this 
Committee. Deloitte and the Committee (excluding Margaret) 
concluded that this relationship does not affect the external 
auditor’s independence.

External auditor appointment and engagement tender
At the AGM on 7 May 2021 shareholders approved the 
reappointment of Deloitte as the Group’s external auditor. Deloitte 
has been the Group’s external auditor since the Company’s Listing in 
October 2016 and prior to this was the Company’s external auditor 
for the period 2008 to 2016, whilst the Company was in private 
equity ownership. For the purposes of complying with the 
requirements of The Statutory Audit Services for Large Companies 
Market Investigation (Mandatory Use of Competitive Tender 
Processes and Audit Responsibilities) Order 2014 (‘2014 Order’), 
Deloitte’s ‘qualifying’ tenure as the Group’s external auditor 
commenced in October 2016. The Committee recommended to the 
Board the proposal to reappointment Deloitte as external auditor at 
the 2022 AGM. 

In compliance with the 2014 Order, the Company will undertake an 
audit tender (not mandatory rotation) during 2024, effective for the 
2026 audit. However, the Committee will review this matter 
annually, taking into consideration the ongoing provision of a high 
quality and effective audit, changing regulations and market practice. 
The audit tender process will be designed to adopt market and best 
practice and it is anticipated that challenger or second-tier audit 
firms will be invited to participate along with major audit firms. 

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Committee conclusions and confirmations
Taking into consideration all areas of focus of the Committee during 
the year and in reviewing the 2021 ARA, including reviewing the 
supporting detailed topic papers, presentations and reports from 
management, the Committee is satisfied that:
 – The Financial Statements for the year ended 31 December 2021 
have been prepared applying appropriate accounting policies and 
address the critical accounting judgements and key sources of 
estimation uncertainty, both in respect of the amounts reported 
and the disclosures made.

 – The significant assumptions used for determining the value of 
assets and liabilities have been appropriately scrutinised and 
challenged and are sufficiently robust.

 – The Group’s internal controls and risk management processes 

were monitored throughout the year, with management 
continuing to implement further improvements in 2022.

 – The conclusions in relation to critical accounting judgements, 

significant assumptions and estimates and key valuation 
assumptions are in line with those drawn by management. There 
are no critical accounting judgements and key estimates, having 
discussed them with the auditor during the audit planning process 
and at the finalisation of the year-end audit and following robust 
challenge of both the auditor and Management. 

Consequently, the Committee has confirmed to the Board, in its 
advisory capacity, that:
 – The key accounting estimates, judgements and disclosures within 
the Financial Statements are appropriate and serve to provide 
a true and fair view. 

 – The 2021 ARA, overall, are fair, balanced and understandable. 

The Board’s statement in relation to this confirmation is included 
on page 87.

 – It is reasonable for the Directors to make the Viability statement 
and the Going Concern statement on page 76 and page 155 
respectively.

 – The Group’s whistleblowing and fraud risk processes have 

operated effectively during the year, with further improvements 
to be implemented during 2022

 – The Board is able to provide the statement regarding the 

oversight and continual enhancement of the Group’s internal 
controls and risk management processes in the 2021 ARA.

Margaret Ewing
Chair of the Audit and Risk Committee
7 March 2022

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“The Committee continues to monitor our 
remuneration policy and practices, to ensure 
these continue to reinforce our culture and 
strategic ambitions, and demonstrate 
alignment of executive interests with those 
of key stakeholder groups (including our 
employees and shareholders).”

Brian May
Chair of the Remuneration Committee

Committee membership, meetings and attendance in 2021
The table below shows the number of meetings attended out of the 
number of meetings members were eligible to attend during 2021. 
Since the year end, Constantin Coussios was appointed as a 
member of the Committee on 27 January 2022, Kimberly Lody 
was appointed to the Committee on 1 February 2022 and Sharon 
O’Keefe was appointed to the Committee on 1 March 2022. 

Director
Brian May 
(Chair since 1 September 
2020)
Rick Anderson
Regina Benjamin

Member since
March 2020

Attended
5/5

September 2020
June 2019

5/5
5/5

The Deputy Company Secretary attends meetings as the Secretary 
to the Committee. The Chairman, CEO, CFO, EVP Chief Human 
Resources Officer and VP Global Head of Total Rewards & 
Recognition attend meetings of the Committee by invitation, as 
does the Committee’s appointed adviser. Executives are absent 
when their own remuneration is under consideration.

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Key numbers

5Meetings held
100%Attendance

Activity highlights 
 – Ensured the remuneration arrangements for the Executive 
Directors and CELT members in 2021 continue to support 
ConvaTec’s culture and strategic ambition.

 – Kept under review remuneration arrangements and outcomes to 
ensure continued alignment of executive interests with those of 
other stakeholder groups.

 – Completed an annual review of the Committee’s terms of 

reference versus best practice guidance.

 – Approved the remuneration terms for the departing CFO and the 

package for the new CFO.

2022 priorities
 – Continue to implement our 2020 Remuneration Policy to deliver 
competitive and motivational remuneration that reinforces the 
successful delivery of our stated strategic ambition and alignment 
with long-term shareholder interests.

 – In keeping with good practice, conduct a periodic review of its 
adviser (in conjunction with the review of Policy ahead of the 
2023 AGM).

 – Conduct an in-depth review of our Policy (ahead of being required 
to put this to a binding shareholder resolution at the 2023 AGM) 
to ensure that it remains fit for purpose, aligned with our strategy, 
reinforces our remuneration principles and reflects good practice.

 – Continue to actively engage key stakeholders on remuneration 

matters, as appropriate.

Key areas of responsibility
 – Sets the Company’s Remuneration Policy.
 – Implements the Remuneration Policy and sets the packages for 
the Executive Directors and the CELT, and sets the fee for the 
Non-Executive Chairman.

 – Ensures appropriate alignment of executive remuneration with 

the remuneration approach across the wider organisation.

In this section you will find

Letter from the Chair of the Remuneration Committee
→
Pages 123 and 124

Our remuneration at a glance
→
Pages 125 and 126

Our Annual Report on Remuneration 
– how we implemented our Remuneration Policy during 2021 and 
how we intend to apply it in 2022.

→
Pages 127 to 135 

Our Remuneration Policy
→ 
Pages 136 to 145

 
 
 
 
Letter from the Chair of the Remuneration Committee

The Committee has been keeping under review executive 
remuneration in this context, to ensure that arrangements remain 
fit for purpose, continue to reinforce the delivery of our strategic 
ambition, and demonstrate alignment with the experience of other 
stakeholders. The Committee is satisfied that the Policy continued 
to operate as intended in 2021. Consistent principles were also 
applied throughout the year in relation to remuneration decisions for 
the wider workforce.

Dear Shareholder 
On behalf of the Board, I am pleased to present the report of the 
Remuneration Committee for the year ended 31 December 2021. 

Following another year in which the COVID-19 pandemic presented 
ongoing challenges to our patients, customers and staff, I would 
again like to start this letter by thanking all our colleagues for 
sustaining their levels of commitment and contribution throughout 
2021. Despite these ongoing and unprecedented challenges across 
the globe, ConvaTec remains resilient. In 2021, the Group delivered 
good performance (as summarised on page 1), as our FISBE strategy 
embeds further in the organisation and is delivering against our 
transformation goals. In delivering this good performance, the 
Group continued not to furlough any employees, or take advantage 
of any other governmental COVID-19 support programmes 
available to it. We also continued to meet our stated dividend policy 
without interruption.

Committee focus and activities in 2021

Focus areas
Remuneration 
packages

Setting performance 
targets
Equity incentives

Workforce 
remuneration

Effectiveness

Activities 
 – Approved Executive Director and CELT salaries for 2021.
 – Approved 2020 bonus outcomes for Executive Directors and CELT.
 – Approved 2021 LTIP award levels for Executive Directors and CELT.
 – Approved the remuneration terms on departure for Frank Schulkes, Chief Financial Officer (“CFO”).
 – Set the remuneration package on appointment for Jonny Mason, CFO Designate.
 – Reviewed and set financial targets for the 2021 annual bonus and 2021 LTIP, in the context of multiple internal 

and external reference points for performance over the relevant performance period.

 – Confirmed the outcome of the 2018 LTIP award cycle.
 – Received updates on performance under in-flight incentive cycles.
 – Considered the impact of the change in strategic direction in late 2019 on the 2019 LTIP cycle.
 – Completed a detailed review of current practice versus local and international Med-Tech sector practices for the 

senior global leadership population. 

 – Received updates on workforce remuneration policies and practices, and how these align with the Group’s 

strategy and culture.

 – Reviewed the gender pay gap and associated reporting.
 – Considered external trends and possible implications for senior executive remuneration at ConvaTec.
 – Kept under review developments in the UK executive remuneration landscape.
 – Reviewed the Committee’s terms of reference and updated the same to reflect evolving best practice.
 – Conducted an evaluation of its effectiveness which took the form of detailed questionnaires facilitated by an 

external provider, Lintstock.

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continued

Performance in the year ended 31 December 2021 and 
implications for remuneration
The Board is pleased with the continued strategic progress of the 
Group and its good performance in 2021. The Group delivered 5.8% 
constant currency revenue growth (2020: 4.0%). The adjusted 
operating profit for the year was $361.7 million, higher than the 
outturn for 2020 of $350.2 million. Further details are set out in 
the Financial review on pages 77 to 85.

Based on performance, the Committee approved payouts under the 
2021 annual bonus of 79.8% and 76.8% of maximum for the CEO 
and CFO respectively, as performance was between the on-target 
and maximum performance goals set at the start of the year, for 
financial measures and personal strategic objectives. The 
Committee reviewed the formulaic bonus outcome in the context of 
the underlying performance of the Group more generally, as well as 
the experience of our stakeholders, and concluded that this was 
appropriate without the need to make any discretionary adjustment. 

The Committee also assessed performance over the three-year 
period to 31 December 2021 against the performance ranges set 
for the 2019 LTIP measures of EPS, ROIC and Relative TSR. In 
determining the vesting outcome of these awards, the Committee 
was mindful that the Group underwent significant changes to its 
strategy for 2020 and 2021, following Karim Bitar’s appointment 
as CEO in late 2019. These strategic changes resulted in a series of 
significant investments to enable the FISBE strategy and pivot 
towards sustainable and profitable growth. This was achieved 
through increasing investment in R&D to strengthen innovation 
capabilities, improve the new product pipeline, and strengthen 
commercial execution. 

The Board remains of the view that this shift in strategic emphasis is 
in shareholders’ long-term interests, and will drive higher growth and 
greater returns in the medium-term. However, the Committee 
identified that the investment profile of the new strategy (which was 
approved by the Board shortly before being communicated to 
shareholders in early 2020, i.e. after the 2019 LTIP targets had been 
set) unfairly penalised LTIP participants (c.50 key executives across 
the Group) and thereby risked a misalignment of executive and 
shareholder interests in driving forward the strategy. The 
Committee reviewed this impact and concluded, in line with the 
discretions available to it under our approved Policy, that it would be 
appropriate on this occasion to exclude from the calculation of EPS 
and ROIC the impact of the additional significant investment in late 
2019, 2020 and 2021 resulting from the change in strategy approved 
by the Board and implemented under the leadership of the new CEO. 

By neutralising this impact on performance, cumulative Adjusted 
EPS increased from 36.8 cents to 41.2 cents, and average ROIC 
increased from 7.0% to 7.7%, over the three-year performance 
period. Overall, this raised the vesting level of 2019 LTIP awards (i.e. 
also taking into account the outcome of the Relative TSR element) 
from 13.5% to 44.2% of maximum. The Committee concluded that 
this outcome was fair, proportionate, and consistent with its 
remuneration principles of: incentivising sustained strong financial 
performance; aligning rewards with delivery of the Group’s strategy; 
and ensuring employee alignment with the interests of shareholders. 
The Committee was also satisfied that the adjusted vesting 
outcome under both the EPS and ROIC elements (as 41.5% and 
50.5% of maximum respectively) was commensurate with that 
achieved under the Relative TSR performance condition at 40.6% 
over the same period.

As a result, 2019 LTIP awards (including those held by Karim Bitar 
and Frank Schulkes) and the Conditional Share award made to 
Karim Bitar (as part of the buyout arrangement agreed on this 
appointment) have vested, or will vest, as to 44.2% of maximum 
following the end of the year.

Remuneration in 2022 and beyond
No material changes to the implementation of our Policy are 
proposed for 2022, and a summary of our approach is set out in 
“Our remuneration at a glance” section that follows this letter. The 
annual bonus will continue to operate along the same lines as for 
2021, based 60% on adjusted EBIT, 20% on adjusted free cash flow 
and 20% on personal strategic objectives. LTIP awards are expected 
to be made in March 2022, vesting subject to adjusted PBT growth 
(weighted 75%) and TSR versus the FTSE 350 excluding Investment 
Trusts (25%) over the three financial years to 31 December 2024. 
Further details are set out in the Annual Report on Remuneration, 
on pages 127 to 135 of this report.

The Committee also decided to increase the salary of the CEO by 
2.63% from 1 April 2022, in line with the increases for the general 
employee population in the UK, and the fee for the Chairman by 
2.5% from the same date. The Committee considered these 
increases to be appropriate in the context of the continued strong 
performance of the Group. Following the announcement on 
9 December 2021 that the Board has mutually agreed with Frank 
Schulkes that he will step down as Chief Financial Officer and as a 
Director of the Company on 11 March 2022, his salary will remain at 
its 2021 level until he leaves the Group. Further details on the 
arrangements for Frank are set out on page 134 of this report, and 
reflect the treatment provided in our shareholder-approved policy 
for ‘good leaver’ scenarios. The remuneration package for Jonny 
Mason (CFO Designate) – which is consistent with our remuneration 
policy – is summarised on page 141, with further details provided 
in the Implementation of Executive Director Remuneration 
Policy for 2022 section on page 133. In keeping with its stated 
commitment, the Committee set the pension allowance for Jonny 
Mason to align with the wider workforce (currently at 8.5% of salary) 
from appointment.

The Committee will also be reviewing the Remuneration Policy 
during 2022 which, in line with the Regulations, is required to be 
submitted to a new binding shareholder vote at the 2023 AGM. 
As part of this review, we shall consider whether the Policy remains 
fit-for-purpose, reinforces the Group’s strategy, and continues to 
align appropriately the interests of the Executive Directors with 
those of our shareholders and other stakeholder groups. We will 
also honour the commitments made last year to reflect, in the 
forward-looking Policy, prevailing trends and investor expectations 
as they relate to remuneration governance. The Committee will 
consult shareholders on its proposals including our commitments 
made previously on the topics of post-employment shareholding 
requirements for both Executive Directors and pension alignment 
for the CEO, and I look forward to the engagement process over 
the course of the coming year.

Concluding remarks
On behalf of the Committee, I would like to thank Rick Anderson 
for his valuable contribution to the Committee, and also welcome 
Constantin Coussios, Kimberly Lody and Sharon O’Keefe. In addition 
I would like to thank you for your support and trust you will find the 
Directors’ Remuneration report useful and informative. I hope that 
we can count on your support for the advisory vote on the Annual 
Report on Remuneration being put to shareholders at the 2022 
AGM, where I will be available to respond to your questions. I also 
remain available to meet with shareholders and discuss our 
remuneration arrangements outside of the AGM.

On behalf of the Remuneration Committee

Brian May
Chair of the Remuneration Committee
7 March 2022

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Our remuneration at a glance

This section provides a summary of outcomes relating to 2021 and our proposed approach to remuneration in 2022. 

2021 remuneration: outcomes vs performance scenarios (CEO)

2021 remuneration: outcomes vs performance scenarios (CFO)

Maximum + 50% SPA*

£6,523,985 

Maximum + 50% SPA* £2,898,856 

Maximum

£5,307,922 

Maximum

£2,346,844 

Single Figure 2021

£3,751,866 

Single figure 2021 £1,624,094

On-target

£2,586,629 

Minimum £1,081,398 

On-target £1,170,675 

Minimum £546,519 

Fixed remuneration

Annual bonus

LTIP

Buyout

Fixed remuneration

Annual bonus

LTIP

*  Share price appreciation.

*  Share price appreciation.

2021 annual bonus outcomes at a glance
The charts below show how actual performance contributed to the bonus payouts for the Executive Directors for 2021:

Adjusted EBIT1 (60% weighting)

Adjusted free cash flow (20% weighting)

Threshold

Target

Maximum

Actual

Threshold

Target

Maximum

Actual

$357.2m

$361.5m

$377.6m

$369.5m

$218.0m

$241.9m

$296.9m

$274.7m

Outcome warranted by performance: 74.8% of maximum for 
this element.

Outcome warranted by performance: 79.8% of maximum for 
this element.

1.   Adjusted EBIT is calculated on a constant currency basis and presented using 

a budget rate

. 

Personal strategic objectives (20% weighting)
Personal strategic objectives were set for each Executive Director in relation to the following areas of strategic focus for 2021:
 – Customer
 – People
 – Product/service improvement
 – Business performance 

The outcome warranted by performance by Karim Bitar (CEO) was 95% of maximum for this element.

The outcome warranted by performance by Frank Schulkes (CFO) was 80% of maximum for this element.

Details of the objectives set for the CEO and CFO, and performance against these, are on page 128.

2021 Annual bonus outcome

CEO – Karim Bitar

CFO – Frank Schulkes

159.7% of 2021 salary (£1,432,649) 
79.8% of maximum bonus opportunity. 

115.3% of 2021 salary (£535,037) 
76.8% of maximum bonus opportunity. 

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continued

Our approach to implementing our Remuneration Policy in 2022
Base salary
Reviewed annually

Policy: Benchmarked periodically against comparable roles at international MedTech 
peers, as well as UK-listed companies of similar size and complexity. In deciding base 
salary levels, the Committee considers personal performance including the individual’s 
contribution to the achievement of the Group’s strategic objectives. The Committee 
will also consider employment conditions and salary levels across the Group, and 
prevailing market conditions in the geographies in which the Group competes for talent. 
Base salaries are reviewed annually with any increases normally aligned with those of 
the wider workforce, and effective from 1 April. 

Link to strategy

Innovate

Build

Pension and benefits

Annual bonus

Long-Term Incentive 
Plan

Implementation in 2022: CEO: £920,800 (2.63% increase), in line with the wider 
workforce); Frank Schulkes: £464,200 (0% increase); Jonny Mason: £500,000 
(from appointment, first eligible for review in 2023). 

Policy: Executives may receive a contribution to a personal pension plan, a cash 
allowance in lieu or a combination thereof. Other benefits normally include 
car allowance, medical insurance and life insurance, and are set at a level 
considered appropriate taking into account market practice and consistent 
with the wider workforce.

Implementation in 2022: No change. Karim Bitar and Frank Schulkes receive a pension 
benefit of 15% of salary, and benefits including car allowance, private medical insurance, 
life insurance and permanent health insurance. The pension benefit for Karim Bitar 
reflects the shareholder-approved Policy in force at the time of his appointment, but will 
be aligned to the wider UK workforce by 1 January 2023 and, for Jonny Mason, will be 
set at the UK workforce level (currently 8.5% of salary) from appointment.

Policy: Maximum opportunity: 200% of salary (target: 50% of maximum). Performance 
measures, targets and weightings are set at the start of each year. Financial 
performance will normally be weighted 80% of the overall opportunity, with the 
remainder (up to 20%) linked to the achievement of personal strategic objectives. 
One-third of any bonus earned is deferred into shares for three years. Malus and 
clawback provisions apply. 

Implementation in 2022: Maximum opportunity of 200% of salary for Karim Bitar. 
The annual bonus opportunities for Frank Schulkes (150% of salary) and Jonny Mason 
(200% of salary) will be pro-rated for the period served in 2022. The annual bonus will 
continue to be based on: adjusted EBIT1 (weighted 60%), adjusted free cash flow (20%), 
and personal strategic objectives (20%). 

Policy: Maximum opportunity: 250% of salary. The performance conditions and targets 
are agreed and set to ensure they remain appropriately stretching and aligned to the 
Group’s strategy. Twenty-five percent of an award will vest at threshold, with 100% 
vesting at maximum. The minimum performance and vesting period is three years. 
A two-year post-vesting holding period will apply. Malus and clawback provisions apply 
under certain circumstances.

Implementation in 2022: Award opportunity of 250% of salary for Karim Bitar and 
Jonny Mason (Frank Schulkes will not be eligible to receive a PSP award in 2022). 
Awards will vest subject to adjusted PBT growth (weighted 75%) and TSR versus the 
FTSE 350 excluding Investment Trusts (25%) over the three financial years to 
31 December 2024.

Focus

Build

Innovate

Execute

Simplify

Focus

Execute

Simplify

Shareholding 
requirement

Policy: Executives are required to build up shareholdings of 400% of salary for the CEO 
and 300% of salary for the CFO. These must be retained whilst the Executive Directors 
remain on the Board. fifty percent of any net vested share awards (after sales to meet 
tax liabilities) must be retained until the minimum shareholding requirements are met. 

Focus

At the end of 2021 Karim Bitar held shares worth 405% of his 2021 salary and Frank 
Schulkes held shares worth 125% of his 2021 salary.

1.  Adjusted EBIT is calculated on a constant currency basis, presented using a budget rate. 

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Our Annual Report on Remuneration

This section of the Remuneration report provides details of how 
our Remuneration Policy was implemented during the financial year 
ended 31 December 2021, and how it will be implemented during 
the year ending 31 December 2022. It has been prepared in 
accordance with the provisions of the Companies Act 2006 and 
Schedule 8 of the Large and Medium-sized Companies and Groups 
(Accounts and Reports) Regulations 2008 (as amended). It also 
meets the requirements of the UKLA’s Listing Rules.

In accordance with the Regulations, the following sections of the 
Remuneration report are subject to audit: the single total figure of 
remuneration for Executive Directors and Non-Executive Directors, 
and accompanying notes (pages 27 and 130), scheme interests 
awarded during the financial year (page 129), exit payments made in 
the year (page 132), payments to past Directors (page 132) and the 
statement of Directors’ shareholdings (page 135). The remaining 
sections of the report are not subject to audit. 

Committee membership in 2021
Details of the membership of the Committee, the number of times 
it met during 2021 and attendance at its meetings are set out on 
page 122.

Committee responsibilities
The Committee’s key areas of responsibility are also set out on 
page 122.

Committee performance evaluation
A performance evaluation of the Remuneration Committee was 
carried out in 2021, facilitated by an external consultant, Lintstock, 
by way of a detailed questionnaire. The key priority identified for 
2022 was to ensure that over the course of the year, Committee 
members are provided with continuing education on governance 
and remuneration regulations, as well as deeper insight into 
investor expectations.

Advisers
As set out in last year’s Remuneration report, the Committee 
appointed Ellason LLP as its independent adviser from 1 January 
2021 to retain the services of the Committee’s lead adviser who had 
been appointed by the Committee at its first meeting following 
Listing. In 2021, Ellason provided support to the Committee and the 
Group on remuneration-related matters, and reports to the Chair of 
the Committee. Ellason has no other connection with the Group 
(remuneration-related or otherwise) and is considered to be 
independent by the Committee. Fees paid to Ellason are determined 
on a time and materials basis, and totalled £65,743 (excluding 
expenses and VAT) for the 2021 financial year in its capacity as 
adviser to the Committee. Ellason is a member of the Remuneration 
Consultants Group and, as such, voluntarily operates under the Code 
of Conduct in relation to executive remuneration consulting in the 
UK (www.remunerationconsultantsgroup.com). 

Summary of shareholder voting
The following table shows the results at the 2021 AGM of the 
advisory vote on the 2020 Annual Report on Remuneration and the 
binding vote at the 2020 AGM on the 2020 Remuneration Policy.

Resolution
Approve the Directors’ 
Remuneration Policy 
(2020 AGM)
To approve the Directors’ 
Remuneration report 
(2021 AGM)

Vote
‘for’

Vote
‘against’

Votes
withheld1

87.54%

12.46% 906,684

97.23%

2.77% 322,400

1.   Votes ‘withheld’ are not votes in law and, therefore, have not been included in the 

calculation of the proportion of votes ‘for’ or ‘against’ each resolution.

Single total figure of remuneration for Executive Directors (audited)
The following table sets out a single figure for the total remuneration received by each Executive Director for the 2021 financial year, and 
compares this with the equivalent figure for the 2020 financial year. 

Director
Karim Bitar

Frank Schulkes

Base
salary
’000
£892
£875
£461
£450

Taxable
benefits1
’000
£56
£56
£16
£17

Annual 
bonus2 
’000
£1,433
£1,724
£535
£652

LTIP3
’000
£278
n/a
£543
£0

Pension
benefit4 
’000
£134
£131
£69
£67

Other5
’000
£960
n/a
n/a
n/a

Total 
Fixed6 
’000
£1,081
£1,062
£547
£534

Total 
Variable7
’000
£2,671
£1,724
£1,078
£652

Total
’000
£3,752
£2,786
£1,625
£1,186

2021
2020
2021
2020

1.   For Karim Bitar and Frank Schulkes, benefits consist primarily of car allowance, private medical insurance, life assurance and permanent health insurance. For Karim Bitar, taxable 

benefits include a healthcare allowance of £30,000 payable per annum. 

2.   Reflects the total bonus awarded for performance in the relevant financial year. One-third of the bonus earned by Karim Bitar and Frank Schulkes is deferred into shares for three 

years (the vesting of which is not subject to any further performance conditions). See page 130 for further details.

3.   2021 figures represent the estimated value of LTIP awards made to Karim Bitar in September 2019 and Frank Schulkes in August 2019. These awards shall vest on the third 

anniversary of grant as to 44.2% of maximum based on performance over the three-year performance period ending 31 December 2021 (further details of which are set out on 
page 129). The estimated values shown in the table above use the three-month average share price for the period ended 31 December 2021 (202.46p), and will be trued up in 
next year’s report to reflect their value (including any accrued distribution which were reinvested into shares) on the vesting date. The value of vested shares has increased by 
£33,581 for Karim Bitar and £54,559 for Frank Schulkes since the respective award dates as a result of share price appreciation.

4.   Pension benefits in the year, equivalent to 15% of base salary. 
5.   The 2021 figure in the ‘Other’ column represents the estimated vesting value of the Conditional Shares awarded to Karim Bitar as part of the buyout award made on his 

appointment. As disclosed in the 2019 Annual Report, the vesting of this award was linked to the same performance conditions as the 2019 LTIP which will vest at 44.2% of 
maximum. The estimated values shown in the table above use the three-month average share price for the period ended 31 December 2021 (202.46p) and will be trued up in 
next year’s report to reflect their value (including any accrued distribution which were reinvested into shares) on the vesting date. The value of vested shares has increased by 
£129,240 since the award date as a result of share price appreciation.

6.  Total of base salary, taxable benefits and pension benefit.
7.  Total of annual bonus, LTIP and other payments. 

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continued

Incentive outcomes for the year ended 31 December 2021 (audited)
Annual bonus in respect of performance in the 2021 financial year
For 2021, Karim Bitar had a maximum bonus opportunity of 200% of his 2021 base salary and Frank Schulkes had a maximum opportunity 
of 150% of his 2021 base salary. Any payments under the annual bonus are normally payable two-thirds in cash and one-third in shares, 
deferred for three years. The on-target opportunity was 50% of maximum. The annual bonus for 2021 was based on a combination of 
adjusted EBIT1 for bonus purposes (weighted 60%), adjusted free cash flow (20%) and personal strategic objectives (20%).

The table below summarises the structure of the 2021 annual bonus, the targets set, our performance over the financial year and the 
resulting annual bonus payout.

Financial measure
Adjusted EBIT1 for bonus 
purposes

Adjusted free cash flow

Performance targets

Link to corporate strategy

Threshold 
0% payout 
$357.2m

Target 
50% payout 
$361.5m

Maximum 
100% payout
$377.6m

Actual
performance
$369.5m

Focus

Innovate

Simplify

$218.0m

$241.9m

$296.9m

$274.7m

Simplify

Execute

Karim Bitar 
Personal strategic objectives

Objectives and actual performance
 – Sustained the successful execution of the FISBE strategy which resulted in robust growth and 

strengthening of the Group’s competitive position.

 – Continued the Group’s inorganic and organic growth strategy with the successful acquisition and 

integration of Cure Medical and Patient Care Medical, and continued to make strong progress with the 
new product pipeline.

 – Delivered significant improvements to the overall quality and operations areas of business including an 
11% reduction in complaints per million and a further reduction in Scope 1 and Scope 2 GHG emissions 
of over 9%. 

 – Continued to embed the sales force centre of excellence with the successful roll out and adoption of the 
new customer relationship management system across North America and Europe and further progress 
embedding our Marketing and Quality centres of excellence. 

 – Strengthened the senior leadership team’s capability with several key appointments in Finance, HR, 

Quality and Marketing as well as successfully implemented improvements in performance management 
and the succession planning process as part of the wider people plan rollout. 

Frank Schulkes 
Personal strategic objectives

 – Successfully completed the debut US dollar bond issue which was significantly oversubscribed. 
 – Delivered the implementation of the major customer facing IT and digital roadmap which was designed 

to support the next phase of the FISBE strategy.

 – Completed an extensive review of the tax impact of the transformation changes on the Group and 

obtained a corresponding tax agreement relating to the impact of Swiss tax reform. 

 – Successfully implemented significant enhancements to the Group’s business intelligence and data 

capabilities across the business to support improved commercial execution, decision making and support 
function efficiency.

Director
Karim Bitar

Frank Schulkes

Measure
Adjusted EBIT for bonus purposes1
Adjusted free cash flow
Personal strategic objectives
Total
Adjusted EBIT for bonus purposes1
Adjusted free cash flow
Personal strategic objectives
Total

Maximum 
opportunity
(% of salary)
120%
40%
40%
200%
90%
30%
30%
150%

Weighting
60%
20%
20%
100%
60%
20%
20%
100%

Earned bonus

(% of salary)
89.8%
31.9%
38.0%
159.7%
67.3%
24.0%
24.0%
115.3%

(‘000)
£806
£286
£341
£1,433
£313
£111
£111
£535

1.   Adjusted EBIT for bonus purposes is calculated on a constant currency basis and presented using a budget rate. 

One-third of the bonus earned by Karim Bitar and Frank Schulkes will be deferred into shares for three years. Details of this element of the 
bonus award will be disclosed in next year’s Annual Report.

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Scheme interests vesting in 2021
In 2019, Karim Bitar and Frank Schulkes were granted conditional share awards under the LTIP (that for Karim Bitar being pro-rated to 
reflect the period of employment during the 2019 financial year). These LTIP awards were subject to performance over the three-year 
period ended 31 December 2021. The performance conditions of this award were disclosed in the 2019 Annual Report, with targets set at 
the time of grant for three equally-weighted measures: Relative TSR, adjusted EPS and ROIC. The table below sets out details of the targets, 
and performance against these:

Measure
3-year Relative TSR vs selected comparators

Weighting
1/3

3-year cumulative EPS (i.e. FY19 EPS + FY20 
EPS + FY21 EPS)
3-year average Return on Invested Capital

1/3

1/3

Median to
90th percentile
39 cents to 
49 cents
7.0% to 9.0%

Performance range Actual performance
59th percentile

41.2 cents

7.7%
Total % vesting

Vesting outcome1
13.5%

13.8%

16.8%
44.2%

1.  Shown to one decimal place, the sum of the vesting percentages for individual elements of the LTIP (shown above) does not equal the published total due to rounding.

As set out on page 124, in determining the vesting outcome of these awards, the Committee was mindful that the Group underwent 
significant changes to its strategy for 2020 and 2021, following Karim Bitar’s appointment as CEO in late 2019. These strategic changes 
resulted in a series of investments to enable the Group to simplify and strengthen its operating model by emphasising customer centricity, 
agility and accountability, and also a shift in focus to sustainable and profitable growth through increasing investment in R&D to strengthen 
innovation capabilities and improve the new product pipeline while strengthening commercial execution. 

The Board remains of the view that this shift in strategic emphasis is in shareholders’ long-term interests, and will drive higher growth and 
greater returns in the medium-term. However, the Committee identified that the investment profile of the new strategy (which was 
approved by the Board shortly before being communicated to shareholders in early 2020, i.e. after the 2019 LTIP targets had been set) 
unfairly penalised LTIP participants (c.50 key executives across the Group) and thereby risked a misalignment of executive and shareholder 
interests in driving forward the strategy. The Committee reviewed this impact and concluded, in line with the discretions available to it under 
our approved Policy, that it would be appropriate on this occasion to exclude from the calculation of EPS and ROIC the impact of: the 
additional significant investment in late-2019, 2020 and 2021 resulting from the change in strategy approved by the Board and 
implemented under the leadership of the new CEO. 

By neutralising this impact on performance, cumulative Adjusted EPS increased from 36.8 cents to 41.2 cents, and average ROIC increased 
from 7.0% to 7.7%, over the three-year performance period. Overall, this raised the vesting level of 2019 LTIP awards (i.e. also taking into 
account the outcome of the relative TSR element) from 13.5% to 44.2% of maximum. The Committee concluded that this outcome was fair, 
proportionate, and consistent with its remuneration principles of: incentivising sustained strong financial performance; aligning rewards with 
delivery of the Group’s strategy; and ensuring employee alignment with the interests of shareholders. The Committee was also satisfied that 
the adjusted vesting outcome under both the EPS and ROIC elements (at 41.2% and 50.5% of maximum respectively) was commensurate 
with that achieved under the relative TSR performance condition (at 40.6% of maximum) over the same period.

As a result, 2019 LTIP awards (including those held by Karim Bitar and Frank Schulkes) and the Conditional Share award (made to Karim 
Bitar as part of the buyout arrangement agreed on this appointment, and for which the performance conditions were aligned to the 2019 
LTIP) have vested, or will vest as to 44.2% of maximum following the end of the year.

Accordingly, Executive Directors’ 2019 LTIP awards will vest on the third anniversary of grant as set out below:

Director
Karim Bitar
Frank Schulkes

Date of grant
30 September 2019
8 August 2019

Number awarded
310,609
606,274

% vesting
44.2%
44.2%

Number vesting
137,289
267,973

As disclosed in the 2019 Annual Report, Karim Bitar was made a Conditional Share award (of 1,072,626 shares) on his appointment in 
September 2019, as part of the arrangements to replace awards that he forfeited on his joining ConvaTec. This award was subject to a 
continued service condition until 30 September 2021, and the same performance conditions as the 2019 LTIP (see above). As a result, this 
award will vest in March 2022 as set out below:

Date of grant
Director
Karim Bitar – Conditional Share (buyout) award 30 September 2019

Number awarded
1,072,626

% vesting
44.2%

Number vesting
474,100

The estimated vesting value of this award is included in the “Other” column for 2021 in the Single total figure of remuneration for Executive 
Directors table on page 127.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Directors’ Remuneration report
continued

Scheme interests awarded in 2021 (audited)
2021 LTIP awards
During the year ended 31 December 2021, the Executive Directors were awarded conditional share awards under the LTIP, details of which 
are summarised in the table below. 

Director
Karim Bitar
Frank Schulkes

Date of grant
10 March 2021
10 March 2021

Number 
awarded
1,147,691
593,759

Award price1
190.60p
190.60p

Value
£2,187,499
£1,131,704

% of annualised 
salary
Vesting date
250% 10 March 2024
250% 10 March 2024

1.   The LTIP face values are determined as a percentage of each Executive Director’s annualised salary on the date of grant, and converted into numbers of conditional shares using 

the average of the three-day closing price preceding the date of grant.

Face value

The performance conditions attached to these 2021 LTIP awards are set out in the table below.

Measure
Three-year Relative TSR against the constituents of the FTSE 350 excluding 
investment trusts

Weighting
25%

Three-year compound annualised growth in adjusted PBT 

75%

Performance 
period
1 January 
2021
to 
31 December 
2023

Vesting schedule

% of 
annualised 
salary
0%
25%
90%

100%

£
< Median
Median
75th 
percentile
≥ 90th 
percentile

1 January 
2021
to 
31 December 
2023

Straight-line sliding scale 
vesting between these points
0%
25%
100%
Straight-line sliding scale 
vesting between these points

< 8.0% p.a.
8.0% p.a.
≥ 15.0% p.a.

To the extent the 2021 LTIP awards vest, vested shares will be required to be held for a further two-year post-vesting holding period.

2020 Deferred Bonus 
One-third of the 2020 bonus earned by Karim Bitar and Frank Schulkes was deferred into shares for three years under the DBP, details of 
which are summarised in the table below. 

Director
Karim Bitar
Frank Schulkes

Date of grant
10 March 2021
10 March 2021

Number 
awarded
301,460
114,001

Award price1
190.60p
190.60p

£
 £574,583
£217,286

% of 
2020 bonus

Vesting date
One-third 10 March 2024
One-third 10 March 2024

Value

1.   The award values are determined as one third of each Executive Director’s 2020 bonus and converted into numbers of conditional shares using the average of the three-day 

share price preceding the date of grant.

Fees retained for external non-executive directorships
Executive Directors may hold one external appointment and retain the fees paid for such role. During the year, Karim Bitar served as a 
Non-Executive Director of Spectris plc and received fees of £57,250 which he retained. Karim Bitar stood down as a Non-Executive Director 
of Spectris plc on 31 December 2021. Neither Karim Bitar nor Frank Schulkes have taken on a new external appointment during the year.

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Single total figure of remuneration for Non-Executive Directors (audited)
The table below sets out a single figure for the total remuneration received by each Non-Executive Director for the 2021 and 2020 
financial years.

Non-Executive Director
John McAdam
Rick Anderson
Regina Benjamin
Margaret Ewing
Sten Scheibye
Brian May2
Heather Mason3
Constantin Coussios4

Fee

Total1

2021
’000
£320
£75
£85
£117
£75
£95
£75
£75

2020
’000
£320
£67
£93
£124
£65
£74
£35
£25

2021
’000
£320
£76
£85
£117
£76
£95
£76
£75

2020
’000
£320
£68
£93
£124
£65
£74
£35
£25

1.  In addition to the fees payable to each of the Directors, the Group reimburses reasonable expenses. 
2.  Joined the Board on 2 March 2020.
3.  Joined the Board on 1 July 2020. 
4.  Joined the Board on 1 September 2020.

Percentage change in Director remuneration
The table below shows the percentage change in Director remuneration (from 2020 to 2021, and from 2019 to 2020) compared to the 
average percentage change in remuneration for other employees over the same period. As required under The Companies (Directors’ 
Remuneration Policy and Directors’ Remuneration Report) Regulations 2019, this analysis will continue to be expanded to build up a 
five-year history. 

ConvaTec Group Plc does not have any other employees. For the comparator group, we have used the population of UK-based employees 
whose remuneration is based on overall Group business performance rather than that of a particular Business Unit. In determining the 
annual change in average employee remuneration we have looked at average annual pay increase excluding promotions and actual bonus 
payments. We have only included employees who were in the Group in both years of the comparison to ensure consistency.

Annualised percentage change from 2020 to 2021

Annualised percentage change from 2019 to 2020

Salary  
or fees1

Benefits2

Bonus

Executive Directors
Karim Bitar
Frank Schulkes
Non-Executive Directors
John McAdam
Rick Anderson
Regina Benjamin3
Margaret Ewing4
Sten Scheibye5
Brian May6
Heather Mason5
Constantin Coussios5
Increase in total 
Non-Executive fees paid
Average per employee

1.9%
1.9%

0%
11.9%
(8.6)%
(5.4)%
15.4%
8.4%
15.4%
15.4%

4.4%
2.7%

0%
(5.9)%

n/a
(4.6)%
(100)%
n/a
n/a
n/a
n/a
n/a

(16.9)%
(17.9)%

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

Salary  
or fees

0%
2.5%

0%
(6.9)%
(1.2)%
0.9%
8.3%
n/a
n/a
n/a

Benefits

Bonus

0%
0.5%

(100)%
100%
(92.1)%
(100)%
(100)%
n/a
n/a
n/a

40%
42%

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

(16.5)%

(39.2)%

2.7%

2.7%

16%

Former Directors (who did not serve on the Board during the financial year under review) have been removed from the table. Relevant prior data and commentary can be found in 
last year’s annual report.
1.   Salary/fee figures have been annualised for this analysis to permit a meaningful comparison over time. Effective 1 September 2020, the Non-Executive Director fee structure 

was changed: the base fee was increased and committee membership fees were discontinued. 

2.   The year-on-year increase in benefits reflects the Group’s best estimate for the change in the average value of benefits for other employees. Although there was no change to 

the benefits provision in 2021 compared to 2020, some benefits decreased in cost. Non-Executive Directors’ benefits relate to taxable expenses (largely travel to attend 
meetings, and due to COVID-19 restrictions very limited travel took place in 2021).

3.   Regina Benjamin’s fees reduced following the change to the Non-Executive Director fee structure. Fees for Remuneration and Audit and Risk Committees memberships ceased 

on 31 August 2020. Regina Benjamin continues to receive fees for Board Level Employee Representation.

4.   Margaret Ewing’s fees reduced following the change to the Non-Executive Director fee structure. Fees for Remuneration Committee membership ceased on 31 August 2020. 

Margaret also ceased membership of the Remuneration Committee on that date.

5.   The year-on-year change in fees from 2020 to 2021 for Sten Scheibye, Heather Mason and Constantin Coussios reflect the change in NED fee structure that became effective 

on 1 September 2020. There has been no change in the NED fee levels (on an annualised basis) since that date.

6.  The year-on-year change in fees for Brian May reflects his appointment as Chair of the Remuneration Committee from 1 September 2020. 

131
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Directors’ Remuneration report
continued

Relative importance of spend on pay
The table below shows shareholder distributions (i.e. dividends) and total employee pay expenditure for the financial years ended 
31 December 2020 and 31 December 2021, and the percentage change year-on-year.

Total employee pay expenditure1
Shareholder distributions2

2021
$m
650
114

2020
$m
580
110

Year-on-year 
change
12%
4%

1.   Increase in total employee pay expenditure predominantly relates to foreign exchange differences and increases in headcount.
2.  The increase in dividend is due to the difference in the exchange rate year-on-year. Overall dividend per share paid in 2021 (in cents) remained consistent with 2020.

Exit payments made in the year (audited)
There were no exit payments made in the year. 

Payments to past Directors (audited)
There were no payments made to past Directors in the year. 

Review of past performance
This graph shows the Group’s TSR compared to the FTSE 350 Index, an index of which the Group is a constituent. Performance, as required 
by legislation, is measured by TSR over the period from commencement of conditional dealing (26 October 2016) to 31 December 2021.

TSR chart – ConvaTec vs the FTSE 350 Index
Value of £100 invested on 25 October 2016 in ConvaTec and the FTSE 350 Index (£)

140

120

100

80

60

40

£131.99

£94.89

25/10/16

31/12/16

31/12/17

31/12/18

31/12/19

31/12/20

31/12/21

ConvaTec

FTSE 350

The table below details the CEO’s single total figure of remuneration and incentive outcomes over the same period:

2016

2017

2018

2019

2020

2021

Karim Bitar (from 30 September 2019)
CEO single figure (‘000)
Annual bonus (% max.)
LTIP vesting (% max.)
Rick Anderson (15 October 2018 to 
29 September 2019)
CEO single figure (‘000)
Annual bonus (% max.)
LTIP vesting (% max.)
Paul Moraviec (to 14 October 2018)
CEO single figure (‘000)
Annual bonus (% max.)
LTIP vesting (% max.)

£264
n/a
n/a

£631
n/a
n/a

£1,413
40%
n/a

£917
9%
n/a

£2,786
98.5%
n/a

£3,7522
79.8%
44.2%3

£6,8781
70.2%
n/a

£1,118
n/a
n/a

1.  2019 remuneration includes the face value of the restricted share awards made to Karim Bitar as part of his buyout.
2.  Includes the estimated vesting value of Karim Bitar’s Conditional Share award that formed part of his buyout arrangement on appointment of £960k.
3.  Represents the vesting outcome of the 2019 LTIP (as a % of maximum).

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CEO pay ratio 
The table below discloses the ratio of CEO pay for 2021, comparing the single total figure of remuneration for Karim Bitar to the full-time 
equivalent total reward of those colleagues whose pay is ranked at the 25th, 50th and 75th percentiles in our total UK workforce. 

We chose Methodology Option A to calculate the ratio, as we believe it provides the best comparison of colleague pay with that of our CEO 
by using a consistent methodology to value remuneration and identify our colleagues ranked at the 25th, 50th and 75th percentiles. Colleague 
pay was calculated based on actual pay and benefits for the 12 monthly payrolls in respect of the full financial year to 31 December 2021. We 
are confident that the three colleagues identified are a true reflection of our UK workforce; none of these individuals received any additional 
or exceptional pay during 2021. We can also confirm that no adjustments were made to the calculation of the total remuneration for these 
employees from the methodology set out for the CEO’s single total figure remuneration. Our pay ratios are set out below:

Year
2021
2020
2019

Method
Option A
Option A
Option A

25th percentile
115:1
83:1
163:1

50th percentile
89:1
65:1
123:1

75th percentile
52:1
40:1
76:1

During 2019 there was a change in CEO, which resulted in inclusion in the single figure for that year of the restricted share element of the 
CEO’s “buyout” awards. The Committee recognises that the 2021 pay ratio reflects an increase on 2020 as a result of the inclusion in this 
year’s CEO single figure of the vesting of the performance share element of his buyout awards. Whilst this calculation is in line with the 
reporting regulations, the Committee considers the 50th percentile pay ratio of 67:1 (which excludes the value of this buyout) to be more 
representative of the likely relativity of pay going forwards. The Committee also expects the pay ratio to normalise further in 2022 and 
beyond, and from which the Committee expects to be able to draw more meaningful conclusions about the longer-term trend in the ratio.

The table below provides information on the salary and total pay and benefits paid to our colleagues ranked at the 25th, 50th and 
75th percentiles. 

Year
2021

2020

2019

Method
Salary
Total pay and benefits
Salary
Total pay and benefits
Salary
Total pay and benefits

25th percentile
£27,638
£32,663
£26,660
£33,425
£23,500
£30,652

50th percentile
£34,521
£41,964
£34,487
£42,641
£32,798
£40,601

75th percentile
£58,739
£71,619
£52,415
£69,668
£39,542
£65,922

Implementation of Executive Director Remuneration Policy for 2022 
Base salary
Following a review of Karim Bitar’s salary, the Committee decided to award an increase of 2.63% effective 1 April 2022, in line with the 
increases for the general employee population in the UK. The Committee considered this increase to be appropriate in the context of Karim 
Bitar’s ongoing valued contribution to delivering our strategy and his continued strong performance.

Following the announcement on 9 December 2021 that the Board has mutually agreed with Frank Schulkes that he will step down as 
Chief Financial Officer and as a Director of the Company on 11 March 2022, his salary will remain at its 2021 level until he leaves the Group. 

Jonny Mason’s salary has been set at £500,000 on appointment. The Committee considers this salary, which is within our stated policy to 
set salaries at no higher than the upper quartile for the relevant market, to appropriately reflect Jonny’s extensive track record in publicly 
listed and international businesses. He is a seasoned CFO, with strong experience in strategic enterprise transformation and a customer 
orientation that will be valuable in helping the Group to deliver its strategy and bring its vision to life. In line with our Policy, Jonny Mason’s 
salary will be eligible for annual review; the first such review being due in 2023.

Director
Karim Bitar
Frank Schulkes1
Jonny Mason2

Role
CEO
CFO
CFO
(incoming)

From 1 April 2022
£920,800
n/a
£500,000
(on appointment)

From 1 April 2021
£897,200
£464,200

n/a

1.  Frank Schulkes will step down as Chief Financial Officer and as a Director of the Company on 11 March 2022.
2.  Jonny Mason was appointed as CFO Designate on 31 January 2022 and will join the Board as CFO on 12 March 2022.

Pension
Karim Bitar and Frank Schulkes will continue to receive a pension benefit of 15% of base salary. Karim Bitar receives his pension benefit as 
a combination of a contribution to pension and the balance as a cash allowance. Frank Schulkes receives his as a cash allowance. In line with 
our Policy, Jonny Mason will receive a pension benefit aligned with that available to the wider UK workforce, of 8.5% of salary, from 
appointment. As set out earlier in this report, the pension benefit for Karim Bitar will be aligned with that available to the wider UK workforce 
by 1 January 2023.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Directors’ Remuneration report
continued

Annual bonus
For 2022, Karim Bitar will continue to have a maximum bonus opportunity of 200% of salary. Frank Schulkes will be eligible for a maximum 
bonus opportunity of 150% of salary in 2022, pro-rated for the period served (1 January to 11 March 2022). Jonny Mason will be eligible for 
a maximum bonus opportunity of 200% of salary, pro-rated for the period of the financial year served. The on-target bonus opportunity 
remains 50% of maximum. Two-thirds of any bonus earned will be paid in cash, with the remainder deferred into ConvaTec Group Plc shares 
for a further three-year period. 

The annual bonus for 2022 will continue to be based on the following measures and weightings:

Measure
Adjusted EBIT1 for bonus purposes

Link to corporate strategy

Adjusted free cash flow

Personal strategic objectives

Focus

Innovate

Simplify

Simplify

Execute

Focus

Build 

Weighting
60%

20%

20%

1.  Adjusted EBIT is calculated on a constant currency basis and presented using a budget rate.

The Committee believes the balance of financial measures for 2022 (as set out above) remains appropriate in the context of the emphasis in 
our strategy on sustainable and profitable growth. The weighting on adjusted EBIT ensures that the primary levers of the strategy (revenue 
– being volume, price and mix – and costs) are all captured in the assessment of short-term performance. Revenue performance is 
additionally emphasised in a number of the personal strategic objectives that have been set for 2022 (and which will be disclosed 
retrospectively next year).

The Board currently considers these targets to be commercially sensitive and intends to disclose retrospectively in next year’s Annual Report 
on Remuneration. In the event the Board considers these targets to remain commercially sensitive, they will be disclosed as soon as possible 
once they are no longer considered to be sensitive. 

In line with our Policy, bonuses for the 2022 financial year will be subject to the Group’s policy on deferral, and its malus and clawback 
provisions (see page 138 for further details).

Long-Term Incentive Plan (“LTIP”)
Karim Bitar and Jonny Mason will be eligible to receive conditional awards of shares under the ConvaTec LTIP in respect of 2022, with face 
values of 250% of salary.

The 2022 LTIP will vest after three years, subject to the following performance targets assessed over the three years ending 
31 December 2024:

Measure
Three-year Relative TSR rank vs constituents of FTSE 350 excluding 
investment trusts (calculated in GBP and using three-month average opening 
and closing values)
Three-year compound annualised growth in adjusted PBT

Weighting
25%

Threshold
(25% vesting)
Median

Stretch
(90% vesting) 
75th 
percentile

Maximum
(100% vesting)
90th
percentile

75%

8% p.a.

15% p.a.

To the extent an award vests, it will be subject to a further two-year holding period.

Remuneration terms on departure for Frank Schulkes
As announced on 9 December 2021, the Board has mutually agreed with Frank Schulkes that he will step down as Chief Financial Officer and 
as a Director of the Company on 11 March 2022. He will remain an employee of the Group until 8 December 2022 (or such earlier date as 
may be mutually agreed by him and the Company). In accordance with the terms of his service agreement, Frank will continue to receive his 
salary, pension contribution and benefits over the period until he leaves the Group, and subject to mitigation. In line with our Policy, the 
Committee agreed to pay outplacement fees of up to £20,000 (excluding VAT) and make a contribution of up to £10,000 (excluding VAT) 
towards legal fees incurred in connection with the arrangements relating to his departure.

It was agreed that Frank would be entitled to a pro-rata bonus opportunity for the 2022 financial year, the value of which will be disclosed 
in the single total figure of remuneration for Executive Directors in next year’s Directors’ Remuneration report (along with further details of 
the remuneration received by Frank in respect of his employment from 1 January to 11 March 2022, and during the remainder of his notice 
period). One-third of any payment earned by Frank in relation to this opportunity will be deferred into shares for three years, in line with 
our Policy. 

The Committee also agreed to apply the good leaver provisions set out in the Remuneration Policy to Frank’s outstanding DBP and LTIP 
awards. DBP awards will vest on their normal vesting date; and LTIP awards will be pro-rated for time to his date of leaving the Group, 
vesting subject to performance over the three-year performance period.

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Implementation of Non-Executive Director Remuneration Policy for 2022
The fees for the Non-Executive Directors, other than the Chairman, are reviewed and set by the Non-Executive Director Fee Committee 
comprised of the Chairman, CEO and CFO.

Non-Executive Director fees were reviewed in early 2022 by the Non-Executive Director Fee Committee, which determined that fees would 
remain at their 2021 level for 2022. The Chairman’s fee was set at the time of John McAdam’s appointment in 2019. Effective 1 April 2022, 
the Committee approved an increase to the Chairman’s fee of 2.5% (broadly in line with the average increase awarded to the wider UK 
employee population). The fees payable to the Non-Executive Directors are set out below.

Role
Chairman
Non-Executive Director basic fee
Additional fees:
Senior Independent Director
Chair of the Audit Committee 
Chair of the Remuneration Committee
Fee for acting as a Board Level Employee Representative

1.  Effective 1 April 2022.

Fee structure
in 2022
£328,0001
£75,000

Fee structure
for 2021 
£320,000
£75,000

£20,000
£22,000
£20,000
£10,000

£20,000
£22,000
£20,000
£10,000

Directors’ shareholdings (audited)
The table below sets out details of the current shareholdings of each Director (and any relevant connected persons) as at 31 December 
2021. For Executive Directors, the current shareholding is compared to their shareholding guideline.

Shares

Owned outright or vested

31 December 
2020

31 December 
2021

Unvested 
and not 
subject to 
performance 
conditions

Unvested 
and 
subject to
performance 
conditions

Options

Unvested 
and not 
subject to
performance 
conditions

Vested 
but not
exercised

Current
shareholding1
(% salary)

Shareholding 
guideline
(% salary)

356,808
223,444

3,592,458
1,735,785

10,230

405%
125%

1,606,064
165,000
23,181
209,137
10,000
10,000
25,000
25,000
10,000
0

1,606,064
169,180
23,181
210,706
10,000
10,000
25,000
25,000
10,000
8,440

400%
300%
–
–
–
–
–

–
–

Director
Current directors
Karim Bitar
Frank Schulkes
John McAdam
Rick Anderson
Regina Benjamin
Margaret Ewing
Sten Scheibye
Brian May
Heather Mason
Constantin Coussios 

1.   Executive Director shareholdings calculated based on the number of shares that are owned outright or vested plus an estimated number of unvested shares that are not subject 
to performance conditions, on a net of tax basis. These shares are valued using a share price of 202.46p, being the average share price during the last three months of the 2021 
financial year.

No further shares were acquired by the Directors between 31 December 2021 and 7 March 2022, being the latest practicable date prior to 
publication of this Annual Report. 

Share scheme dilution limits 
The Company complies with the guidelines laid down by the Investment Association. These restrict the issue of new shares under all the 
Company’s share schemes in any ten-year period to 10% of the issued ordinary share capital and under the Company’s discretionary 
schemes to 5% in any ten-year period. As at 31 December 2021, the headroom available under these limits was 8.3% and 3.5% respectively.

The Directors’ Remuneration report has been approved by the Board and signed on its behalf by:

Brian May 
Chair of the Remuneration Committee
7 March 2022

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Our Remuneration Policy

This section of the Directors’ Remuneration report has been prepared in accordance with the Remuneration Reporting Regulations, and 
sets out details of the 2020 Policy that was approved by shareholders at the 2020 AGM and is effective for a period of up to three years 
from that date. Minor amendments have been made to the drafting of this Policy Report from the version approved by shareholders in 2020 
(which can be found in the 2019 Annual Report) including: (i) the data used in the pay-for-performance scenarios; (ii) references to “pension 
cash allowance or pension contribution” have been replaced with “pension benefit” to aid clarity, (iii) page references; and (iv) the section on 
Non-Executive Director letters of appointment, to reflect changes in Board composition since 2019.

We also describe below how our Policy reflects the principles of Provision 40 of the 2018 UK Corporate Governance Code:
 – Clarity: we are committed to transparent disclosure of our remuneration structures and decisions, including clear rationale and context 

for these.

 – Simplicity: our Policy and approach to its implementation is simple and well-understood internally and externally.
 – Risk: remuneration arrangements are designed not to encourage or reward excessive risk taking, with targets set to be stretching and 
achievable, and retaining Committee discretion to adjust formulaic bonus and LTIP outcomes to align with underlying performance.

 – Predictability: there are defined threshold and maximum pay scenarios, which we have disclosed on page 141.
 – Proportionality: there is a clear and direct link between performance and reward. No variable remuneration is payable for performance 

below defined thresholds.

 – Alignment to culture: the Committee has designed the Policy to align with the Group’s culture, driving behaviours that promote the 

long-term and sustainable success of the Group for the benefit of all stakeholders.

Details of how the Company implemented the 2020 Policy for the year ended 31 December 2021, and will implement for the year ending 
31 December 2022, are provided in the Annual Report on Remuneration starting on page 127.

Remuneration principles
 – Incentivise sustained strong financial performance.
 – Align rewards with the delivery of the Group’s strategy.
 – Ensure employee alignment with the interests of shareholders and encourage widespread share ownership across the workforce.
 – Help attract, motivate and retain the best talent to deliver the Group’s strategy and create long-term shareholder value.
 – Reflect market best practice and consistently adhere to principles of good corporate governance and encourage good risk management.

2020 Remuneration Policy for the Executive Directors

Purpose and link to strategy
Base salary
To attract and retain talented 
Executive Directors to deliver 
the Group’s strategy, by 
ensuring base salaries and the 
implied total package are 
competitive in relevant talent 
markets, while not overpaying.

Operation

Opportunity

Performance measures

n/a

The maximum salary payable 
to Executive Directors will be 
capped at the upper quartile of 
the benchmarking comparator 
group for the role under review. 
Salaries will be set on a 
case-by-case basis to reflect the 
role and the experience and 
qualifications of the individual.

Base salaries for the year under 
review and the following year, 
as well as the rationale for any 
increases, will be disclosed in the 
relevant year’s Annual Report 
on Remuneration.

Base salaries will be reviewed 
by the Committee annually, 
and benchmarked periodically 
against comparable roles at 
international MedTech peers, 
as well as UK-listed companies 
of similar size and complexity. 
Any resulting changes are 
normally effective from 1 April, 
in line with the effective date 
for salary increases for the 
broader workforce.

In deciding base salary levels, 
the Committee considers 
personal performance including 
the individual’s contribution to 
the achievement of the Group’s 
strategic objectives. The 
Committee will also consider 
employment conditions and 
salary levels across the Group, 
and prevailing market conditions 
in the geographies in which the 
Group competes for talent.

Base salary increases for the 
Executive Directors will normally 
be aligned with those of the 
wider workforce, but may be 
made above this level in 
exceptional circumstances 
such as a material change in 
responsibilities, size or 
complexity of the role, or if 
a Director was intentionally 
appointed on a below-
market salary.

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Purpose and link to strategy
Pension
To provide an appropriate level 
of post-retirement benefit for 
Executive Directors in a 
cost-efficient manner, taking 
account of the provisions for the 
wider workforce.

Other benefits
To provide non-cash benefits 
which are competitive in the 
market in which the Executive 
Director is employed.

Operation

Opportunity

Performance measures

Executive Directors may receive 
a contribution to a personal 
pension plan, a cash allowance in 
lieu, or a combination thereof.

Karim Bitar and Frank Schulkes 
receive a pension benefit from 
the Group of 15% of salary.

n/a

Salary is the only element of 
remuneration that is 
pensionable.

The Group may provide benefits 
in kind including, but not limited 
to, a company car or car 
allowance, private medical 
insurance (or allowance in lieu), 
permanent health insurance, 
and life insurance. Executive 
Directors may also be provided 
certain other benefits to take 
account of individual 
circumstances such as, but not 
limited to, payment of financial, 
and/or legal adviser fees, 
expatriate allowance, relocation 
expenses, housing allowance 
and tax equalisation (including 
associated interest, penalties or 
fees plus, in certain 
circumstances or where the 
Committee consider it 
appropriate, any tax incurred on 
such benefits). Executive 
Directors may also be offered 
any other future benefits made 
available either to all senior 
employees globally or in the 
region in which the Executive 
Director is employed.

n/a

Executive Director 
appointments from 1 January 
2020 will receive a pension 
benefit in line with that available 
for the wider workforce in the 
relevant market (as has been the 
case with the appointment of 
Jonny Mason).

Details of the pension 
contributions made to Executive 
Directors during the year are 
disclosed in the Annual Report 
on Remuneration.

Benefits for Executive Directors 
are set at a level which the 
Committee considers 
appropriate compared to wider 
employee benefits, as well as 
competitive practices in 
relevant markets.

The value of annual benefits will 
normally not exceed 10% of 
salary, and it is not anticipated 
that the costs of benefits 
provided will increase 
significantly in the financial years 
over which this Policy will apply, 
although the Committee retains 
discretion to approve non-
material increases in cost. In 
addition, the Committee retains 
discretion to approve a higher 
cost in exceptional 
circumstances (e.g. to facilitate 
recruitment, relocation, 
expatriation, etc.) or in 
circumstances where factors 
outside the Group’s control have 
changed (e.g. market increases 
in insurance costs). 

Benefits in respect of the year 
under review are disclosed in 
the Annual Report on 
Remuneration.

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Purpose and link to strategy
Annual bonus
To incentivise Executive 
Directors to deliver strong 
financial performance on an 
annual basis and reward the 
delivery of the Group’s strategic 
aims that will underpin the 
longer-term health and growth 
of the business.

Deferral into shares enhances 
alignment with shareholders.

Operation

Opportunity

Performance measures

The maximum annual bonus 
opportunity is 200% of 
base salary.

The payout for on-target 
performance is 50% of 
maximum; threshold 
performance results in a 
payout of no more than 25% 
of maximum.

The current maximum bonus 
opportunities for each of the 
Executive Directors are 
disclosed in the Annual Report 
on Remuneration.

Performance measures, targets 
and weightings are set by the 
Committee at the start of the 
year. After the end of the 
financial year, the Committee 
determines the level of bonus to 
be paid, taking into account the 
extent to which these targets 
have been achieved.

To the extent that the 
performance criteria have been 
met, one-third of the annual 
bonus earned will normally be 
compulsorily deferred into 
shares for a period of three 
years under the Deferred Bonus 
Plan. The remainder of the 
bonus will be paid in cash.

Dividends may accrue on 
deferred bonus shares over 
the deferral period and, if so, 
will be paid on deferred 
shares at the time deferred 
shares are released to the 
Executive Director.

Malus and clawback provisions 
apply to the annual bonus in 
certain circumstances (as set 
out in the Notes to the 
Policy Table).

Bonuses are based on a 
combination of stretching 
annual financial and non-
financial/strategic performance 
measures, selected to reflect 
the Group’s short-term KPIs, 
financial goals and strategic 
drivers.

The financial element of the 
annual bonus will normally be 
weighted 80% of the overall 
bonus opportunity, with the 
remainder of the bonus linked 
to the achievement of personal 
strategic objectives (and which 
shall not have a weighting of 
more than 20% of the overall 
bonus opportunity).

The Committee may adjust the 
formulaic annual bonus 
outcomes (including to zero) to 
avoid unintended outcomes, 
align pay outcomes with 
underlying Group performance 
and ensure fairness to 
shareholders and participants. 

Further details will be disclosed 
in the relevant Annual Report 
on Remuneration. Performance 
targets set for each year will be 
disclosed retrospectively, 
usually in the Annual Report on 
Remuneration in respect of the 
year to which such 
performance targets relate.

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Opportunity

Performance measures

The maximum annual LTIP 
opportunity is 250% of 
base salary.

25% of an award will vest if 
performance against each 
performance condition is at 
threshold and 100% if it is at 
maximum, with straight-line 
vesting in between.

Further details of the LTIP 
awards granted to each of the 
Executive Directors will be 
disclosed in the relevant Annual 
Report on Remuneration.

Vesting of the LTIP is subject 
to continued employment 
during the performance period 
and the achievement of 
performance conditions aligned 
with the Group’s strategic plan 
and shareholder value creation. 
Measures and their weightings 
will be determined by the 
Committee prior to making 
an award.

The Committee may adjust the 
formulaic LTIP outcome to 
ensure it takes account of any 
major changes to the Group 
(e.g. as a result of M&A activity) 
and is a fair reflection of the 
underlying financial 
performance of the Group over 
the performance period.

Further details, including the 
performance targets attached 
to the LTIP in respect of each 
year, will be disclosed in the 
relevant Annual Report on 
Remuneration.

Operation

Purpose and link to strategy
Long-Term Incentive Plan (“LTIP”)
To align the interests of 
Executive Directors and 
shareholders in growing the 
value of the Group over the 
long term.

Executive Directors are eligible 
to receive annual awards over 
ConvaTec Group Plc shares 
under the LTIP either in the 
form of conditional share 
awards or nil cost options.

Prior to awards being granted 
each year, the performance 
conditions and targets are 
agreed and set to ensure 
they remain appropriately 
stretching and aligned to the 
Group’s strategy.

Awards granted under the LTIP 
to Executive Directors will have 
a performance period of three 
years and a minimum vesting 
period of three years. If no 
entitlement has been earned 
at the end of the relevant 
performance period, awards 
will not vest. Shares received 
as a result of an award vesting 
will normally be subject to 
an additional two-year 
holding period.

Dividends may accrue on LTIP 
awards over the vesting period 
and, if so, will be delivered in 
shares that vest at the end of 
the vesting period.

LTIP awards granted to 
Executive Directors will be 
subject to malus and clawback 
provisions, as set out in the 
Notes to the Policy Table.

n/a

Employees are limited to saving 
a maximum in line with the 
maximum monthly savings limit 
imposed by the Committee 
(which will not exceed any 
limits imposed by legislation) 
at the time they are invited 
to participate.

Save-As-You-Earn (“SAYE”) or equivalent scheme
To align the interests of 
employees and shareholders by 
encouraging all employees to 
buy and own ConvaTec Group 
Plc shares.

Executive Directors are entitled 
to participate in the Group’s 
all-employee share plan 
applicable to the jurisdiction 
in which they are based on 
identical terms as other eligible 
employees. A UK or Europe-
based Executive Director may 
make monthly savings over a 
period of three or five years or 
other period set by any relevant 
tax authority linked to the grant 
of an option over Group shares. 
The option price will be set at a 
discount of up to 15% of the 
market value of the shares at 
grant (to align with similar 
all-employee arrangements in 
the US).

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Notes to the Policy Table
Malus and clawback policy
Malus and clawback may be applied to the annual bonus and LTIP 
awards in certain circumstances including: 
 – cases of fraud, negligence or gross misconduct by the 

Executive Director;

 – material financial misstatement in the audited financial results 

of the Group;

 – error in calculation; or
 – other exceptional circumstances at the Committee’s discretion.

Cash bonuses will be subject to clawback, with deferred shares 
being subject to malus, over the deferral period. LTIP awards will be 
subject to malus over the vesting period and clawback from the 
vesting date to the second anniversary of the relevant vesting date.

Share ownership guidelines
The Committee recognises the importance of aligning Executive 
Directors’ and shareholders’ interests through significant 
shareholdings in the Group. The Group’s policy is to require 
Executive Directors to build up shareholdings worth 400% of base 
salary for the CEO, and 300% of base salary for other Executive 
Directors, and to retain these shares whilst an Executive remains on 
the Board of Directors. Fifty percent of any net vested share awards 
(after sales to meet tax liabilities) must be retained until the 
minimum shareholding requirements are met. Shareholdings will be 
valued at the higher of the acquisition price of the shares and the 
average share price over the last three months of the financial year. 

Pension arrangements
The Committee considered the feedback from the 2020 AGM and 
evolving investor sentiment on pension benefit alignment with the 
wider workforce and, as disclosed in last year’s Remuneration 
Report, is committed to aligning Executive Director pension benefit 
to the wider UK workforce by 1 January 2023. 

Post-exit shareholding requirement
The Committee further recognises the expectation of shareholders 
that a requirement is placed on Executive Directors to maintain a 
meaningful shareholding for a period of time after they leave the 
Company. The Committee believes that the current structure of the 
Deferred Bonus Plan and LTIP sufficiently supports this principle 
already: the release of unvested Deferred Bonus shares and 
vested-but-held LTIP awards is normally not accelerated for leavers 
ahead of the normal release/vesting date. For a good leaver, the 
pre-tax value of outstanding awards at cessation of employment 
could be up to 12x base salary. Where an Executive Director resigns 
(i.e. is a bad leaver), the pre-tax value of outstanding awards at that 
point could be up to 5x base salary. The Committee believes that the 
structure of our incentives adheres to the provisions of the Code 
that remuneration provides significant alignment with shareholder 
interests for a period after an Executive Director ceases to be 
employed by the Company. The Committee considered the 
feedback from the 2020 AGM and evolving investor sentiment on 
post-employment shareholding requirements and, as disclosed in 
last year’s Remuneration Report, is committed to developing a 
post-employment shareholding requirement and this will form a part 
of any proposals for a new policy which is due for renewal at the 
2023 AGM.

Details of the Executive Directors’ current personal shareholdings, 
and progress towards meeting the share ownership guidelines, 
are provided in the Annual Report on Remuneration.

Use of discretion
The Committee may apply its discretion (as set out below) when 
agreeing remuneration outcomes, to help ensure that the 
implementation of our Remuneration Policy is consistent with the 
guiding principles for ConvaTec remuneration.

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Payments from outstanding awards
The Committee reserves the right in certain circumstances to 
make any remuneration payments and payments for loss of office 
(including exercising any discretions available to it in connection 
with such payments) where the terms of the payment were agreed: 
before the Policy in force at that time came into effect; or at a time 
when the relevant individual was not a Director of the Group 
provided that, in the opinion of the Committee, the payment was not 
agreed in consideration of the individual becoming a Director of the 
Group. For these purposes, payments include the satisfaction of 
variable remuneration awards previously granted, but not vested, 
to an individual.

Minor changes to Policy
The Committee retains discretion to make minor, non-significant 
changes to the Policy set out above (for reasons including, but not 
limited to, regulatory, exchange control, tax or administrative 
purposes or to take account of a change in legislation) without 
reverting to shareholders for approval for that amendment, where 
seeking such shareholder approval would be disproportionate to the 
discretion being exercised.

LTIP awards
The Committee may exercise its discretion as provided for in the 
LTIP rules approved by shareholders. The Committee may also 
adjust the number of shares comprising an LTIP award (or the 
exercise price if the award comprises options) in the event of a 
variation of share capital, demerger, special dividend, distribution or 
any other corporate event which may affect the current or future 
value of an award. It is intended that any adjustment will be made 
on a neutral basis, i.e. to not be to the benefit or detriment of 
participants. Any use of discretion by the Committee during a 
financial year will be detailed in the relevant Annual Report on 
Remuneration and may be the subject of consultation with the 
Group’s major shareholders, as appropriate.

Remuneration Policy for the wider workforce
The Remuneration Policy for other employees is based on principles 
that are broadly consistent with those applied to Executive Director 
remuneration, with a common objective of driving financial 
performance and the achievement of strategic objectives, and 
contributing to the long-term success of the Group. Remuneration 
supports our ability to attract, motivate and retain skilled and 
dedicated individuals, whose contribution will be a critical factor in 
the Group’s success. Annual salary reviews take into account Group 
performance, local pay and market conditions, and salary levels for 
similar roles in comparable companies. Pension entitlements and 
other benefits vary according to jurisdiction, to ensure these remain 
appropriately competitive for the local market.

Some employees below executive level are eligible to participate in 
annual bonus schemes. Opportunities and performance measures 
vary by organisational level, geographical location and an individual’s 
role. Employee ownership of ConvaTec Group Plc shares is 
promoted across the Group. Senior executives are eligible for LTIP 
awards on similar terms as the Executive Directors, although award 
opportunities are lower and vary by organisational level. Other 
executives are eligible for restricted share awards on a discretionary 
basis. ConvaTec also offers an opportunity for broader-based 
participation in a share purchase plan, as approved by shareholders 
at the 2017 AGM. 

Approach to target setting and performance measure selection
The Committee considers carefully the selection of performance 
measures at the start of each performance cycle, taking into 
consideration the Group’s strategic objectives and the 
macroeconomic environment.

Annual bonus measures are selected to reflect the Group’s Financial 
KPIs (see pages 18 and 19). Adjusted EBIT is calculated on a constant 
currency basis and presented using a budget rate. Measures may 
change from year-to-year (subject to the Remuneration Policy), 
and the rationale for any changes to the bonus measures selected 
will therefore be disclosed in the relevant Annual Report 
on Remuneration.

LTIP performance measures are selected to ensure they align with 
the Group’s strategy and long-term shareholder value creation. 
LTIP awards to be granted in 2022 will be based on a blend of 
adjusted PBT performance and relative TSR over a three-year 
period. The Committee considers these measures to align executive 
and shareholder interests through a good balance between external 
and internal measures of performance, and between growth and 
returns in the context of the Group’s strategy.

For 2022 LTIP awards, as for 2020 and 2021 awards, TSR 
performance will be measured relative to the FTSE 350 (excluding 
investment trusts). 

Targets are set to be stretching but achievable over the three-year 
performance period, taking account of multiple relevant reference 
points, for example, internal forecasts, external expectations for 
future performance at both the Group and its closest sector peers, 
and typical performance ranges at other FTSE companies of 
comparable size and complexity. The Committee also retains 
discretion in exceptional circumstances to vary, substitute or waive 
the performance conditions attaching to incentive awards (within 
the relevant limits set out in the Policy table) if there is a significant 
and material event which causes the Committee to believe the 
original conditions are no longer appropriate, and the new 
performance conditions are deemed reasonable and not materially 
less difficult to satisfy than the original conditions. 

Pay-for-performance: scenario analysis
The charts on the right provide an estimate of the potential future 
reward opportunities for Karim Bitar and Jonny Mason, and the 
potential split between the different elements of remuneration 
under four different performance scenarios: “Maximum + 50% 
share price growth”, “Maximum”, “On target” and “Minimum”.

Potential reward opportunities are based on the forward-looking 
policy, applied to 2022 base salaries and incentive opportunities. 
LTIP awards granted in a year will not normally vest until the third 
anniversary of the date of grant, and the projected value of the 
“Maximum”, “On target” and “Minimum” scenarios excludes the 
impact of share price movement.

Pay scenarios 

CEO – Karim Bitar

Maximum + 50% SPA*
18%

Maximum

21%

On-target

43%
Minimum £1,108,135
100%

£2,583,785
35% 22%

29%

35%

£6,302,435

53%

£5,180,935
44%

Fixed remuneration

Annual bonus

LTIP

CFO Designate – Jonny Mason (annualised package)

Maximum + 50% SPA*
16%

Maximum

20%

29%

36%

On-target

£1,371,000

41%
Minimum £558,500

36% 23%

100%

£3,433,500

55%

£2,808,500

44%

Fixed remuneration

Annual bonus

LTIP

*  Share price appreciation.

The above charts are based on the following assumptions:
“Maximum + 50% SPA”: fixed remuneration (salary, pension, other benefits), plus 
maximum bonus (200% of salary) and full vesting of the 2022 LTIP awards (250% of 
salary, and reflecting 50% share price growth over the vesting period).
“Maximum”: fixed remuneration (as above), plus maximum bonus (200% of salary) and 
full vesting of the 2022 LTIP awards (250% of salary) assuming no share price growth.
“On-target”: fixed remuneration (as above), plus target bonus (50% of maximum or 
100% of salary) and threshold LTIP vesting (25% of maximum or 62.5% of salary) 
assuming no share price growth.
“Minimum”: fixed remuneration only, being the only element of Executive Directors’ 
remuneration not linked to performance.

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Executive Director service contracts
In accordance with general market practice, each of the Executive Directors has a rolling service contract. Karim Bitar and Frank Schulkes 
have service contracts with the Company (copies of which are available to view at the Company’s registered office) that are terminable on 
12 months’ notice from the Group and six months’ notice from the Executive Director. This practice will also apply for any new Executive 
Directors. The following table shows the date of the service contract for each Executive Director that served during the year:

Executive Director 
Karim Bitar
Frank Schulkes

Position
CEO
CFO

Date of appointment
30 September 2019
1 November 2017

Date of service agreement
24 March 2019
2 August 2017

Jonny Mason was appointed as CFO Designate on 31 January 2022. The terms of his service contract are in alignment with the above policy 
for Executive Directors. 

Exit payments policy
The Group’s policy on termination payments is to consider the circumstances on a case-by-case basis, taking into account the relevant 
contractual terms in the executive’s service contract and the circumstances of termination. Executive Directors’ contracts provide for the 
payment of a pre-determined sum in the event of termination of employment in certain circumstances (but excluding circumstances where 
the Group is entitled to dismiss without compensation), comprising base salary, pension benefit and benefits in respect of the unexpired 
portion of the notice period. Termination payments may take the form of payments in lieu of notice. Payments would normally be made on 
a phased basis and subject to mitigation. If the employment is terminated by the Group, the Committee retains the discretion to settle any 
other amount the Committee considers reasonable to the Executive Director including in settlement of claims, in respect of legal fees 
incurred in connection with the termination and fees for outplacement services and relocation costs.

In addition to contractual provisions, the following table summarises how awards under each discretionary incentive plan are typically treated 
in specific circumstances, with the final treatment remaining subject to the Committee’s discretion as provided under the rules of the plan. 
In the event of termination, any outstanding options granted under the SAYE, or equivalent, scheme will be treated in accordance with the 
rules of the scheme, which do not include discretion. Disclosure in relation to any departing Executive Director, including details of any 
remuneration payment made to him after he ceases to be a Director, will be made on the Company’s website in accordance with Section 
430(2B) of the Companies Act 2006. 

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Treatment of awards on cessation of employment

Reason for cessation
Annual bonus
Injury, disability, death, redundancy, 
retirement, or other such event as 
the Committee determines

All other reasons (including 
voluntary resignation)

Deferred bonus shares
Resignation or dismissal for cause

All other reasons (e.g. injury, 
disability, death, redundancy, 
retirement, or other such event as 
the Committee determines)

Change of control

LTIP awards
Resignation or dismissal for cause

All other reasons (e.g. injury, 
disability, death, redundancy, 
retirement, or other such event as 
the Committee determines)

Change of control

Calculation of vesting/payment

Timing of vesting/payment

The Committee may determine that a bonus is 
payable on cessation of employment (normally 
pro-rated for the proportion of the performance 
year worked) and the Committee retains discretion 
to determine that the bonus should be paid wholly 
in cash. The bonus payable will be determined based 
on the performance of the Group and of the 
individual over the relevant period, and the 
circumstances of the Director’s loss of office.

At the normal payment date, taking into 
account actual Company performance for 
the performance period.

No bonus will be paid for the financial year.

Not applicable.

Awards normally lapse.

Not applicable.

Awards will normally vest in full (i.e. not pro-rated 
for time) unless the Committee determines that 
time pro-rating should apply.

At the normal vesting date, unless the 
Committee decides that awards should 
vest earlier (e.g. in the event of death).

Awards will normally vest in full (i.e. not pro-rated 
for time). Awards may alternatively be exchanged for 
equivalent replacement awards, where appropriate.

On change of control.

Awards normally lapse.

Not applicable.

Awards will normally be pro-rated for time (unless 
the Committee exercises discretion to disapply time 
pro-rating) and will vest based on performance over 
the original performance period (unless the 
Committee decides to measure performance to the 
date of cessation).

LTIP awards will normally be pro-rated for time 
(unless the Committee exercises discretion to 
disapply time pro-rating) and will vest subject to 
performance over the performance period to the 
change of control.

LTIP awards may alternatively be exchanged for 
equivalent replacement awards, where appropriate.

At the normal vesting date, unless the 
Committee decides that awards should 
vest earlier (e.g. in the event of death).

On change of control.

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Approach to remuneration on recruitment
External appointments
In cases of hiring or appointing a new Executive Director from outside the Group, the Committee may make use of all existing components 
of remuneration set out in the Policy table, up to the disclosed maximum opportunities (where applicable).

When determining the remuneration package for a new Executive Director, the Committee will take into account all relevant factors based 
on the circumstances at that time to ensure that arrangements are in the best interests of the Group and its shareholders. This may include 
factors such as the experience and skills of the individual, internal comparisons and relevant market data. 

The Committee may also make an award in respect of a new appointment to “buy-out” incentive arrangements forfeited on leaving a 
previous employer, i.e. over and above the maximum limits on incentive opportunities set out in the Policy table. In doing so, the Committee 
will consider relevant factors, including any performance conditions attached to these awards, the likelihood of those conditions being met, 
and the time over which they would have vested. The intention is that the expected value of any “buy-out” award would be no higher than 
the expected value of the forfeited arrangements, and that the structure will replicate (as far as reasonably possible) that of the awards 
being forfeited. The Committee may consider it appropriate to structure “buy-out” awards differently from the structure described in the 
Policy table, exercising its discretion under the LTIP rules to structure awards in other forms (including market value options, restricted 
shares, forfeitable shares or phantom awards) and may use the exemption permitted within the Listing Rules where necessary to make 
a one-off award to an Executive Director in this context.

Internal promotion
Where a new Executive Director is appointed by way of internal promotion, the Policy will be consistent with that for external appointees, 
as detailed above (other than in relation to “buy-out” awards). Any commitments made prior to an individual’s promotion will continue to be 
honoured even if they would not otherwise be consistent with the Policy prevailing when the commitment is fulfilled, although the Group 
may, where appropriate, seek to revise an individual’s existing service contract on promotion to ensure it aligns with other Executive 
Directors and good practice.

Disclosure on the remuneration structure of any new Executive Director, including details of any “buy-out” awards, will be disclosed in the 
RNS notification made at the time of appointment and in the Annual Report on Remuneration for the year in which recruitment occurred.

External appointments held by Executive Directors
Executive Directors may accept one external appointment subject to approval by the Board, there being no conflicts of interest and the 
appointment not leading to deterioration in the individual’s performance. Executive Directors may retain the fees paid for such roles. 
Details of external appointments and the associated fees received will be included in the Annual Report on Remuneration.

Consideration of conditions elsewhere in the Group
The Committee seeks to promote and maintain good relations with employees as part of its broader employee engagement strategy, 
considers pay practices across the Group and is mindful of the salary increases applying across the rest of the business in relevant markets 
when considering any increases to salaries for Executive Directors. However, the Committee does not consult with employees on its 
executive remuneration policy.

Consideration of shareholder views
The Committee will take into consideration all shareholder views received during the year and at the Annual General Meeting each year, as 
well as guidance from shareholder representative bodies more broadly, in shaping the Group’s implementation of its Remuneration Policy, 
as well as any future changes to Policy. It is the Committee’s intention to consult with major shareholders in advance of making any material 
changes to remuneration arrangements for Executive Directors.

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Remuneration Policy for the Non-Executive Directors
Details of the Policy on fees paid to our Non-Executive Directors are set out in the table below:

Purpose and link to strategy
Non-Executive Director fees
To attract and retain Non-Executive 
Directors of the highest calibre with 
broad commercial and other 
experience relevant to the Group

Operation

Opportunity

Performance 
measures

n/a

Fee increases will 
be applied taking 
into account the 
outcome of the 
annual review.

The maximum 
aggregate annual 
fee for all  
Non-Executive 
Directors 
(including the 
Chairman) as 
provided in the 
Group’s Articles 
of Association is 
£1,500,000.

The fees of the Chairman are determined by the 
Committee. The fees paid to Non-Executive Directors are 
determined by the Chairman and Executive Directors. 
Additional fees are payable for acting as Senior 
Independent Director and for chairing or being a member 
of the Audit and Risk Committee or the Remuneration 
Committee. An additional fee is also payable for acting as 
a Board Level Representative for the workforce.

Fee levels are reviewed annually (with any increases 
normally effective 1 April), taking into account external 
advice on best practice and competitive levels, in particular 
at other FTSE companies of comparable size and 
complexity. Time commitment and responsibility are also 
taken into account when reviewing fees.

Chairman and Non-Executive Director fees are paid in cash.

The Committee reimburses the Chairman and  
Non-Executive Directors for reasonable expenses in 
performing their duties and may settle any tax incurred in 
relation to these expenses. For any Non-Executive Director 
that is based overseas, the Group will meet travel and 
accommodation expenditure as required to fulfil their 
Non-Executive duties.

The fees paid to the Chairman and Non-Executive 
Directors are disclosed in the Annual Report 
on Remuneration.

Non-Executive Directors are not eligible to join the Group’s pension, incentives or share schemes or to participate in any of the Group’s other 
benefit arrangements. 

In recruiting a new Non-Executive Director, the Committee will use the Policy set out above.

Non-Executive Director letters of appointment
None of the Non-Executive Directors has a service contract with the Group. They do have letters of appointment, and will be submitted for 
re-election annually. The dates relating to the appointments of the Chairman and Non-Executive Directors who served during the reporting 
period are as follows:

Director
John McAdam
Margaret Ewing
Regina Benjamin
Rick Anderson
Sten Scheibye
Brian May
Heather Mason
Constantin Coussios

Role
Non-Executive Chairman
Senior Independent Director
Independent Non-Executive Director
Independent Non-Executive Director
Non-Executive Director
Independent Non-Executive Director
Independent Non-Executive Director
Independent Non-Executive Director

Date of 
appointment
30 September 2019
11 August 2017
11 August 2017
31 October 2016
3 July 2018
2 March 2020
1 July 2020
1 September 2020

Date of letter of 
appointment
18 August 2019
17 August 2017
15 August 2017
12 October 2016
3 July 2018
26 February 2020
8 May 2020
29 June 2020

Date of election/
re-election
7 May 2021
7 May 2021
7 May 2021
7 May 2021
7 May 2021
7 May 2021
7 May 2021
7 May 2021

Kimberly Lody and Sharon O’Keefe were appointed to the Board on 1 February 2022 and 1 March 2022, respectively. They will stand for 
election at the 2022 AGM. Further details of their letters of appointment will be included in next year’s Directors’ Remuneration report. 
Rick Anderson stepped down from the Board on 3 March 2022.

145
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Directors’ report 

The Directors present their Annual Report on the affairs of the Group, together with the Financial Statements and auditor’s report, for the 
year ended 31 December 2021. 

Taken together, the Strategic report on pages 12 to 17 and this Directors’ report fulfil the requirements of the Disclosure and Transparency 
Rules to provide a management report.

Information incorporated by reference
The following information is provided in other sections of this Annual Report and is incorporated by reference.

Information
Corporate governance 

Section where provided
Corporate governance statements
Nomination, Audit and Risk Committee reports
Financial Statements – Note 26
Strategic report 

Post-balance sheet events 
Likely future developments and research and development activities
Preparation and disclosure of Financial Statements and Annual Report Directors’ responsibilities statement
Use of financial instruments 
Shares held by the Company’s Employee Benefit Trust
Board membership and biographical details 
Related party transactions 
Employee engagement
Greenhouse gas emissions 
Relationships with capital providers and other stakeholders

Financial Statements – Note 21
Financial Statements – Note 15
Corporate governance report
Financial Statements – Note 25
Strategic report
Strategic report
Governance section

Page
87
107 to 121
197
4 to 63 
149
192 to 193
184 to 185
94 and 95
197
22
53 to 63
36 to 37

Disclosure of information to the auditor
Each of the Directors, as at the date of this Annual Report, 
confirms that:
 – the Director has taken all steps that he/she ought to have taken 
as a Director in order to make him/herself aware of any relevant 
audit information and to establish that the Company’s auditor 
is aware of that information; and 

 – so far as the Director is aware, there is no relevant audit 
information of which the Company’s auditor is unaware.

This confirmation is given and should be interpreted in accordance 
with the provision of Section 418 of the Companies Act 2006. 
Deloitte LLP have expressed their willingness to continue in office 
as auditor and a resolution to reappoint them will be proposed at the 
2022 AGM.

Branches of the Company
The Group, through various subsidiary and related undertakings, has 
branches in a number of different jurisdictions in which the business 
operates. Further details are included in subsidiary undertakings on 
pages 200 to 203.

Dividends 
We continue to target a payout ratio of between 35% and 45% 
of adjusted net profit. Our intention is to pay an interim and a final 
dividend in respect of each financial year in the approximate 
proportions of one-third and two-thirds, respectively, of the annual 
total dividend. We may periodically reassess this policy to reflect, 
among other things, our growth prospects, capital efficiency, 
investment plans and the profitability of the Group, whilst also 
maintaining appropriate levels of dividend cover. Any decision to 
declare and pay dividends will be made at the discretion of the 
Directors and will depend on, among other things, applicable law, 
regulation, restrictions, strategic objectives, capital management, 
the Group’s various stakeholders (for further information see the 
section 172 statement on page 22), review of our comparator peer 
group, available and forecast distributable reserves of the Company 
and the forecast cashflows and liquidity of the Group, and other 
factors the Directors deem significant. 

During the year, the Directors resolved to pay an interim dividend 
of 1.717 cents per share on 14 October 2021. A scrip dividend 
alternative was offered in respect of the interim dividend allowing 
shareholders to elect by 21 September 2021 to receive their 
dividend in the form of new ordinary shares. On 14 October 2021, 
750,265 ordinary shares of 10p each were allotted to shareholders 
who had elected to take the scrip dividend alternative. 

The Directors recommend a final dividend for the year of 4.154 cents 
per share (2020: 3.983 cents) which, together with the interim 
dividend, makes a total for the year of 5.871 cents per share (2020: 
5.700 cents). The final dividend, if approved by the shareholders, will 
be paid on 19 May 2022 to shareholders on the register at the close 
of business on 1 April 2022; a scrip dividend alternative will also be 
available to shareholders. The Directors note that in the near term 
the dividend payout ratio may be slightly above the target ratio as 
investment is made in the ongoing transformation of the Group.

146
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Annual Report and Accounts 2021

Capital structure
Share capital
As at 31 December 2021, the Company’s issued share capital 
consisted of 2,014,572,935 ordinary shares of 10p each. Further 
details of the authorised and issued share capital, together with 
details of the movements in the Company’s issued share capital 
during the year, are shown in Note 15 to the Financial Statements. 
As at 31 December 2021, the Company had only one class of share 
consisting of ordinary shares of 10p each. 

Acquisition of Company’s own shares
At the Company’s AGM on 7 May 2021 the Directors’ authority was 
renewed under shareholders’ resolution to purchase through the 
market up to 10% of the Company’s ordinary shares at a maximum 
price per share at the higher of: (i) an amount equal to 105% of 
middle market quotations of the price of shares for the five business 
days prior to the date of purchase; and (ii) an amount equal to the 
higher of the last independent trade and the highest current 
independent bid at the time of purchase. This authority expires at 
the Company’s 2022 AGM and the Company will seek its renewal at 
the AGM. It is confirmed that no acquisition of the Company’s own 
shares has been made under such authority. During the year the 
Company applied to the Financial Conduct Authority and the 
London Stock Exchange for a block listing totalling 20,000,000 
ordinary shares of 10 pence each for the purpose of funding the 
Company’s Employee Benefit Trust. 

Shareholders’ rights
The rights attaching to the ordinary shares are governed by the 
Company’s Articles of Association (“Articles”) and prevailing 
legislation. There are no specific restrictions on the size of a holding. 
Subject to applicable law and the Articles, holders of ordinary shares 
are entitled to receive all shareholder documents, including notice of 
any general meeting, attend, speak and exercise voting rights at 
general meetings, either in person or by proxy, and participate in any 
distribution of income or capital.

Restrictions on voting
There are no specific restrictions on voting rights, save in situations 
where the Company is legally entitled to impose such restrictions 
(usually where amounts remain unpaid on shares after request, or 
the shareholder is otherwise in default of an obligation to the 
Company). Currently all issued ordinary shares are fully paid. There 
are no agreements between holders of securities in the Company 
that are known to the Company and may result in restrictions on 
transfer or on voting rights.

Restrictions on the transfer of ordinary shares
The transfer of ordinary shares is governed by the general provisions 
of the Company’s Articles and applicable legislation. There are no 
restrictions on the transfer of ordinary shares other than: (i) as set 
out in the Articles; and (ii) certain restrictions which may from time 
to time be imposed by laws and regulations and pursuant to the 
Listing Rules whereby Directors and certain officers and employees 
of the Company require approval to deal in the ordinary shares in 
accordance with the Company’s share dealing policies and the 
Market Abuse Regulation.

Directors’ appointment, replacement and powers
The appointment and replacement of Directors of the Company is 
governed by its Articles, the Code, the Companies Act and related 
legislation. The Articles themselves may be amended by special 
resolution and subject to shareholder approval. Details of the 
powers of the Board and its Committees are described in the 
Corporate governance report on page 98. The powers of the Board 
are set out in the Articles and the Terms of Reference of each of 
the Board’s committees set out their respective duties and 
responsibilities. The aforementioned documents can be found at 
www.convatecgroup.com/investors/corporate-governance. 

Significant agreements
There are a number of agreements that take effect, alter or 
terminate upon a change of control of the Company such as 
commercial contracts, bank loan agreements, property lease 
arrangements and employees’ share plans. Other than the Group’s 
main funding agreements referenced below, none of these are 
considered to be significant in terms of their likely impact on the 
business of the Group as a whole. Furthermore, the Directors are 
not aware of any agreements between the Group and its Directors 
or employees that provide for compensation for loss of office or 
employment that occurs because of a change of control resulting 
from a takeover bid.

In the event of a change of control of the Company, the Group’s main 
funding agreements allow the lenders to give notice of repayment 
for all outstanding amounts under the relevant facilities.

Directors’ indemnities
The Group has made qualifying third-party indemnity provisions for 
the benefit of its Directors, which were made during the year and 
remain in force at the date of this report.

Company Secretary 
The Company Secretary provides ongoing support to the Board in 
relation to corporate governance issues and compliance with the 
Listing Rules. She is responsible for establishing, implementing and 
monitoring the corporate governance framework, attending (directly 
or through a designate) all Board and committee meetings, advising 
on effective Board processes, advising on Directors’ statutory duties, 
disclosure obligations and requirements under the Listing Rules, and 
working in conjunction with the investor relations team regarding 
dialogue with investors. 

Political donations
No political donations, including to non-UK political parties, were 
made during the period. Information about the Group’s lobbying 
activities is included on page 37.

147
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Directors’ report 
continued

Substantial shareholdings 
At 31 December 2021, the Company had been notified in accordance with Chapter 5 of the Disclosure and Transparency Rules, of the 
following voting rights as a shareholder of the Company. 

Shareholder
Novo Holdings A/S
The Capital Group Companies, Inc.
Artisan Partners Limited Partnership
Pelham Capital LTD.

BlackRock, Inc.

No. of ordinary shares
395,318,793
97,418,767
97,980,658
93,526,729

Percentage of 
voting rights
20.25%
4.9911%
4.98%
4.71%

Below 5%

Black Creek Investment Management, Inc.

80,048,681

4%

GIC Private Limited

Below 3%

Nature of holding
Direct holding
Indirect holding
Indirect holding
Direct holding/
Financial instruments
Indirect holding/
Financial instruments
Direct holding/
Indirect holding
Direct holding

During the period between 31 December 2021 and 7 March 2022, being the latest practicable date prior to publication of this Annual 
Report, the Company received the following notification under Chapter 5 of the Disclosure and Transparency Rules.

Shareholder
Standard Life Aberdeen Plc

Relationship agreement with controlling shareholders 
Novo Holdings A/S (“Novo”) became a significant shareholder on 
31 March 2017 and the Company entered a relationship agreement 
with Novo on such date as required by Listing Rule 9.2.2A R(2)(a). 
Given its significant investment in the Company, Novo is entitled to 
appoint one Non-Executive Director to the Board for so long as they 
and their associates are entitled to exercise, or control the exercise 
of, 10% or more of the votes able to be cast on all or substantially all 
matters at general meetings of the Company. In the financial period 
to 31 December 2021 (and also from 31 December 2021 to 7 March 
2022, being the latest practicable date prior to publication of this 
Annual Report), the Company has complied with the independence 
provisions of the relationship agreement, and so far as the Company 
is aware, Novo and their associates also complied with the 
independence provisions.

Diversity and inclusion 
We are committed to creating a values-led, performance-driven 
culture which starts with our employees, and we aim to bring 
together a rich diversity of backgrounds, experiences, preferences 
and capabilities which unite together to improve people’s lives 
through their work at ConvaTec. The Board considers a diverse 
workforce as critical to its success. Information about the Group’s 
initiatives to achieve diversity across the business, including specific 
objectives, are contained on page 45.

Employment of disabled people
Applications for employment by disabled people are always fully 
considered, bearing in mind the aptitudes of the applicant 
concerned. In the event of members of staff becoming disabled 
every effort is made to ensure that their employment with the Group 
continues and that appropriate training is arranged. It is the policy of 
the Group that the training, career development and promotion of 
anyone with a disability should, as far as possible, be identical to that 
of other employees.

Employee share schemes
In addition to the discretionary share schemes operated as part of 
the Group’s long-term incentives, detailed in the Remuneration 
Policy on page 136, the Group operates a global all-employee share 
scheme. The Directors believe that this scheme aligns the interests 
of employees and shareholders by encouraging all employees to buy 
and own shares in the Company, thus enabling them to benefit 
directly from the anticipated growth and success of the Group in 
the future.

No. of ordinary shares
102,381,222

Percentage of 
voting rights
5.08%

Nature of holding
Indirect holding

Executive Directors may also participate in the UK all-employee 
share scheme, which is an HMRC approved savings-related share 
option plan, on the same basis as other eligible employees. All 
participants may invest up to the limits set in line with HMRC 
guidance and as operated by the Group. 

Shares acquired through the Group’s share plans rank pari passu 
with existing ordinary shares in issue and have no special rights 
with regards to voting, rights to dividend, control of the Company 
or otherwise.

All of the Group’s employee share plans contain provisions relating 
to a change of control. On a change of control, options and awards 
granted to employees under the Group’s share plans may vest and 
become exercisable, subject to the satisfaction of any applicable 
performance conditions at that time.

Listing Rules – compliance with LR 9.8.4R
The information required to be disclosed by LR 9.8.4R can be found 
in the following locations. There are no other disclosures required 
under this LR.

Section
1

Applicable sub-paragraph 
within LR 9.8.4R
Interest capitalised

4

14

Details of long-term 
incentive schemes
Confirmation of 
relationship agreement

Location
Group Financial Statements, 
note 23, page 196
Directors’ Remuneration 
report, page 139
Directors’ report, 
page 148

Annual General Meeting
The Annual General Meeting will be held on 12 May 2022 at 2pm 
and will take place at 3 Forbury Place, 23 Forbury Road, Reading, 
RG1 3JH, in the form of a hybrid meeting. Notice of the meeting, 
containing details of the resolutions to be put to the meeting, will 
be available at www.convatecgroup.com/investors/reports/.

By order of the Board:

Evelyn Douglas 
Company Secretary 
7 March 2022

ConvaTec Group Plc is registered in England No. 10361298

148
ConvaTec Group Plc
Annual Report and Accounts 2021

Directors’ responsibilities statement 

Responsibility statement 
We confirm that to the best of our knowledge:
 – the Financial Statements, prepared in accordance with the 

relevant financial reporting framework, give a true and fair view 
of the assets, liabilities, financial position and profit or loss of the 
Company and the undertakings included in the consolidation 
taken as a whole;

 – the Strategic report includes a fair review of the development and 
performance of the business and the position of the Company 
and the undertakings included in the consolidation taken as a 
whole, together with a description of the principal risks and 
uncertainties that they face; and

 – the Annual Report and Financial Statements, taken as a whole, are 
fair, balanced and understandable and provide the information 
necessary for shareholders to assess the Group and Company’s 
performance and position, business model and strategy.

This responsibility statement was approved by the Board of 
Directors on 7 March 2022 and is signed on its behalf by:

Karim Bitar
Chief Executive Officer

Frank Schulkes
Chief Financial Officer

The Directors are responsible for preparing the Annual Report 
and the Financial Statements in accordance with applicable law 
and regulations.

Company law requires the Directors to prepare financial statements 
for each financial year. Under that law the Directors are required to 
prepare the Group Financial Statements in accordance with United 
Kingdom adopted International Accounting Standards and have 
elected to prepare the parent company financial statements in 
accordance with United Kingdom Generally Accepted Accounting 
Practice (United Kingdom Accounting Standards and applicable law), 
including FRS 101 “Reduced Disclosure Framework”. Under 
company law the Directors must not approve the accounts unless 
they are satisfied that they give a true and fair view of the state of 
affairs of the Group and Company and of the profit or loss of the 
Group and Company for that period. 

In preparing the parent company’s financial statements, the 
Directors are required to:
 – select suitable accounting policies and then apply them consistently;
 – make judgements and accounting estimates that are reasonable 

and prudent;

 – state whether applicable UK Accounting Standards have been 
followed, subject to any material departures disclosed and 
explained in the Financial Statements; and

 – prepare the Financial Statements on the going concern basis 
unless it is inappropriate to presume that the Company will 
continue in business.

In preparing the Group Financial Statements, International 
Accounting Standard 1 requires that Directors:
 – properly select and apply accounting policies;
 – present information, including accounting policies, in a 

manner that provides relevant, reliable, comparable and 
understandable information;

 – provide additional disclosures when compliance with the specific 

requirements in IFRSs are insufficient to enable users to 
understand the impact of particular transactions, other events 
and conditions on the Group’s financial position and financial 
performance; and

 – make an assessment of the Group’s ability to continue as 

a going concern.

The Directors are responsible for keeping adequate accounting 
records that are sufficient to show and explain the Group and 
Company’s transactions and disclose with reasonable accuracy 
at any time the financial position of the Group and Company and 
enable them to ensure that the Financial Statements comply 
with the Companies Act 2006. They are also responsible for 
safeguarding the assets of the Group and Company and hence 
for taking reasonable steps for the prevention and detection of 
fraud and other irregularities.

The Directors are responsible for the maintenance and integrity 
of the corporate and financial information included on the Group’s 
website. Legislation in the United Kingdom governing the 
preparation and dissemination of financial statements may differ 
from legislation in other jurisdictions. 

149
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Consolidated Income Statement

For the year ended 31 December 2021

Revenue
Cost of sales
Gross profit

Selling and distribution expenses
General and administrative expenses
Research and development expenses
Operating profit

Finance income
Finance expense
Non-operating (expense)/income, net
Profit before income taxes
Income tax expense
Net profit

Earnings per share
Basic earnings per share (cents per share)
Diluted earnings per share (cents per share)

Notes
2

3

23
23
4

5

6
6

2021
$m
2,038.3
(915.2)
1,123.1

(539.7)
(285.3)
(94.5)
203.6

0.8
(44.3)
(8.8)
151.3
(33.7)
117.6

2020
$m
1,894.3
(875.5)
1,018.8

(463.3)
(262.1)
(82.4)
211.0

1.9
(50.3)
12.1
174.7
(62.2)
112.5

5.9¢
5.8¢

5.7¢
5.6¢

The accounting policies and notes on pages 155 to 197 form an integral part of the Consolidated Financial Statements. All amounts are 
attributable to shareholders of the Group and wholly derived from continuing operations.

150
ConvaTec Group Plc
Annual Report and Accounts 2021

Consolidated Statement of Comprehensive Income

For the year ended 31 December 2021

Net profit
Other comprehensive income
Items that will not be reclassified subsequently to the Consolidated Income Statement
Remeasurement of defined benefit pension plans
Change in pension asset restriction
Income tax in respect of items that will not be reclassified
Items that may be reclassified subsequently to the Consolidated Income Statement
Exchange differences on translation of foreign operations
Effective portion of changes in fair value of cash flow hedges
Changes in fair value of cash flow hedges reclassified to the Consolidated Income Statement
Costs of hedging
Income tax in respect of items that may be reclassified
Other comprehensive (expense)/income
Total comprehensive income

All amounts are attributable to shareholders of the Group and wholly derived from continuing operations.

Notes

13
13
13

21
21
21

2021
$m
117.6

3.2
1.3
0.1

(29.6)
(5.1)
5.7
(0.4)
(0.9)
(25.7)
91.9

2020
$m
112.5

(0.4)
5.0
0.2

53.0
(6.7)
(0.2)
(0.1)
1.7
52.5
165.0

151
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Consolidated Statement of Financial Position

As at 31 December 2021

Assets
Non-current assets
Property, plant and equipment
Right-of-use assets
Intangible assets and goodwill
Deferred tax assets
Restricted cash
Other non-current receivables

Current assets
Inventories
Trade and other receivables
Derivative financial assets
Cash and cash equivalents

Total assets
Equity and liabilities
Current liabilities
Trade and other payables
Borrowings
Lease liabilities
Current tax payable
Derivative financial liabilities
Provisions

Non-current liabilities
Borrowings
Lease liabilities
Deferred tax liabilities
Provisions
Derivative financial liabilities
Other non-current liabilities

Total liabilities
Net assets
Equity
Share capital
Share premium
Own shares
Retained deficit
Merger reserve
Cumulative translation reserve
Other reserves
Total equity

Total equity and liabilities

Notes

2021
$m

2020
$m

7
22
8
5
10
10

9
10
21
20

11
19
22

21
12

19
22
5
12
21
11

15
15
15

15

366.7
83.6
2,058.5
28.9
13.6
11.9
2,563.2

308.8
323.5
15.1
463.4
1,110.8
3,674.0

342.5
144.8
19.7
45.5
11.7
5.0
569.2

1,199.8
70.8
87.2
1.7
2.9
47.6
1,410.0
1,979.2
1,694.8

247.0
142.3
(2.2)
(842.0)
2,098.9
(75.7)
126.5
1,694.8

352.2
85.8
2,089.6
41.4
5.7
13.3
2,588.0

297.1
307.9
8.1
565.4
1,178.5
3,766.5

334.1
86.6
19.8
55.6
7.7
9.4
513.2

1,369.8
72.3
101.4
1.5
7.7
29.9
1,582.6
2,095.8
1,670.7

245.5
115.3
(6.7)
(845.3)
2,098.9
(46.1)
109.1
1,670.7

3,674.0

3,766.5

The Consolidated Financial Statements of ConvaTec Group Plc, company number 10361298, were approved by the Board of Directors and 
authorised for issue on 7 March 2022 and signed on its behalf by:

Frank Schulkes 
Chief Financial Officer 

Karim Bitar
Chief Executive Officer

152
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Annual Report and Accounts 2021

  
 
 
 
Consolidated Statement of Changes in Equity

For the year ended 31 December 2021

At 1 January 2020
Net profit
Other comprehensive 
income:
Foreign currency translation 
adjustment, net of tax
Remeasurement of defined 
benefit pension plans, 
net of tax
Change in pension asset 
restriction
Changes in fair value of cash 
flow hedges, net of tax
Other comprehensive 
income
Total comprehensive 
income
Dividends paid
Scrip dividend
Share-based payments
Share awards vested 
Excess deferred tax benefit 
from share-based payments
Purchase of own shares
At 31 December 2020
Net profit
Other comprehensive 
(expense)/income:
Foreign currency translation 
adjustment, net of tax
Remeasurement of defined 
benefit pension plans, 
net of tax
Change in pension asset 
restriction
Changes in fair value of cash 
flow hedges, net of tax
Other comprehensive 
(expense)/income
Total comprehensive 
income
Dividends paid
Scrip dividend
Share-based payments
Share awards vested 
Excess deferred tax benefit 
from share-based payments
At 31 December 2021

Notes

Share 
capital
$m
242.9
–

Share 
premium
$m
70.7
–

Own 
shares
$m
(10.8)
–

Retained 
deficit
$m
(847.7)
112.5

Merger
reserve
$m
2,098.9
–

Cumulative 
translation 
reserve
$m
(99.1)
–

Other 
reserves
$m
106.1
–

Total
$m
1,561.0
112.5

 13 

 13 

 16 
15, 16
 17 

 15 

 13 

 13 

 16 
15, 16
 17 

–

–

–

–

–

–
–
2.6
–
–

–
–
245.5
–

–

–

–

–

–

–
–
1.5
–
–

–
247.0

–

–

–

–

–

–
–
44.6
–
–

–
–
115.3
–

–

–

–

–

–

–
–
27.0
–
–

–
142.3

–

–

–

–

–

–
–
–
–
9.7

–
(5.6)
(6.7)
–

–

–

–

–

–

–
–
–
–
4.5

–

–

–

–

–

112.5
(62.9)
(47.2)
–
–

–

–

–

–

–

–
–
–
–
–

–
–
(845.3)
117.6

–
–
2,098.9
–

–

–

–

–

–

117.6
(85.8)
(28.5)
–
–

–

–

–

–

–

–
–
–
–
–

–
(2.2)

–
(842.0)

–
2,098.9

53.0

–

53.0

–

–

–

53.0

53.0
–
–
–
–

–
–
(46.1)
–

(0.2)

(0.2)

5.0

5.0

(5.3)

(5.3)

(0.5)

52.5

(0.5)
–
–
12.4
(9.7)

0.8
–
109.1
–

165.0
(62.9)
–
12.4
–

0.8
(5.6)
1,670.7
117.6

(29.6)

–

(29.6)

–

–

–

3.3

1.3

3.3

1.3

(0.7)

(0.7)

(29.6)

3.9

(25.7)

(29.6)
–
–
–
–

–
(75.7)

3.9
–
–
16.4
(3.5)

91.9
(85.8)
–
16.4
1.0

0.6
126.5

0.6
1,694.8

153
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Consolidated Statement of Cash Flows

For the year ended 31 December 2021

Cash flows from operating activities
Net profit
Adjustments for
Depreciation of property, plant and equipment
Depreciation of right-of-use assets
Amortisation of intangibles
Income tax
Non-operating expense, net
Finance costs, net
Share-based payments
Impairment/write-off of intangible assets
Impairment/write-off of property, plant and equipment

Change in assets and liabilities: 
 Inventories
 Trade and other receivables
 Other non-current receivables
 Restricted cash
 Trade and other payables
 Other non-current payables
Net cash generated from operations
Interest received
Interest paid
Income taxes paid
Net cash generated from operating activities
Cash flows from investing activities
Acquisition of property, plant and equipment and intangible assets
Proceeds from sale of property, plant and equipment and other assets
Acquisitions, net of cash acquired
Proceeds from divestiture
Net cash used in investing activities 
Cash flows from financing activities
Repayment of borrowings
Proceeds from borrowings
Payment of lease liabilities
Purchase of own shares
Dividends paid
Net cash used in financing activities 
Net change in cash and cash equivalents 
Cash and cash equivalents at beginning of the year
Effect of exchange rate changes on cash and cash equivalents
Cash and cash equivalents at end of the year

Notes

7
22
8
5

23
17
3
3

8.4
8.3

19
19
22
15
16

20

20

2021
$m

117.6

40.6
22.8
147.2
33.7
4.5
43.5
16.4
2.9
3.0

(19.6)
(29.4)
1.1
(8.4)
10.7
14.0
400.6
0.8
(36.3)
(59.2)
305.9

(94.1)
–
(113.8)
1.4
(206.5)

(583.9)
491.8
(22.0)
–
(85.8)
(199.9)
(100.5)
565.4
(1.5)
463.4

2020
$m

112.5

38.5
22.4
136.8
62.2
9.8
48.4
12.4
1.8
9.9

(5.3)
6.5
(4.1)
(2.1)
47.5
5.3
502.5
1.9
(50.4)
(54.5)
399.5

(86.2)
0.1
–
29.8
(56.3)

(73.0)
–
(20.6)
(5.6)
(62.9)
(162.1)
181.1
385.8
(1.5)
565.4

154
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Annual Report and Accounts 2021

Notes to the Consolidated Financial Statements

1. Basis of preparation

This section describes the Group’s significant accounting policies that relate to the Consolidated Financial Statements and explains 
critical accounting judgements and estimates that management has identified as having a potentially material impact to the Group. 
Specific accounting policies relating to the Notes to the Consolidated Financial Statements are described within that note.

1.1 General information
ConvaTec Group Plc (the “Company”) is a public limited company incorporated in the United Kingdom under the Companies Act of 2006 
with its registered office situated in England and Wales. The Company’s registered office is 3 Forbury Place, 23 Forbury Road, Reading, 
RG1 3JH, United Kingdom.

The Consolidated Financial Statements have been prepared in accordance with United Kingdom adopted international accounting standards. 

The Consolidated Financial Statements are presented in US dollars (“USD”), reflecting the profile of the Company and its subsidiaries’ 
(collectively, the “Group”) revenue and operating profit, which are primarily generated in US dollars and US dollar-linked currencies. All values 
are rounded to $0.1 million except where otherwise indicated.

Pages 2 and 3 in the Strategic report provide further detail of the Group’s principal activities and nature of its operations.

1.2 Significant accounting policies
The following significant accounting policies apply to the Consolidated Financial Statements as a whole:

Basis of accounting and presentation
The consolidated financial information has been prepared on a historical cost basis, except for certain financial instruments where fair value 
has been applied. Historical cost is generally based on the fair value of the consideration given in exchange for goods and services.

As at 31 December 2020, derivative current assets ($8.1 million) and derivative current liabilities ($7.7 million) have been separately disclosed 
on the face of the Consolidated Statement of Financial Position to align to current year presentation. These amounts were previously 
disclosed in ‘trade and other receivables’ and ‘trade and other payables’ respectively.

Basis of consolidation
The Consolidated Financial Statements include the results of the Company and all its subsidiary undertakings. Subsidiaries are entities 
controlled by the Group. Control exists when the Group: (i) has power over the investee; (ii) is exposed, or has rights, to variable returns from 
its involvement in the investee; and (iii) has the ability to use its power to affect its returns. The Group reassesses whether or not it controls 
an entity if facts and circumstances indicate that there are changes to one or more of the three elements of control listed above.

The consolidated financial information of the Company’s subsidiaries is included within the Group’s Consolidated Financial Statements 
from the date that control commences until the date that control ceases and is prepared for the same year-end date using consistent 
accounting policies.

Going concern
As discussed in the Financial review on pages 77 to 85, the overall financial performance of the business remains strong with a robust 
liquidity position. During the year, the Group invested in the transformation programme of the business and completed two acquisitions for 
a consideration of $113.8 million (Note 8.4 – Acquisitions). In addition, the Group diversified its funding sources after securing $500 million 
from a debut issuance of senior notes, the proceeds from which were used to prepay a portion of its existing debt facilities. As at 
31 December 2021, the Group held cash and cash equivalents of $463.4 million, and borrowings of $1,344.6 million. The borrowings 
comprised senior notes of $500 million and multicurrency term loans of $857.9 million less unamortised financing fees of $13.3 million. 
The senior notes are repayable in 2029 and the multicurrency term loans are amortising with a capital repayment of $148.8 million within 
the next 12 months and $709.1 million repayable in full by October 2024. The Group also has access to a $200 million multicurrency 
revolving credit facility, which remains undrawn and expires in October 2024. 

In preparing their assessment of going concern, the Directors have considered available cash resources, financial performance and forecast 
performance, together with the Group’s financial covenant compliance requirements and principal risks and uncertainties. The availability 
assessment includes the funding requirements in relation to the recently announced agreement to acquire Triad Life Sciences Inc for an 
initial consideration of $125.0 million and contingent consideration of $325.0 million dependent on short-term milestones and performance 
over the two years post completion.

In assessing going concern, and in accordance with FRC guidance, management used the Board approved 2022 budget and longer-term 
strategic plan as foundations with the application of severe but plausible downside scenarios linked to the Group’s principal and emerging 
risks, including supply chain disruption, cyber security disruption, delivery of transformation initiatives, regulatory breaches and geopolitical 
events (including recurrent and/or new pandemic). Further details of the specific scenarios are provided in the Viability statement on 
pages 74 to 76. Under each scenario the Group retained significant liquidity and covenant headroom throughout the going concern period. 
A reverse stress test, before mitigation, was also considered as part of the Viability statement but the conditions of the reverse stress test 
were considered implausible. There are no key sources of estimation uncertainty in arriving at the going concern conclusion and no 
significant judgements have been required.

155
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

1. Basis of preparation (continued)
Accordingly, at the time of approving these Consolidated Financial Statements, the Directors have a reasonable expectation that the Group 
and the Company will have adequate liquid resources to meet their respective liabilities as they become due and will be able to sustain its 
business model, strategy and operations and remain solvent for a period of at least 12 months from 7 March 2022.

Foreign currency translation and transactions
Assets and liabilities of subsidiaries whose functional currency is not US dollars are translated into US dollars at the rate of exchange at 
the period end. Income and expenses are translated into US dollars at the average rates of exchange prevailing during the year. Foreign 
currency gains and losses resulting from the translation of subsidiaries into US dollars are recognised in the Consolidated Statement of 
Comprehensive Income. Exchange differences arising from the translation of the net investment in foreign operations are taken to the 
cumulative translation reserve within equity. They are recycled and recognised in the Consolidated Income Statement upon disposal of 
the operation.

In preparing the financial statements of the individual companies, transactions in currencies other than the entity’s functional currency 
(foreign currencies) are recognised at the rates of exchange prevailing on the dates of the transactions. At each reporting date, monetary 
assets and liabilities that are denominated in foreign currencies are retranslated at the rates prevailing at that date. Non-monetary items 
carried at fair value that are denominated in foreign currencies are translated at the rates prevailing at the date when the fair value was 
determined. Non-monetary items that are measured in terms of historical cost in a foreign currency are not retranslated. Any gain or loss 
arising from subsequent exchange rate movements is included as an exchange gain or loss in the Consolidated Income Statement.

Hyperinflation accounting
Argentina has been considered as a hyperinflationary economy since 2018, with hyperinflation accounting being required for foreign 
operations with a functional currency of the Argentine peso to meet the conditions of IAS 29, Financial Reporting in Hyperinflationary 
Economies (“IAS 29”). ConvaTec Argentina SRL is a subsidiary that has a functional currency of Argentine peso. The impact of adopting 
hyperinflation accounting is deemed immaterial to the Group and adjustments related to IAS 29 have not been recognised in either the 
current or prior financial year.

1.3 Critical accounting judgements and key sources of estimation uncertainty
The preparation of financial statements, in conformity with adopted IFRS, requires management to make judgements, estimates and 
assumptions that affect the application of accounting policies and the reported value of assets and liabilities, income and expense. Actual 
results may differ from these estimates or judgements of likely outcome. Management regularly reviews, and revises as necessary, the 
accounting judgements that significantly impact the amounts recognised in the Consolidated Financial Statements and the sources of 
estimation uncertainty that are considered to be “key estimates” due to their potential to give rise to material adjustments in the Group’s 
Consolidated Financial Statements within the next financial year.

Considerations for the identification of critical accounting judgements and key estimates
A detailed assessment was performed by management of the potential impact on each balance sheet caption and associated accounting 
estimates and judgements at each reporting date during the year. In preparing the Consolidated Financial Statements, no critical accounting 
judgements or key sources of estimation uncertainty have been identified from this assessment. 

As detailed further in the Group’s Audit and Risk Committee report on pages 110 to 121, the Committee has reviewed, discussed, and 
challenged management on the determination of its critical accounting judgements and key estimates.

Recognition of deferred tax assets in respect of unused US tax losses
The Group had unused US tax losses at 31 December 2021 (refer to Note 5.5). IAS 12 Income taxes, states that when an entity has a history 
of recent losses, the entity recognises a deferred tax asset arising from unused tax losses only to the extent that the entity has sufficient 
taxable temporary differences or there is convincing other evidence that sufficient taxable profit will be available against which the unused 
tax losses can be utilised by the entity. Given the history of US tax losses, management assessed the future profitability of its US operations 
over the next three years, taking into account known significant contracts, organic and inorganic strategic growth initiatives, and any cost 
reduction transformation programmes, and concluded that there is insufficient evidence that there will be short term future taxable profit in 
the US against which these losses can be utilised. Accordingly, the unused US tax losses have not been recognised as a deferred tax asset at 
31 December 2021 except to the extent that there are suitable offsetting taxable temporary differences. Based on the strategic plan for the 
US, management also concluded that the recognition of a further deferred tax asset on unused US tax losses is unlikely to be subject to 
a material adjustment in the next 12 months. In the interim results for the six months ended 30 June 2021, the recognition of deferred tax 
assets in relation to unused US tax losses was identified as a key source of estimation uncertainty but following further information and 
clarification in respect of the impact of the Group’s transformation programme on the US taxable profits, management concluded that this 
is no longer a key source of estimation uncertainty.

156
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Annual Report and Accounts 2021

1. Basis of preparation (continued)
1.4 Accounting standards
New standards and interpretations applied for the first time
On 1 January 2021, the Group adopted the IASB issued Amendments to IFRS 16 – COVID 19-Related Rent Concessions.

On 1 January 2021, the Group adopted the IASB issued Amendments to IFRS 4, IFRS 7, IAS 39, IFRS 9, and IFRS 16 – Interest rate benchmark 
reform (phase 2). The amendment to IFRS 9 provides relief from applying specific hedge accounting and financial instrument derecognition 
requirements directly affected by interbank offered rate (IBOR) reform. By applying the practical expedient, the Group will not be required to 
discontinue its hedging relationships as a result of changes in reference rates due to the IBOR reform. The amendment to IFRS 7 required 
additional disclosure explaining the nature and extent of risk related to the reform and the progress of the transition. 

In March 2021, the IFRS Interpretations Committee (IFRIC) published the second agenda decision on the accounting for Software-as-a-
Service (SaaS) arrangement, clarifying the accounting for configuration and customisation costs incurred in implementing SaaS. 

The adoption during the year of the amendments and interpretations has not had a material impact on the Consolidated Financial 
Statements. 

Apart from these changes, the accounting policies set out in the Notes have been applied consistently to both years presented in these 
Consolidated Financial Statements.

New standards and interpretations not yet applied
IFRS 17 – Insurance contracts (effective from 1 January 2023) is ultimately intended to replace IFRS 4. It sets out the requirements that a 
company should apply in reporting information about insurance contracts it issues and reinsurance contracts it holds. The Group believes 
that the adoption of IFRS 17 will not have a significant impact on the Consolidated Financial Statements. 

Other interpretations and amendments
In addition to these issued standards, there are a number of other interpretations, amendments and annual improvement project 
recommendations that have been issued but not yet effective that have not yet been adopted by the Group because application is not yet 
mandatory, or they are not relevant for the Group. 

157
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Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

Results of operations

This section includes disclosures explaining the Group’s performance for the year, including segmental information, operating costs, 
other expenses, taxation and earnings per share.

2. Revenue and segmental information
2.1 Revenue recognition

The Group sells a broad range of products to a wide range of customers, including healthcare providers, patients and manufacturers. 
This note provides further information about how the Group generates revenue and when it is recognised in the Consolidated Income 
Statement.

Accounting policy

Revenue recognition
The Group measures revenue for goods sold based on the consideration specified in a contract with a customer, net of discounts, 
chargeback allowances and sales-related taxes. Revenue is recognised when control over a product or service is transferred to a 
customer, distributor or wholesaler, which is generally when goods have been delivered, as most products are insured to delivery. 
Due to the short-term nature of the receivables from sale of goods, the Group measures them at the original transaction price without 
discounting. The transaction price is the amount the Group expects to receive at that date.

Nature of goods and services
Advanced Wound Care, Ostomy Care, Continence Care and Critical Care products are sold to pharmacies, hospitals and other acute and 
post-acute healthcare service providers directly or through distributors and wholesalers. Products are also sold directly to end customers 
(patients) through the Group’s home services entities and a small number of clinical and retail outlets. Infusion Care primarily serves 
business-to-business customers, consisting of the leading insulin pump manufacturers. A small proportion of its revenue is derived from 
business-to-business urology product sales.

In 2021 and 2020, no single customer generated more than 10% of the Group’s revenue.

Nature, timing of satisfaction of performance obligations
Principally the Group’s contracts with customers contain a single performance obligation, that is the delivery of products to customers. 
Revenue is typically recognised when the customer receives the product but is subject to the shipping terms in each individual contract. 
Where non-standard shipping arrangements exist, revenue is recognised when the goods have transferred control. Allowances for 
returns, where the contract specifies these terms, are made at the point of sale.

For sales to distributors, revenue is recognised when title is transferred to the distributor and the distributor has assumed control, the 
timing of which depends on the contractual terms with each distributor. Chargeback allowances or contractual deductions relating to end 
customer agreements, which may differ from distributor contracts, are made at the point of title transfer to the distributor. In certain 
European countries, rebates are provided to governments. These rebates are often mandated by laws or government regulations. These 
rebates are estimated based on government regulations and unbudgeted spending, laws and terms of individual rebate agreements, and 
are recorded as a deduction from revenue at the time the related revenue is recorded. The estimates are adjusted periodically to reflect 
actual experience. 

When distributors buy products from the Group at a contract price and sell these products to end customers at a price agreed with the 
Group that is lower than the distributors’ list price, a chargeback may arise and a claim may be submitted to the Group by the distributor. 
The provision for chargebacks is based on expected sell-through levels by the Group’s distributors to contracted customers, as well as 
estimated distributor inventory levels. Retrospective claims are reviewed against estimations to ensure provisions are regularly updated.

Volume discounts
The Group offers certain prospective volume discounts to customers who achieve a specified volume amount or value of purchases 
in any given year. Volume discounts that meet the definition of a material right are recognised as a separate performance obligation. 
Material rights are the option to purchase additional products at a discount which would not have been given had the contract not been 
entered into and are incremental to the range of discounts typically given for those goods to that class of customer.

The stand-alone selling price of these volume discounts is based on the discount that the customer would obtain when exercising the 
option, adjusted for any discount the customer could receive without exercising the option and the likelihood that the option will be 
exercised. The revenue allocated to volume discounts is short-term in nature and recognised proportionally to the pattern of options 
exercised by the customer or when the option expires.

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Annual Report and Accounts 2021

2. Revenue and segmental information (continued)

Contract costs
Incremental costs in respect of obtaining a contract with a customer principally relate to commissions paid by the Group to its sales 
representatives. Such costs are capitalised as an asset to the extent that they directly relate to a specific contract, are used to generate 
or enhance resources used in satisfying performance obligations and are expected to be recovered.

The amortisation period for commissions can differ according to the contract term. Renewals of milestones in the contract are taken into 
account when determining the amortisation period. For each contract that has sales commissions paid, the Group has determined an 
appropriate amortisation period that is consistent with the transfer of control to the customer. These capitalised costs amounted to 
$5.6 million (2020: $4.7 million) at 31 December 2021 and the amount of related amortisation expense for the year ended 31 December 
2021 was $3.6 million (2020: $3.7 million). There was no impairment loss in respect of the costs capitalised.

Contract balances
The Group recognises contract liabilities that are primarily in respect of advance consideration received from customers prior to transfer 
of the related products and material rights offered to customers for options to purchase additional goods. The contract liability balance at 
31 December 2021 was $4.9 million (2020: $5.1 million).

2.2 Segment information

The Board considers the Group’s business to be a single segment entity engaged in the development, manufacture and sale of medical 
products and technologies. R&D, manufacturing and central support functions are managed globally for the Group. Revenues are 
managed both on a category and regional basis. This note presents the performance and activities of the Group as a single segment.

Pages 23 to 31 of the Strategic report provide further detail of category revenue.

The Group’s CEO, who is the Group’s Chief Operating Decision Maker, evaluates the Group’s global product portfolios on a revenue basis 
and evaluates profitability and associated investment on an enterprise-wide basis due to shared infrastructures and support functions 
between the categories. Financial information in respect of revenues provided to the CEO for decision-making purposes is made on both 
a category and geographic basis. Resources are allocated on a Group-wide basis, with a focus on both category and the key markets but 
allocations are primarily based on the merits of the individual proposals.

Revenue by category
The Group generates revenue across four major product categories.

The following chart sets out the Group’s revenue for the year ended 
31 December by category:

Geographic information
Geographic markets
The following chart sets out the Group’s revenue by regional 
geographic market in which third party customers are located:

Revenue by category ($m)

Revenue by geography ($m)(a)

2021

592.3

546.5

542.9

356.6

2021

741.6

1,022.1

274.6

2020

546.8

525.9

498.6

323.0

2,038.3

1,894.3

2020

709.8

944.9

239.6

2,038.3

1,894.3

Advanced Wound Care

Ostomy Care

Europe

North America 

RoW

Continence and Critical Care

Infusion Care

(a)  During the year ended 31 December 2021, the geographical revenue information provided to the Group’s CEO was changed to better reflect the way in which the Group now 
manages its operations. The change was driven by the ongoing transformation initiatives and aligns with the current management and reporting structure. The change in 
reporting structure took effect during the year ended 31 December 2021. The 31 December 2020 comparative revenue information has been re-presented to reflect this 
change. Europe includes Russia and formerly EMEA comprised Europe (including Russia), the Middle East and Africa. North America comprises United States and Canada, and 
formerly Americas comprised the United States, Canada, Latin and South America. Rest of World (“RoW”) comprises all countries in Asia Pacific, Latin America (including 
Mexico and the Caribbean), South America, the Middle East (including Turkey) and Africa.

Geographic regions
The following table sets out the Group’s revenue on the basis of where the legal entity generating the revenue resides, including countries 
representing over 10% of Group revenue and the UK, where the Group is domiciled: 

Geographic regions
US
UK
Denmark
Other(a)

(a)  Other consists primarily of other countries in Europe, Asia-Pacific, Latin America and Canada.

2021 
$m

2020 
$m

704.1
147.2
346.8
840.2
2,038.3

666.1
149.4
316.1
762.7
1,894.3

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

2. Revenue and segmental information (continued)
The following table sets out the Group’s long-lived assets by country in which the legal entity resides:

Long-lived assets(a)
US
UK
Denmark
Other(b)
Total long-lived assets

2021 
$m

2020 
$m

1,141.9
777.8
272.6
316.5
2,508.8

1,093.0
818.7
293.0
322.9
2,527.6

(a)  Long-lived assets consist of property, plant and equipment, right-of-use assets, intangible assets and goodwill.
(b)  Other consists primarily of other countries in Europe and Latin America.

3. Operating costs

The Group incurs operating costs associated with the day-to-day operation of the business. These operating costs are deducted from 
revenue to calculate operating profit.

3.1 Operating profit
Operating profit is stated after deducting from revenue: 

Depreciation:
 Property, plant and equipment
 Right-of-use assets
Amortisation of intangibles
Impairment/write-off of property, plant and equipment
Impairment/write-off of intangible assets
Gain on disposal of property, plant and equipment
Loss on terminated leases
Amounts in respect of inventories included in cost of sales
Write-down of inventories(a)
Lease expenses(b)
Staff costs:
 Wages and salaries
 Share-based payment expense
 Social security costs
 Defined contribution plans post-employment costs
 Defined benefit plans pension costs
 Recruitment and other employment-related fees
Total staff costs

Notes

2021 
$m

7
22
8
7
8

22

22

17

13

40.6
22.8
147.2
3.0
2.9
–
–
766.7
6.4
2.8

533.4
16.4
64.2
21.0
3.6
11.5
650.1

2020 
$m

38.5
22.4
136.8
9.9
1.8
(0.1)
0.1
732.6
19.5
3.9

478.1
12.4
59.1
18.0
2.9
9.2
579.7

(a)  Write down of inventories to their realisable value are included in cost of sales.
(b)  Lease expenses comprises the costs in respect of low-value leases and short-term leases. Refer to accounting policy in Note 22 – Leases.

The remuneration of the Executive Directors, which is set out on pages 127 to 135, has been audited and is included within staff costs and 
forms part of these Consolidated Financial Statements.

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3. Operating costs (continued)
3.2 Employee numbers
The average number of the Group’s employees by function:

The average number of the Group’s employees by location:

Employees by function

Employees by location(a)

2021

2020

5,587

3,104  863 471

2021

5,655

2,884

770 

380

2020

10,025

5,985

5,923

Operations

Sales and marketing

General and administrative

R&D

9,689

Europe

North Americas

RoW

1,310 2,730 

1,196

2,570 

10,025

9,689

(a)  During the year ended 31 December 2021, the geographical information provided to the Group’s CEO was changed to better reflect the way in which the Group now manages 

its operations. The change in reporting structure took effect during the year ended 31 December 2021 and the employee numbers for the year ended 31 December 2020 have 
been re-presented to reflect this. Europe includes Russia and formerly EMEA comprised Europe (including Russia), the Middle East and Africa. North America comprises United 
States and Canada, and formerly Americas comprised the United States, Canada, Latin and South America. Rest of World (“RoW”) comprises all countries in Asia Pacific, Latin 
America (including Mexico and the Caribbean), South America, the Middle East (including Turkey) and Africa.

3.3 Auditor’s remuneration
The total remuneration of the Group’s auditor, Deloitte LLP, for services provided to the Group during the year ended 31 December is 
analysed below: 

Fees for audit services
Group
Subsidiaries
Total fees for audit services
Fees for non-audit services
Audit-related assurance services
Other assurance services
Total auditor remuneration

2021 
$m

2020 
$m

1.2
3.2
4.4

0.2
0.2
4.8

1.1
3.1
4.2

0.2
–
4.4

A description of the work performed by the Audit and Risk Committee to safeguard auditor independence when non-audit services are 
provided is set out in the Audit and Risk Committee report on pages 110 to 121.

4. Non-operating (expense)/income, net
Non-operating (expense)/income, net was as follows:

Foreign exchange gain/(loss)(a)
(Loss)/gain on foreign exchange forward contracts
(Loss)/gain on foreign exchange cash flow hedges
Gain on divestiture
Non-operating (expense)/income, net

Notes

21
21
8

2021 
$m
4.3
(9.7)
(3.9)
0.5
(8.8)

2020 
$m
(26.3)
21.7
0.2
16.5
12.1

(a)  The foreign exchange gains in 2021 primarily relate to the foreign exchange impact on intercompany transactions, including loans transacted in non-functional currencies. 

The Group uses foreign exchange forward contracts to manage these exposures in accordance with the Group’s foreign exchange risk management policy. 

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continued

5. Income taxes

The note below sets out the current and deferred tax charges, which together comprise the total tax expense in the Consolidated 
Income Statement. The deferred tax section of the note also provides information on expected future tax charges or benefits and sets 
out the deferred tax assets and liabilities held across the Group.

Accounting Policy

The tax expense represents the sum of current and deferred tax.

Current tax
Current tax is the expected tax payable or receivable on the taxable profit or loss for the year, using tax rates enacted or substantively 
enacted at the reporting date, and any adjustment to tax payable in respect of prior years. Taxable profit differs from profit before income 
taxes because taxable profit excludes items that are either never taxable or tax deductible or items that are taxable or tax deductible in 
a different period.

Deferred tax
Deferred tax is recognised using the balance sheet liability method for temporary differences between the carrying amounts of assets 
and liabilities for financial reporting purposes and the amounts used for taxation purposes. Deferred tax is not recognised for temporary 
differences:
 – on the initial recognition of assets or liabilities in a transaction that is not a business combination and that affects neither accounting 

nor taxable profit or loss;

 – arising on the initial recognition of goodwill;
 – on investments in subsidiaries and jointly controlled entities to the extent that it is probable that they will not reverse in the 

foreseeable future. 

Deferred tax assets and liabilities are measured at the tax rates that are expected to apply to temporary differences when the asset 
is realised or the liability is settled, based on the laws that have been enacted or substantively enacted by the reporting date.

Deferred tax assets are recognised for unused tax losses, tax credits and deductible temporary differences, to the extent that it is 
probable that future taxable profits will be available against which the asset can be utilised. Deferred tax assets are reviewed at each 
reporting date and are reduced to the extent that it is no longer probable that the related tax benefit will be realised.

Deferred tax assets and liabilities are offset if there is a legally enforceable right to offset current tax liabilities and assets, and they relate 
to income taxes levied by the same tax authority on the same taxable entity, or on different tax entities, but they intend to settle current 
tax liabilities and assets on a net basis or their tax assets and liabilities will be realised simultaneously.

Current tax and deferred tax for the year
Current tax and deferred tax are recognised in the Consolidated Income Statement, except when they relate to items that are recognised 
in other comprehensive income or directly in equity, in which case, the current tax and deferred tax are also recognised in other 
comprehensive income or directly in equity, respectively. Where current tax or deferred tax arises from the initial accounting for 
a business combination, the tax effect is included in the accounting for the business combination.

Tax provisions
The Group is subject to income taxes in numerous tax jurisdictions. Judgement is sometimes required in determining the worldwide 
provision for income taxes. There may be transactions for which the ultimate tax determination is uncertain and may be challenged by 
the tax authorities. The Group recognises liabilities for anticipated or actual tax audit issues based on estimates of whether additional 
taxes will be due. Where an outflow of funds to a tax authority is considered probable and the Group can make a reliable estimate of the 
outcome of the issue, management calculates the provision for the best estimate of the liability. In assessing its uncertain tax provisions, 
management takes into account the specific facts of each issue, the likelihood of settlement and the input of professional advice where 
required. The Group assumes that where a tax authority has a right to examine amounts reported to it, they will do so and will have 
full knowledge of all relevant information. Where the ultimate liability as a result of an issue varies from the amounts provided, such 
differences could impact the current and deferred tax assets and liabilities in the period in which the dispute is concluded.

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5. Income taxes (continued)
5.1 Taxation
The Group’s income tax expense is the sum of the total current and deferred tax expense. 

Current tax
UK corporation tax
Overseas taxation
Adjustment to prior years
Total current tax expense
Deferred tax
Origination and reversal of temporary differences
Change in tax rates
Adjustment to prior years
Change in basis of estimate for Swiss deferred tax asset
Total deferred tax (benefit)/expense
Income tax expense

2021 
$m

0.8
46.8
(4.3)
43.3

(13.3)
4.4
(0.7)
–
(9.6)
33.7

2020 
$m

0.4
54.9
(0.6)
54.7

(13.8)
2.5
1.2
17.6
7.5
62.2

In 2021, the deferred tax adjustment to prior years primarily relates to a net tax benefit in the UK for additional tax reliefs claimed in respect 
of a number of years following the completion of a detailed analysis performed in 2021. 

The change in tax rates mainly relates to the revaluation of the net deferred tax liability in the UK following the enactment of Finance Act 
2021 on 10 June 2021, which increases the UK corporation tax rate from 19.0% to 25.0% from 1 April 2023. This resulted in a tax expense 
of $4.8 million. In 2020 the change in tax rates mainly relates to the revaluation of the net deferred tax liability in the UK from 17.0% to 19.0% 
following the reversal of the change in corporation tax rate originally due to come into effect from 1 April 2020. 

The Group’s deferred tax expense in the year ended 31 December 2020 was mainly influenced by the deferred tax expense of $17.6 million 
arising from the change in the basis of estimate of the deferred tax asset arising upon the Swiss tax reform.

The basis for the deferred tax asset due to the Swiss tax reform remained unchanged in 2021 following formal agreement with the Swiss tax 
authorities during the year.

5.2 Reconciliation of effective tax rate
The effective tax rate for the year ended 31 December 2021 was 22.3%, as compared with 35.6% for the year ended 31 December 2020.

Tax reconciliation to UK statutory rate
The table below reconciles the Group’s profit before income taxes at the UK statutory rate to the Group’s total income tax expense:

Profit before income taxes
Profit before income taxes multiplied by rate of corporation tax in the UK of 19.0% 
(2020: 19.0%)
Difference between UK and overseas tax rates(a)
Deferred tax impact for increase in UK tax rate
Non-deductible/non-taxable items
Movement in unrecognised losses and other assets
Movement in provision for uncertain tax positions
Deferred tax impact of the Swiss tax reform
Other(b)
Income tax expense and effective tax rate

2021 
$m
151.3
28.7

4.0
4.8
1.3
(6.9)
(0.3)
–
2.1
33.7

22.3%

2020 
$m
174.7
33.2

2.4
2.4
3.4
1.8
(0.5)
17.6
1.9
62.2

35.6%

(a)  This includes changes in tax rates based on substantively enacted legislation across various tax jurisdictions as of 31 December.
(b)  Includes tax on amortisation of indefinite-lived intangibles and taxes on unremitted earnings. 

The Group’s income tax expense includes a $6.8 million tax benefit due to the recognition of deferred tax assets following the acquisition 
of Cure Medical in respect of previously unrecognised tax losses in the US (in ‘Movement in unrecognised losses and other assets’) and 
$3.0 million tax expense due to the derecognition of deferred tax asset for pre-2017 losses in the UK where its utilisation is not probable 
in the foreseeable future. Refer to Note 8.4 for the acquisition accounting of Cure Medical.

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continued

5. Income taxes (continued)
The Group has worldwide operations and therefore is subject to several factors that may affect future tax charges, principally the levels and 
mix of profitability in different tax jurisdictions, transfer pricing regulations, tax rates imposed and tax regime reforms. The calculation of the 
Group’s tax expense involves a degree of estimation and judgements in respect of certain items for which the tax treatment cannot be finally 
determined until resolution has been reached with the relevant tax authority, specifically in relation to open tax and transfer pricing matters. 
Due to the high volume of intercompany transactions, the Group’s evolving business model and the increasing complexity in interaction 
between multiple tax laws and regulations, transfer pricing is an area of significant risk, requiring significant judgement in determining the 
appropriate allocation of profits between jurisdictions. The Group assessed the impact of ongoing changes to the Group’s operating model, 
the supporting documentation for the tax and transfer pricing positions, existing tax authority challenges, and the likelihood of new 
challenges by tax authorities. In line with the requirements of IFRIC 23, Uncertainty over Income Tax Treatments, the Group has provided for 
uncertain tax positions in respect of transfer pricing positions and withholding tax liabilities. The net decrease in provisions during 2021 was 
driven by the reassessment of estimates and, settlement and expiry of open tax issues in various jurisdictions. Where open issues exist, the 
ultimate liability for such matters may vary from the amounts provided and is dependent upon the outcome of discussions with the relevant 
tax authorities or, where applicable, appeal proceedings. Accordingly, settlement and expiry of open tax issues could have a significant 
impact on future tax charges. 

The Group is monitoring tax reforms driven by the OECD’s project to address the tax challenges arising from the digitalisation of the 
economy. The Group is analysing whether the tax impact of the project to the Group will be material following the issuance of detailed 
guidance for Pillar 2 by the OECD on 20 December 2021 and expected new legislation in the jurisdictions in which the Group operates once 
it becomes available. This has no impact on the Group’s result for 2021. 

5.3 Deferred tax
The components of deferred tax assets and liabilities at 31 December are as follows:

Deferred tax assets
Deferred tax liabilities

2021 
$m
28.9
(87.2)
(58.3)

2020 
$m
41.4
(101.4)
(60.0)

The movement in deferred tax assets is principally due to the decrease relating to intra-group profits eliminated on intercompany inventory 
and other temporary differences.

The movement in deferred tax liabilities is principally due to a decrease of $21.5 million relating to amortisation of intangibles, deferred tax 
benefit of additional UK tax reliefs claimed in respect of a number of years and other temporary differences, partially offset by an increase in 
net deferred tax liabilities of $7.3 million as a result of the acquisition of Cure Medical and the revaluation of net deferred tax liabilities due to 
increase in UK corporation tax rate (2020: decrease of $6.4 million). 

The future potential recognition of deferred tax assets on unutilised tax losses in the US is not expected to materially impact the Group’s tax 
charge and the Statement of Financial Position in the next 12 months. Refer to Note 1.3 for further details.

5.4 Movement in deferred tax assets and liabilities
Deferred tax is measured on the basis of the tax rates enacted or substantively enacted at the reporting date. The UK deferred tax rate is 
increasing (from 19.0% to 25.0% from 1 April 2023). The movements in the deferred tax assets and liabilities were as follows:

Inventory 
$m
13.9
0.8
–

Tax losses 
$m
47.5
7.8
–

PP&E 
$m
(4.0)
5.5
–

Intangibles 
$m
(143.0)
(30.4)
–

Interest 
$m
20.1
(0.5)
1.7

–
(0.5)
14.2
(5.8)
–

(0.2)
–
0.2
8.4

–
–
55.3
34.4
–

–
–
(0.2)
89.5

–
(0.3)
1.2
(12.5)
–

(0.1)
–
0.4
(11.0)

–
(1.9)
(175.3)
1.1
–

(9.1)
–
0.9
(182.4)

–
0.1
21.4
(4.0)
(0.9)

–
–
–
16.5

Other 
$m
12.7
9.3
0.2

1.0
–
23.2
(3.6)
0.1

–
0.5
0.5
20.7

Total 
$m
(52.8)
(7.5)
1.9

1.0
(2.6)
(60.0)
9.6
(0.8)

(9.4)
0.5
1.8
(58.3)

At 1 January 2020
Recognised in Income Statement
Recognised in other comprehensive 
income
Other
Foreign exchange
At 31 December 2020
Recognised in Income Statement
Recognised in other comprehensive 
income
Acquisitions(a)
Other
Foreign exchange
At 31 December 2021

(a)  Refer to Note 8.4 – Acquisitions.

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5. Income taxes (continued)
Net deferred tax liabilities provided in relation to intangible assets are predominantly in respect of temporary differences arising on assets 
and liabilities acquired as part of historic business combinations and a deferred tax asset that arose on the Swiss tax reform. The net 
movement in deferred tax liability in respect of intangible assets in 2021 mainly relates to the amortisation in the year, reclassification of 
deferred tax between intangibles and PP&E and the revaluation of the deferred tax liability arising due to the increase in UK corporation tax 
rate from 19% to 25% from 1 April 2023. Following a formal agreement with the Swiss Tax Authorities in 2021, the basis for valuing the final 
assessment of, and associated deferred tax asset on, the deductible amortisation relating to intangible asset for tax purposes in relation to 
the Swiss tax reform remained unchanged as the Discounted Cash Flow method is permitted under Swiss tax law. In respect of the deferred 
tax asset arising on Swiss tax reform, an amount relating to temporary differences of $15.9 million that are not expected to reverse against 
taxable income in the future (2020: $18.4 million) is not recognised. 

In 2020, the Group’s transformation changes, including the change in the future anticipated profitability of the Group’s Swiss-based 
operations, led to a revised method of valuation used from the Swiss Practitioners’ method in 2019 to the Discounted Cash Flow method in 
2020, which is also permitted under Swiss tax law. 

The Group has a history of US tax losses and has recognised a deferred tax asset on US tax losses at 31 December 2021 only to the extent 
that there are suitable offsetting taxable temporary differences. In 2021, there has been an increase in suitable offsetting taxable temporary 
differences in the US resulting in an additional amount of tax losses in the US being recognised as a deferred tax asset. In particular, upon 
acquisition of Cure Medical, a deferred tax liability of $9.4 million was recognised in relation to the acquisition of intangible assets – refer to 
Note 8.4 for further details. Some of this can be offset by the Group’s US tax losses and, therefore, the deferred tax recognition criteria were 
met, resulting in a tax benefit of $6.8 million being recognised.

Deferred tax on inventory predominantly relates to a deferred tax asset recognised on intra-group profits arising on intercompany inventory 
that are eliminated in the Consolidated Financial Statements. As intra-group profits are not eliminated from the individual entities’ tax 
returns, a temporary difference arises that will reverse when the inventory is sold externally.

Other net temporary differences include accrued expenses, employee costs and pensions, for which a tax deduction is only available on 
a paid basis, unremitted earnings and share-based payments.

To the extent that dividends remitted from overseas subsidiaries and branches are expected to result in additional taxes, appropriate 
amounts have been provided for. Deferred tax is not provided on temporary differences of $369.1 million in the year to 31 December 2021 
(2020: $379.1 million) arising on unremitted earnings as management has the ability to control any future reversal and does not consider 
such a reversal in the foreseeable future to be probable.

5.5 Tax losses carried forward
The following table shows the total recognised and unrecognised tax losses carried forward, including anticipated period of expiration:

Country
UK
Luxembourg
US State Taxes
US Federal Tax
Other overseas
Total
Recognised
Unrecognised
Total

2021

1 to 20 
years(a) 
$m
–
0.1
208.4
263.8
6.4
478.7

Indefinite 
$m
38.0
638.3
19.6
171.9
8.0
875.8

2020

1 to 20 
years(a) 
$m
–
–
209.4
263.7
53.2
526.3

Indefinite 
$m
48.0
687.4
29.4
127.1
2.5
894.4

Total 
$m
48.0
687.4
238.8
390.8
55.7
1,420.7
381.9
1,038.8
1,420.7

Total 
$m
38.0
638.4
228.0
435.7
14.4
1,354.5
514.3
840.2
1,354.5

(a)  There are no losses which are due to expire in more than 20 years.

Deferred tax assets are only recognised where it is probable that future taxable profits will be available to utilise the tax losses. 

The tax losses of $1,354.5 million includes judgements and estimates considered in the provision for uncertain tax positions, in line with 
the requirements of IFRIC 23, Uncertainty over Income Tax Treatments. The Luxembourg tax losses are not recognised and the movement 
is mainly attributable to foreign exchange differences. In 2020, the movement was driven by the utilisation of the tax losses against the 
taxable profit on intragroup transfer of entities. The recognition of deferred tax assets on unutilised tax losses in the US is not expected to 
materially impact the Group’s tax charge and the Consolidated Statement of Financial Position in the next 12 months. Refer to Note 1.3 for 
further details.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

6. Earnings per share

Basic earnings per share is calculated based on the Group’s net profit for the year attributable to shareholders divided by the weighted 
average number of ordinary shares in issue during the year. The weighted average number of shares is net of shares purchased by the 
Group and held as own shares.

Diluted earnings per share take into account the dilutive effect of all outstanding share options priced below the market price in arriving 
at the number of shares used in its calculation.

Net profit attributable to the shareholders of the Group ($m)
Basic weighted average ordinary shares in issue (number)
Dilutive impact of share awards (number)
Diluted weighted average ordinary shares in issue (number)
Basic earnings per share (cents per share)
Diluted earnings per share (cents per share)

2021
117.6
2,008,923,797
17,416,548
2,026,340,345
5.9¢ per share
5.8¢ per share

2020
112.5
1,991,596,105
14,994,358
2,006,590,463
5.7¢ per share
5.6¢ per share

The calculation of diluted earnings per share excludes 1,878,714 (2020: 936,534) share options that were non-dilutive for the year because 
the exercise price exceeded the average market price of the Group’s ordinary shares during the year.

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Operating assets and liabilities

This section set outs the assets and liabilities that the Group holds in order to operate the business on a day-to-day basis, including 
long-term assets which generate future revenues and profits for the Group.

Liabilities relating to the Group’s financing activities are addressed in “Capital structure and financial costs”.

7. Property, plant and equipment

The Group invests in buildings, equipment and manufacturing machinery to operate the business and to generate revenue and profits. 
Assets are depreciated over their estimated useful economic life reflecting the reduction in value of the asset due, in particular, to wear 
and tear.

Accounting policy

Property, plant and equipment (“PP&E”) are stated at cost less accumulated depreciation and impairment losses. Cost includes 
expenditures that are directly attributable to the acquisition of an asset including subsequent additions and improvements when it is 
probable that future economic benefit associated with the item will flow to the Group and the cost can be reliably measured.

Depreciation is provided on a straight-line basis from the point an asset becomes available for use. Depreciation is calculated to reduce 
the asset’s cost to its residual value over the asset’s estimated useful economic life. Assets are depreciated as follows:

Asset category 
Land 
Land improvements 
Leasehold improvements 
Buildings  
Machinery, equipment and fixtures 

Useful life
not depreciated
15 to 40 years
shorter of useful life or lease tenure
15 to 50 years
3 to 20 years

The gain or loss arising on the disposal or retirement of an asset is determined as the difference between the sale proceeds, less any 
selling expenses, and the carrying amount of the asset. This difference is recognised in the Consolidated Income Statement.

Assets under construction reflects the cost of construction or improvement of items of PP&E that are not yet available for use. Finance 
costs incurred in the construction of assets that take more than one year to complete are capitalised using the Group’s weighted average 
borrowing cost during the period in which the asset is under construction. Capitalisation of finance costs ceases when the asset 
becomes available for use.

Consideration of useful economic lives
The assets’ residual values, depreciation methods and useful economic lives are reviewed annually and adjusted if appropriate.

Impairment of assets
The carrying values of PP&E are reviewed for indicators of impairment annually or when events or changes in circumstances indicate the 
carrying value may be impaired. If any such indication exists, the recoverable amount of the asset is estimated, being the higher of an 
asset’s fair value less costs to sell and the net present value of its expected pre-tax future cash flows (“value in use”).

When an asset’s recoverable amount falls below its carrying value, an impairment is charged to the Consolidated Income Statement.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements
continued

7. Property, plant and equipment (continued)
The movement in the carrying value of each major category of PP&E is as follows:

Building, 
building 
equipment 
and leasehold 
improvements
$m

Land & land 
improvements
$m

Machinery, 
equipment 
and fixtures
$m

Assets under 
construction
$m

Cost
1 January 2020
Additions
Disposals(a)
Transfers
Foreign exchange
31 December 2020
Additions
Disposals(a)
Transfers
Foreign exchange
31 December 2021

Accumulated depreciation
1 January 2020
Depreciation
Disposals(a)
Impairment(b)
Foreign exchange
31 December 2020
Depreciation
Disposals(a)
Impairment(b)
Foreign exchange
31 December 2021

Net carrying amount
31 December 2020
31 December 2021

15.0
–
–
–
0.8
15.8
–
–
–
(0.5)
15.3

0.8
0.1
–
–
–
0.9
0.1
–
–
–
1.0

14.9
14.3

121.4
2.9
(3.6)
5.5
3.2
129.4
1.5
(4.0)
6.0
(3.0)
129.9

46.0
6.0
(3.1)
–
1.6
50.5
6.1
(3.3)
1.0
(1.2)
53.1

78.9
76.8

436.8
4.1
(11.6)
32.0
22.1
483.4
3.6
(12.0)
34.3
(18.6)
490.7

259.6
32.4
(10.7)
7.2
13.7
302.2
34.4
(11.0)
–
(12.0)
313.6

54.8
57.5
(1.3)
(37.5)
3.7
77.2
65.7
(0.3)
(40.3)
(3.8)
98.5

–
–
–
–
–
–
–
–
–
–
–

Total
$m

628.0
64.5
(16.5)
–
29.8
705.8
70.8
(16.3)
–
(25.9)
734.4

306.4
38.5
(13.8)
7.2
15.3
353.6
40.6
(14.3)
1.0
(13.2)
367.7

181.2
177.1

77.2
98.5

352.2
366.7

(a)  Included within disposals (cost and accumulated depreciation) were asset write-offs of $2.0 million (2020: $2.7 million).
(b)  During the year ended 31 December 2021, $1.0 million of leasehold improvements (2020: $7.2 million, in respect of plant and machinery) was impaired.

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8. Intangible assets and goodwill
The split of intangible assets and goodwill is as follows:

Intangible assets
Goodwill
Intangible assets and goodwill

8.1 Intangible assets

Notes
8.1
8.2

2021
$m
902.2
1,156.3
2,058.5

2020
$m
992.4
1,097.2
2,089.6

The Group’s intangible assets are those that have been recognised at fair value as part of business combinations, investment in product 
development and software purchased to support business operations. These are assets that are not physical in nature but can be sold 
separately or arise from legal rights.

Accounting policy

Recognition
Measurement on initial recognition of intangible assets is determined at cost for assets acquired by the Group and at fair value at the date 
of acquisition if acquired in business combinations. Following initial recognition of the intangible asset, the asset is carried at cost less any 
subsequent accumulated amortisation and accumulated impairment losses.

Purchased computer software and certain costs of information technology are capitalised as intangible assets. Software that is integral 
to purchased computer hardware is capitalised as PP&E.

R&D
R&D expenses are comprised of all activities involving investigative, technical and regulatory processes related to obtaining appropriate 
approvals to market our products. It also includes new product development aimed at developing more sustainable product portfolios for 
the longer term, as mentioned within the Responsible Business review section (refer to pages 32 to 59). Costs include payroll, clinical 
manufacturing and pre-launch clinical trial costs, manufacturing development and scale-up costs, product development, regulatory costs 
including costs incurred to comply with legislative changes, contract services and other external contractors costs, research licence fees, 
depreciation and amortisation of laboratory facilities, and laboratory supplies.

Research costs are expensed as incurred. Development costs are capitalised only if the expenditure can be measured reliably, the 
product or process is technically and commercially feasible, future economic benefits are probable and the Group intends to and has 
sufficient resources to complete development and use or sell the asset. Subsequent to initial recognition, development costs are 
measured at cost less accumulated amortisation and any accumulated impairment losses. Upgrades and enhancements are capitalised 
to the extent they will result in added functionality and probable future economic benefits.

Amortisation
Intangible assets with an indefinite life are not amortised. Amortisation of finite-lived intangible assets is calculated using the straight-line 
method based on the following estimated useful lives:

Asset category 
Product-related 
Capitalised software 
Customer relationships and  
non-compete agreements 
Trade names – finite 
Trade names – indefinite 
Development costs  

Useful life 
3 to 20 years 
3 to 10 years

2 to 20 years 
2 to 10 years
indefinite
5 years

Assets under construction reflects the cost of development or improvement of intangible assets that are not yet available for use.

Impairment of assets
Finite-lived intangible assets are reviewed for indicators of impairment at each reporting period or when events or changes in 
circumstances indicate the carrying value may be impaired. If any such indication exists, the recoverable amount of the asset is 
estimated, being the higher of an asset’s fair value less costs to sell and the net present value of its expected pre-tax future cash flows 
(“value in use”).

When an asset’s recoverable amount falls below its carrying value, an impairment is charged to the Consolidated Income Statement.

Refer to Note 8.5 – CGU impairment review for consideration of impairment of indefinite-lived intangible assets.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements
continued

8. Intangible assets and goodwill (continued)
The movement in the carrying value of each major category of intangible assets is as follows:

Product-
related
$m

Capitalised 
software(a)
$m

Customer 
relationships 
and 
non-compete 
agreements
$m

Trade 
names
$m

Development 
cost
$m

Assets under 
construction
$m

Cost
1 January 2020
Additions
Divestiture(b)
Disposals
Transfers
Foreign exchange
31 December 2020
Additions
Acquisitions(c)
Write-offs
Transfers
Foreign exchange
31 December 2021

Accumulated amortisation
1 January 2020
Amortisation 
Divestiture(b)
Disposals 
Impairment
Foreign exchange
31 December 2020
Amortisation 
Write-offs
Impairment
Foreign exchange
31 December 2021

Net carrying amount
31 December 2020
31 December 2021

2,117.9
5.3
(50.0)
–
–
28.0
2,101.2
–
4.9
(7.1)
–
(12.9)
2,086.1

1,450.5
102.9
(43.5)
–
–
21.0
1,530.9
107.1
(7.1)
–
(10.1)
1,620.8

570.3
465.3

107.6
4.7
–
(1.9)
17.8
0.4
128.6
2.2
–
(21.6)
13.3
(0.3)
122.2

83.8
8.2
–
(1.8)
–
0.2
90.4
12.3
(21.6)
2.5
(0.1)
83.5

38.2
38.7

296.7
–
–
–
–
8.8
305.5
–
33.2
(0.7)
–
(7.0)
331.0

154.2
22.7
–
–
1.7
7.2
185.8
24.5
(0.7)
–
(6.1)
203.5

258.8
–
–
–
–
1.4
260.2
–
4.6
–
–
(1.1)
263.7

6.0
1.7
–
–
–
–
7.7
1.9
–
–
0.1
9.7

119.7
127.5

252.5
254.0

11.4
–
–
–
–
1.1
12.5
–
–
–
–
(0.9)
11.6

7.0
1.3
–
–
–
0.7
9.0
1.4
–
–
(0.7)
9.7

3.5
1.9

Total
$m

2,802.8
25.1
(50.0)
(1.9)
–
40.2
2,816.2
22.8
42.7
(29.8)
–
(22.5)
2,829.4

1,701.5
136.8
(43.5)
(1.8)
1.7
29.1
1,823.8
147.2
(29.4)
2.5
(16.9)
1,927.2

10.4
15.1
–
–
(17.8)
0.5
8.2
20.6
–
(0.4)
(13.3)
(0.3)
14.8

–
–
–
–
–
–
–
–
–
–
–
–

8.2
14.8

992.4
902.2

(a)  Capitalised software is in respect of purchased and internally generated software. Costs in relation to the IFRIC clarification on accounting for SaaS arrangements are expensed 

when incurred. 

(b)  Intangible assets sold as part of the US Skincare product line divestiture in the year ended 31 December 2020.
(c)  Acquisitions comprise Cure Medical and Patient Care Medical. See Note 8.4 – Acquisitions. 

Amortisation expenses in respect of finite-lived intangible assets for the year ended 31 December were as follows:

Cost of sales
Selling and distribution expenses
General and administrative expenses
Research and development expenses
Total amortisation expense

2021
$m
110.7
2.0
32.5
2.0
147.2

2020
$m
106.8
0.5
28.0
1.5
136.8

The carrying amount of indefinite-lived trade names at 31 December 2021 was $249.8 million (2020: $251.0 million). Each of these 
remaining trade names is considered to have an indefinite life, given the strength and durability of the current trade name and the level of 
marketing support. The trade names are in relatively similar stable and profitable market sectors, with similar risk profiles, and their size, 
diversification and market shares mean that the risk of market-related factors causing a reduction in the lives of the trade names is 
considered to be relatively low. The Group is not aware of any material legal, regulatory, contractual, competitive, economic or other factor 
which could limit their useful lives.

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8. Intangible assets and goodwill (continued)
Individual intangible assets with a carrying amount in excess of 10% of the total intangible asset carrying amount were as follows:

Trade names
 ConvaTec trade name
Product-related
 Aquacel® including Hydrofibre®
 Stoma care

8.2 Goodwill

2021
$m

2020

$m Remaining life

234.6

234.6

Indefinite

172.2
145.2

211.9
176.9

4.6 years
4.6 years

The Group recognises goodwill resulting from business combinations where there are future economic benefits from assets which 
cannot be individually separated and recognised. Goodwill represents the amount paid in excess of the fair value of the net assets of the 
acquired business.

Accounting policy

Refer to Note 1 – Basis of preparation for the Group accounting policy in relation to the initial valuation and recognition of goodwill arising 
from acquisitions.

Goodwill is not subject to amortisation but is tested for impairment annually or when events or changes in circumstances indicate the 
carrying value may be impaired. Refer to Note 8.5 – CGU impairment review for consideration of impairment of goodwill.

Goodwill is denominated in the functional currency of the acquired entity and revalued to the closing exchange rate at each reporting 
period date.

The changes in the carrying value of goodwill as at 31 December were as follows:

1 January 2020
Foreign exchange
31 December 2020
Divestitures (Note 8.3)
Acquisitions (Note 8.4)
Foreign exchange
31 December 2021

8.3 Divestitures 

Total
$m
1,065.6
31.6
1,097.2
(0.9)
79.0
(19.0)
1,156.3

During the year ended 31 December 2021, the Group completed the divestiture of an incontinence patient list in the US. 

Accounting policy

A divestiture or disposal occurs when the Group ceases to control a subsidiary, business or trade and assets of a product line. 
Consideration received in respect of a divestiture is measured at fair value, and all associated assets and liabilities are derecognised at the 
date control is transferred. The difference between the carrying value of the net assets divested and the fair value of consideration 
received is recorded as a gain or loss on divestiture in the Consolidated Income Statement. 

Foreign exchange translation gains or losses relating to subsidiaries that the Group has divested, and that have previously been recorded 
in other comprehensive income or expense, are also recognised as part of the gain or loss on divestiture.

The operating results of the divested subsidiary, business or product line cease to be included in the Group’s Consolidated Financial 
Statements from the date of divestiture.

On 16 August 2021, the Group disposed of an incontinence patient list in the US for $1.4 million; a gain on sale of $0.5 million was recognised 
in non-operating income.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

8. Intangible assets and goodwill (continued)
8.4 Acquisitions

During the year, the Group completed the acquisitions of
(i)  100% of the share capital of Cure Medical LLC (“Cure Medical”), a manufacturer and distributor of intermittent catheters based in 

California. 

(ii)  the business of Respiratory Solutions, LLC, which trades under the name “Patient Care Medical”, a US distributor and service 

company focused on disposable, intermittent catheters in the US market. 

This note provides details of the transaction and the acquisition accounting that has been recorded to reflect the fair value of assets 
acquired and liabilities assumed as well as the intangible assets and goodwill recognised upon acquisition.

Accounting policy

Acquisitions of subsidiaries and businesses are accounted for using the acquisition method of accounting. Consideration transferred 
in respect of an acquisition is measured at the fair value of the assets acquired, equity instruments issued and liabilities incurred or 
assumed on the date of the acquisition. Identified assets acquired and liabilities assumed are measured at their respective acquisition-
date fair values.

The excess of the fair value of the consideration given over the fair value of the identifiable net assets acquired is recorded as goodwill. 
If the fair value of the identifiable net assets acquired is greater than the fair value of the consideration given, the excess is recognised 
immediately in the Consolidated Income Statement as a bargain purchase gain. Acquisition-related costs are expensed as incurred.

The operating results of the acquired business are reflected in the Group’s Consolidated Financial Statements from the date 
of acquisition.

On 15 March 2021, the Group acquired 100% of the share capital of Cure Medical for net cash consideration of $84.7 million. This consisted 
of $85.1 million cash, of which $4.9 million was deferred consideration and was paid into escrow, net of cash acquired of $0.7 million and 
a $0.4 million working capital adjustment. Cure Medical, based in California, manufactures and distributes intermittent catheters, and 
operates in the Continence category. The acquisition of Cure Medical allows the Group to better serve the US intermittent catheter market, 
improving and expanding relationships with patients, caregivers and partners. 

In addition to the initial consideration, the sellers may earn contingent consideration of up to $10.0 million based upon post-acquisition 
performance targets included in the Share Purchase Agreement. The fair value of contingent consideration at the date of acquisition was 
$3.1 million, which is due to be paid within three years of the acquisition date. Following completion of acquisition accounting, any changes in 
the fair value of contingent consideration will be recorded in the Consolidated Income Statement in accordance with the Group’s accounting 
policies. There were no movements from the date of acquisition to 31 December 2021. 

On 1 December 2021, the Group acquired the business of Respiratory Solutions, LLC, which trades under the name Patient Care Medical. 
Patient Care Medical is a US distributor and service company focused on disposable, intermittent catheters in the US market and operates in 
the Continence category. The consideration for the acquisition was $29.1 million which included $6.0 million of deferred consideration paid 
into escrow. 

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8. Intangible assets and goodwill (continued)
Assets acquired and liabilities assumed
The transactions meet the definition of business combinations and have been accounted for under the acquisition method of accounting. 
The following table summarises the provisional fair values of the assets acquired and the liabilities assumed as at the acquisition dates.

Non-current assets
 Right-of-use assets
 Intangible assets – Customer relationships and non-compete agreements
 Intangible assets – Trade names
 Intangible assets – Product-related
Current assets
 Trade and other receivables
 Inventories
 Cash and cash equivalents
Total assets acquired

Non-current liabilities
 Deferred tax liabilities
Current liabilities
 Trade and other payables
 Lease liabilities
Total liabilities assumed
Net assets acquired
Goodwill
Total

Initial cash consideration
Working capital adjustment
Deferred purchase consideration paid into escrow(a)
Contingent consideration
Total consideration

Analysis of cash outflow reflected in the Statement of Cash Flows

Initial cash consideration
Deferred purchase consideration paid into escrow(a)
Cash and cash equivalents acquired
Working capital adjustment
Net cash outflow from acquisitions, net of cash acquired

Cure Medical
Provisional
$m

Patient Care 
Medical
Provisional
$m

Total
Provisional
$m

–
28.9
4.2
4.9

2.1
8.0
0.7
48.8

(9.4)

(5.5)
–
(14.9)
33.9
54.6
88.5

80.9
(0.4)
4.9
3.1
88.5

0.7
4.3
0.4
–

–
–
–
5.4

–

–
(0.7)
(0.7)
4.7
24.4
29.1

23.1
–
6.0
–
29.1

0.7
33.2
4.6
4.9

2.1
8.0
0.7
54.2

(9.4)

(5.5)
(0.7)
(15.6)
38.6
79.0
117.6

104.0
(0.4)
10.9
3.1
117.6

Cure Medical
Provisional
$m
80.9
4.9
(0.7)
(0.4)
84.7

Patient Care 
Medical
Provisional
$m
23.1
6.0
–
–
29.1

Total
Provisional
$m
104.0
10.9
(0.7)
(0.4)
113.8

(a)  On the acquisition of Cure Medical, $4.9 million was paid on closing into escrow as security for due and punctual fulfilment by the seller of its obligations under the Share 

Purchase Agreement. The escrow account will be maintained for three years from the acquisition date, of which (i) $0.8 million was released in July 2021, (ii) $0.4 million will be 
released after 12 months, (iii) $2.8 million will be released after two years, and (iv) the remaining amount will be released after three years. On the acquisition of Patient Care 
Medical, $6.0 million was paid into escrow as security for any unrecorded liabilities. If no additional liabilities are payable, $3.0 million of the escrow is payable to the vendors on 
1 July 2023 and $3.0 million is payable on 1 December 2024.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

8. Intangible assets and goodwill (continued)
The fair values of the assets acquired and liabilities assumed are provisional at 31 December 2021. The Group will finalise these amounts as it 
obtains the information necessary to complete the measurement process. Any changes resulting from facts and circumstances that existed 
as of the acquisition date may result in retrospective adjustments to the provisional amounts recognised at the acquisition date. The Group 
will finalise these amounts no later than one year from the acquisition date.

The goodwill recorded represents the cost savings, operating synergies and future growth opportunities expected to result from 
combining the operations of the acquisitions with those of the Group, as well as intangible assets that do not qualify for separate recognition. 
The goodwill is deductible for tax purposes for Patient Care Medical as it was an asset acquisition, but not for Cure Medical which was 
a business acquisition. 

The Cure Medical and Patient Care Medical acquisitions are both included in the Continence and Critical Care CGU group.

Acquisition-related costs 
The Group incurred $2.9 million of acquisition-related costs in the year ended 31 December 2021, primarily in respect of legal and due 
diligence expenses. These acquisition-related costs have been recognised in general and administrative expenses in the Consolidated 
Income Statement.

Revenue and profit
The revenue of Cure Medical for the period from the acquisition date to 31 December 2021 was $29.3 million and profit before tax for the 
period was $1.4 million, after recognising intangible asset amortisation in respect of the acquisition of $2.9 million. If the acquisition had been 
completed on 1 January 2021, reported Group revenue would have been $6.7 million higher and profit before tax for the year would have 
been $0.6 million higher. 

The revenue of Patient Care Medical for the period from the acquisition date to 31 December 2021 was $1.0 million and profit before tax for 
the period was immaterial. If the acquisition had been completed on 1 January 2021, reported Group revenue would have been $10.7 million 
higher and profit before tax for the year would have been $1.2 million higher, after recognising intangible asset amortisation in respect of the 
acquisition of $0.7 million.

8.5 Cash generating unit (“CGU”) impairment review

An impairment assessment is required to be performed annually for goodwill and indefinite-lived intangibles or when events or changes 
in circumstances indicate the carrying value may be impaired. An impairment is a reduction in the recoverable amount of an asset 
compared to the carrying value of the asset. Recoverable amount is the higher of value in use and fair value less costs to sell.

This note provides details of the annual impairment assessment that has been performed.

Accounting policy

For impairment testing, assets are grouped together into the smallest group of assets that generate cash inflows from continuing use 
that are largely independent of the cash inflows of other assets or CGUs. Additionally, goodwill arising from a business combination is 
allocated to a CGU or groups of CGUs that are expected to benefit from the synergies of the combination. An impairment loss is 
recognised if the carrying amount of an asset or CGU exceeds its recoverable amount.

The recoverable amounts of the CGUs are determined based on value in use calculations, which reflect the estimated future cash flows 
of each CGU discounted by an estimated weighted average cost of capital that represents the rate of return an outside investor would 
expect to earn. This discount rate is based on the weighted average cost of capital for comparable public companies and is adjusted for 
risks specific to the CGU including differences in risk due to its size, geographic concentration and trading history.

Future cash flows are determined using the latest available Board approved forecasts and strategic plans. These forecasts and strategic 
plans are based on specific assumptions for each CGU during the five-year planning period with respect to revenue, results of operations, 
working capital, capital investments and other general assumptions for the projected period. The forecast assumptions that derive 
the future cash flows are based on the historical results of each CGU combined with external market information and defined 
strategic initiatives.

If identified, impairment losses are recognised in the Consolidated Income Statement. They are allocated first to reduce the carrying 
amount of any goodwill allocated to the CGU, and then to reduce the carrying amounts of the remaining assets in the CGU, on a 
pro-rated basis.

An impairment loss in respect of goodwill is not reversed. For other assets, an impairment loss is reversed only to the extent that the 
asset’s carrying amount does not exceed the carrying amount that would have been determined, net of depreciation or amortisation, 
if no impairment loss had been recognised. The Group has not recognised any impairment reversals in 2021 or 2020.

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8. Intangible assets and goodwill (continued)
The Group has reviewed the ongoing transformation programme and further embedding of the new operating model during the year and 
has determined that there is a trigger for a change in CGUs in accordance with IAS 36, Impairment of assets. Previously the CGU groups 
were driven by the geographic management structure of the former operating model, with the CGU groups determined as (i) Americas, (ii) 
EMEA, (iii) Home Services Group, (iv) Infusion Care and (v) Industrial Sales. Although there has been no change in the reporting to the CODM 
during the year ended 31 December 2021, with profitability continuing to be assessed on a consolidated basis, management’s focus has 
evolved into predominantly a category and key market focus rather than the previous geographies. Management information and systems 
were updated during the year to reflect the changes. Goodwill is deemed to be monitored on a category basis, therefore the Group has 
identified new CGU groups, being (i) Advanced Wound Care, (ii) Ostomy Care, (iii) Continence and Critical Care and (iv) Infusion Care. Where 
the goodwill could be directly associated to one of these CGU groups it was directly allocated, the remainder of the Group’s goodwill was 
allocated using adjusted EBIT(a) as a measure of relative value. The measure of relative value is a judgement as it is not prescribed under 
IAS 36. Alternative measures were considered, such as EBITDA(a), which would have resulted in a c.$30 million movement in the goodwill 
allocated between Advanced Wound Care and Ostomy Care. However, there was headroom in the goodwill impairment testing whichever 
method was utilised to allocate the goodwill.

(a)   Adjusted EBIT and EBITDA are alternative performance measures (“APM”) and have been reconciled to the most directly comparable measure prepared in accordance with IFRS 

on pages 207 to 210. 

Goodwill and indefinite-lived intangible assets (trade names) are allocated to the Group’s CGU groups as at 31 December 2021 as follows:

CGU groups
Advanced Wound Care
Ostomy Care
Continence and Critical Care
Infusion Care
Total(a)

Indefinite-lived 
intangible
assets
2021
$m

104.8
91.2
41.4
12.4
249.8

Goodwill
2021
$m

386.9
121.7
558.0
89.7
1,156.3

(a)  Comparatives for 31 December 2020 have not been disclosed as the prior year impairment review was performed based on geographical CGU groups.

Determining the estimated recoverable amount of a CGU group is judgemental in nature. The key input used in the estimation of value in use 
at the annual impairment review performed as of 30 September 2021 is the Group’s five-year Board approved strategic plan, with key 
assumptions including terminal value growth rate and discount rates. Revenue growth rates reflect macroeconomic activity, sector market 
growth forecasts and competitor activity.

The terminal value growth rate and discount rates used were as follows:

Discount rate (pre-tax)(b)
CGU groups
Advanced Wound Care
Ostomy Care
Continence and Critical Care
Infusion Care
Terminal value growth rate(a),(c)

2021
%

10.5
10.0
9.5
9.5
2.0

(a)  The estimated terminal value growth rate for the CGU groups is based on expectations concerning the growth trends of the CGU groups taking into account global gross 

domestic product growth, general long-term inflation and population expectations.

(b)  The discount rate is based on the weighted average cost of capital for comparable public companies and is adjusted for risks specific to the CGU group including differences 

in risk due to its size, geographic concentration and trading history.

(c)  Comparatives for 31 December 2020 have not been disclosed as the prior year impairment review was performed based on geographical CGU groups. 

No impairments have been recognised in respect of the Group’s current CGU groups for the year ended 31 December 2021. The impairment 
testing was also performed under the Group’s previous geographic-based CGU groups. No further impairments were identified on this basis.

Taking into consideration the Board approved 2022 budget and longer-term strategic plan as foundations, sensitivity analysis was 
performed considering changes in key assumptions including discount rates and terminal value growth rate and consideration of risk-based 
severe but plausible downside scenarios consistent with those identified as part of the Viability assessment (refer to pages 74 to 76 for full 
details of scenarios). 

IAS 1, Presentation of Financial Statements, requires disclosure of major sources of estimation uncertainty that have a significant risk of 
resulting in a material adjustment in the next financial year. The Directors concluded that there are no reasonable possible scenarios that 
would result in a material adjustment in the next financial year.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

9. Inventories

Inventories are the products manufactured or purchased to be sold by the Group in the ordinary course of business. Inventories include 
finished goods, goods which are in the process of being manufactured (work in progress) and raw and packaging materials awaiting use 
in production.

Accounting policy

Inventories are valued at the lower of cost or net realisable value with the cost determined using an average cost method. The cost 
of finished goods and work in progress comprises raw materials, direct labour, other direct costs and indirect production overheads. 
Production overheads comprises indirect material and labour costs, maintenance and depreciation of the machinery and production 
buildings used in the manufacturing process, as well as costs of production administration and management.

Net realisable value is defined as anticipated selling price or anticipated revenue less cost to completion. Estimates of net realisable value 
are based on the average selling prices at the end of the reporting period, net of applicable direct selling expenses. Subsequent events 
related to the fluctuation of prices and costs are also considered, if relevant. If net realisable values are below inventory costs, a provision 
corresponding to this difference is recognised.

Provisions are also made for obsolescence of inventories that (i) do not meet the Group’s specifications, (ii) have exceeded their 
expiration date, or (iii) are considered slow-moving. The Group evaluates the carrying value of inventories on a regular basis, taking into 
account such factors as historical and anticipated future sales compared with quantities on hand, the price the Group expects to obtain 
for products in their respective markets compared with historical cost and the remaining shelf life of goods on hand.

The components of inventories at 31 December were as follows:

Raw and packaging materials
Work in progress
Finished goods
Inventories

2021
$m
71.9
37.9
199.0
308.8

2020
$m
68.6
36.4
192.1
297.1

Inventories are stated net of a provision of $21.3 million (2020: $27.8 million). Adjustments to write-down inventory to its net realisable value 
are provided in Note 3 – Operating profit.

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10. Trade and other receivables

Trade receivables consist of amounts billed and currently due from customers. Gross trade receivables are presented before allowances 
for expected credit losses, sales discounts and chargeback allowances. Credit risk with respect to trade receivables is generally diversified 
due to the large dispersion and type of customers across many different geographies.

Other receivables include amounts due from third parties not related to revenue, restricted cash and prepaid expenses.

Accounting policy

Credit is extended to customers based on the evaluation of the customer’s financial condition. Creditworthiness of customers is 
evaluated on a regular basis. Exposure to credit risk is managed through credit approvals, credit limits and monitoring procedures. The 
Group considers a default event to be one where the customer does not have sufficient funds to make their required payments and/or 
is in the process of being liquidated.

An allowance for expected credit losses is maintained for expected lifetime credit losses that result from the failure or inability of 
customers to make required payments. It is not necessary for a credit event to have occurred before credit losses are recognised. Instead, 
the Group accounts for expected lifetime credit losses and changes in those expected lifetime credit losses. In determining the allowance, 
consideration includes the probability of recoverability based on past experience and general economic factors, incorporating forward-
looking information and adjustments for customers who represent a lower risk of default, which includes public or private medical 
insurance customers and customers guaranteed by local government. The amount of expected credit losses, if any, are required to be 
updated at each reporting date.

Certain trade and other receivables may be fully reserved when specific collection issues are known to exist, such as pending bankruptcy. 
The Group writes off uncollectable receivables at the time it is determined the receivable is no longer collectable.

Trade and other receivables are not collateralised or factored and the Group does not charge interest on past due amounts. Refer to 
Note 2.1 – Revenue recognition for details on the accounting policy in respect of chargeback allowances.

Restricted cash
In certain instances, there are requirements to set aside cash to support payment guarantees and obligations, including the payment of 
value-added taxes, custom duties on imports, tender programmes and lease arrangements. Such amounts are classified by the Group 
as restricted cash, which do not form part of cash and cash equivalents. Amounts with a maturity of less than one year are disclosed in 
other receivables within current assets. Amounts with a maturity of more than one year are disclosed separately as restricted cash in 
non-current assets.

Trade and other receivables at 31 December were as follows:

Included within current assets:
Trade receivables
Less: allowances for expected credit losses
Less: sales discounts and chargebacks
Other receivables
Prepayments
Trade and other receivables

The aged analysis of trade receivables at 31 December was as follows:

Current
Past due 1 to 30 days
Past due 31 to 90 days
Past due 91 to 180 days
Past due by more than 180 days

2021
$m

296.9
(14.6)
(31.7)
50.9
22.0
323.5

2021
$m
235.2
15.5
17.3
0.7
28.2
296.9

2020
$m

287.0
(12.6)
(29.2)
44.3
18.4
307.9

2020
$m
221.0
19.9
16.3
2.6
27.2
287.0

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continued

10. Trade and other receivables (continued)
The unimpaired amounts at 31 December that are past due were aged as follows:

Past due 1 to 30 days
Past due 31 to 90 days
Past due 91 to 180 days
Past due by more than 180 days

2021
$m
14.2
16.5
–
16.4
47.1

The Group believes that the unimpaired amounts that are past due are still collectible in full, based on historic payment behaviour and 
extensive analysis of customer credit risk.

Movements in the allowance for expected credit losses for the years ended 31 December were as follows:

At 1 January
Charges
Utilisation of provision
Foreign exchange
At 31 December

2021
$m
(12.6)
(8.2)
5.6
0.6
(14.6)

2020
$m
19.0
16.0
2.1
16.3
53.4

2020
$m
(11.6)
(6.5)
5.7
(0.2)
(12.6)

Other non-current receivables
Other non-current receivables of $11.9 million (2020: $13.3 million) are principally in respect of deposits held with lessors, prepaid expenses 
and other receivables.

Restricted cash
At 31 December 2021, the Group had restricted cash of $13.6 million (2020: $5.7 million) with a maturity of more than one year, as presented 
within non-current assets, which included $9.7 million cash held in escrow in respect of the Cure Medical and Patient Care Medical 
acquisitions. $0.4 million (2020: $nil) of cash held in escrow as part of the Cure Medical acquisition (see Note 8.4 – Acquisitions) was 
recognised within current assets.

11. Trade and other payables

Trade payables consist of amounts owed to third-party suppliers and represent a contractual obligation to deliver cash in the future.

Other payables include taxes and social security, accruals and liabilities for other employee-related benefits.

Accounting policy

Trade payables are recognised at the value of the invoice received from the supplier and are not interest bearing. The carrying amount of 
trade and other payables is considered to approximate fair value, due to their short-term maturities.

The components of trade and other payables at 31 December were as follows:

Included within current liabilities:
Trade payables
Taxes and social security
Other employee-related liabilities
Accruals and other payables
Trade and other payables

Included within non-current liabilities:
Defined benefit obligations (Note 13)
Other employee-related liabilities
Accruals and other payables
Other non-current liabilities

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2021
$m

116.7
29.0
92.3
104.5
342.5

2021
$m

19.7
7.4
20.5
47.6

2020
$m

98.2
32.1
99.1
104.7
334.1

2020
$m

23.1
6.2
0.6
29.9

12. Provisions

A provision is an obligation recognised when there is uncertainty over the timing or amount that will be paid. Provisions held by the Group 
are primarily in respect of restructuring, decommissioning, dilapidations and legal liabilities.

Accounting policy

A provision is recognised when there is a present legal or constructive obligation as a result of a past event, it is probable that the Group 
will be required to settle the obligation and that obligation can be measured reliably. Restructuring provisions are only recognised when a 
constructive obligation exists, which requires both a detailed formal plan and a valid expectation being raised in those affected by starting 
to implement that plan or announcing the main features. Provisions are measured at the best estimate of the expenditure required to 
settle the obligation and are discounted to present value if the effect is material. Provisions are reviewed on a regular basis and adjusted 
to reflect management’s best current estimates. Due to the judgemental nature of these items, future settlements may differ from 
amounts recognised.

When the timing of a settlement is uncertain or expected to be more than 12 months from the reporting date, amounts are classified 
as non-current.

The movements in provisions are as follows:

1 January 2020
Charges
Utilisation
Changes in estimate
Foreign exchange
31 December 2020
Charges
Utilisation
Changes in estimate
Foreign exchange
31 December 2021

Decommissioning 
and dilapidations
$m
1.7
0.4
(0.6)
–
–
1.5
0.1
(0.2)
(0.2)
–
1.2

Restructuring
$m
4.2
12.9
(7.3)
(0.7)
0.3
9.4
4.0
(8.4)
0.3
(0.3)
5.0

Legal
$m
–
–
–
–
–
–
6.1
(5.6)
–
–
0.5

Total
$m
5.9
13.3
(7.9)
(0.7)
0.3
10.9
10.2
(14.2)
0.1
(0.3)
6.7

Provisions have been analysed between current and non-current as follows:

Restructuring
Decommissioning and dilapidations
Legal
Total

(a)  The timing for non-current provisions is undefined. 

2021

2020

Current
5.0
–
–
5.0

Non-
current(a)
–
1.2
0.5
1.7

Current
9.4
–
–
9.4

Non-
current(a)
–
1.5
–
1.5

Restructuring provisions
Restructuring provisions are in respect of employee termination benefits for involuntary workforce reduction in respect of the major change 
programmes and the Group’s Transformation Initiative. The Transformation Initiative is a global multi-year transformation programme that 
commenced in 2019. All restructuring provisions are supported by detailed plans and a valid expectation has been raised in those affected as 
required by the Group’s accounting policy.

Decommissioning and dilapidation provisions
Decommissioning provisions are recognised when an item is purchased to represent the estimated costs of dismantling and removing PP&E 
and restoring the site on which it was located. Dilapidation provisions are in respect of legal obligations, on the expiry of a lease, to return 
leased properties in the condition which is specified in the individual leases.

Legal provision
Provisions recognised in the year principally relate to dispute settlement. 

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

13. Post-employment benefits

The Group has over 10,000 employees globally and operates a number of defined benefit and defined contribution pension plans for its 
employees. Each individual plan is subject to the applicable laws and regulations of the country in which the plan operates.

Defined contribution arrangements are where the Group pays fixed payments as they fall due into a separate fund on behalf of 
employees participating in the plan and has no further legal or constructive obligations. The cost of Group contributions to defined 
contribution arrangements during the year is provided in Note 3 – Operating costs.

A defined benefit plan is a pension or other post-employment benefit plan under which the Group has an obligation to provide agreed 
benefits to current and former employees. The Group bears the risk that its obligation may increase or that the value of the assets in the 
pension fund may decline. The benefit payable in the future by the Group is discounted to the present value and the fair value of plan 
assets is deducted to measure the defined benefit pension position.

The Group has defined benefit plans in a number of European countries. The most significant plans are: Switzerland, a state mandated 
plan that remains open to all Swiss employees; and Germany, with one unfunded plan, that remains open to German employees but 
closed to new entrants, and a funded plan put in place from April 2019. The value of the new plan in Germany is not material to the Group. 
The Group’s other defined benefit plans are located in Austria, France and Italy (referred to as “Other” in the tables below). The defined 
benefit plan in the UK was bought out by Aviva, a third party, in December 2021. 

For plans in Switzerland, Germany and Austria, asset funds for each country are being accumulated to meet the accruing liabilities. The 
assets of each of these funds are either held under trusts or managed by insurance companies and are entirely separate from the Group’s 
assets. The value of plan assets in Germany at 31 December 2021 is negligible.

Accounting policy

Defined contribution pension plans
Payments to defined contribution pension plans are recognised as an expense when employees have rendered service entitling them to 
the contributions. Payments made to state-managed retirement benefit plans are treated as payments to defined contribution pension 
plans where the Group’s obligations under the plans are equivalent to those arising in a defined contribution pension plan.

Defined benefit pension plans
The Group records an asset or liability related to its defined benefit pension plans as the difference between the fair value of the plan 
assets and the present value of the plan liabilities. The obligations of the plans are calculated using the Projected Unit Credit Method, 
with actuarial valuations being performed by an independent actuary at the end of each reporting period. The valuation requires 
estimates and judgements to be made to calculate the Group’s liabilities, and results in actuarial gains and losses being recorded.

Actuarial gains and losses, movements in the return on plan assets (excluding interest) and the impact of the asset ceiling (if applicable) 
are recognised immediately in the Consolidated Statement of Financial Position with a charge or credit to the Consolidated Statement 
of Comprehensive Income. Remeasurements recorded in the Consolidated Statement of Comprehensive Income are not subsequently 
reclassified to the Consolidated Income Statement.

Past service cost is recognised in the Consolidated Income Statement in the period of plan amendment, where relevant. Net interest is 
calculated by applying a discount rate to the net defined benefit liability or asset.

The assets of the plans are held at fair value, which is equal to market value, and are held in separate trustee-administered funds or similar 
structures in the countries concerned. Surplus assets within the plan are only recognised to the extent that they are recoverable in 
accordance with IFRIC Interpretation 14, IAS 19 – The Limit on a Defined Benefit Asset, Minimum Funding Requirements and their 
Interaction (“IFRIC 14”).

Risks
The defined benefit plans typically expose the Group to risks. The most significant risks impacting the Group as a result of these plans are 
as follows:

Investment risk

Interest risk

Longevity risk

Salary risk

The present value of the defined benefit plan liability is calculated using a discount rate determined by 
reference to high-quality corporate bond yields; if the return on plan assets is below this rate, it will create 
a plan deficit. Currently the Group’s plans invest primarily in debt instruments.
A decrease in the interest rate will increase the plan liability, but this will be partially offset by an increase 
in the return on the plan’s fixed rate debt instruments.
The present value of the defined benefit plan liability is calculated by reference to the best estimate of the 
mortality of plan participants both during and after their employment. An increase in the life expectancy of 
the plan participants will increase the plan’s liability.
The present value of the defined benefit plan liability is calculated by reference to the future salaries of plan 
participants. As such, an increase in the salary of the plan participants will increase the plan’s liability.

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13. Post-employment benefits (continued) 
Buy-in and buy-out of UK plan
On 24 March 2020, the Trustee of the UK plan completed a buy-in transaction whereby the assets of the plan were invested in a bulk 
purchase annuity policy with the insurer Aviva Life & Pensions UK Limited (“Aviva”), under which the benefits payable to defined benefit 
members were fully insured. The Scheme paid $12.6 million to Aviva on 30 March 2020 to fund the buy-in premium. 

On 12 November 2021, the UK defined benefit pension scheme was bought out by Aviva, with all the risks in relation to the scheme passing 
to Aviva as of the buy-out date. The pension scheme was ultimately terminated on 16 December 2021. Following this transaction, all 
members of the UK plan have had their benefits secured with Aviva, discharging the Group’s legal and constructive obligations for the 
scheme. As a result, the UK pension asset has been derecognised from the Statement of Financial Position with a loss on settlement of 
$1.2 million recognised in the Consolidated Income Statement. 

An actuarial valuation for the UK plan has been prepared by an independent actuary as of the buy-out date. Details of the valuation and 
movements in the UK plan’s assets and liabilities are provided within the tables below.

Amounts recorded in the Consolidated Financial Statements
Consolidated Income Statement
The aggregate expense for all post-employment defined benefit plans recognised in the Consolidated Income Statement for the year ended 
31 December was as follows:

Defined benefit plans:
Current service cost
Interest income on plan assets
Interest expense on defined benefit obligations
Expenses related to UK buy-out/buy-in
UK pension settlement cost
Total expense (Note 3)

2021
$m

2020
$m

2.2
–
0.2
–
1.2
3.6

2.4
(0.3)
0.4
0.4
–
2.9

Consolidated Statement of Comprehensive Income
Aggregate actuarial gains and losses for all defined benefit plans recognised in the Consolidated Statement of Comprehensive Income for 
the year ended 31 December were as follows:

Remeasurement effect recognised in other comprehensive income:
Actuarial gain on liabilities due to experience
Actuarial loss arising from changes in financial assumptions
Actuarial gain arising from changes in demographic assumptions
Actuarial gain/(loss) on plan assets
Remeasurement gain/(loss) recognised in other comprehensive income
Deferred tax on remeasurement loss recognised in other comprehensive income
Change in pension asset restriction
Total amount recognised in other comprehensive income

2021
$m

1.6
(0.8)
0.8
1.6
3.2
0.1
1.3
4.6

2020
$m

1.8
(1.5)
0.6
(1.3)
(0.4)
0.2
5.0
4.8

Consolidated Statement of Financial Position
The amount recognised for each defined benefit arrangement in the Consolidated Statement of Financial Position at 31 December was 
as follows:

UK

Germany

Switzerland

Other

Total

2021
$m
–
–
–
–

2020
$m
15.7
(12.1)
3.6
–

Fair value of schemes’ assets
Present value of funded schemes’ liabilities
Surplus/(deficit) in the funded schemes
Present value of unfunded schemes’ 
liabilities
Restrict recognition of asset
Net pension asset/(liability)
Recognised within Consolidated Statement of Financial Position:
Defined benefit asset (Note 10)
Defined benefit obligations (Note 11)

(1.3)
2.3

–
–

2021
$m
–
–
–
(12.6)

2020
$m
–
–
–
(12.8)

–
(12.6)

–
(12.8)

2021
$m
13.3
(17.2)
(3.9)
–

–
(3.9)

2020
$m
13.8
(20.4)
(6.6)
–

–
(6.6)

2021
$m
0.8
(1.4)
(0.6)
(2.6)

–
(3.2)

2020
$m
0.8
(1.4)
(0.6)
(3.1)

2021
$m
14.1
(18.6)
(4.5)
(15.2)

2020
$m
30.3
(33.9)
(3.6)
(15.9)

–
(3.7)

–
(19.7)

(1.3)
(20.8)

–
(19.7)

2.3
(23.1)

The weighted average duration of the Group’s defined benefit obligations at the end of the year is 21 years (2020: 20 years).

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

13. Post-employment benefits (continued)
Fair value of assets and present value of the liabilities of the plan
The amount included in the Consolidated Statement of Financial Position arising from its obligations in respect of its defined benefit plans 
was as follows:

At 1 January 2020
Current service cost
Interest income/(expense)
Remeasurement loss
Contributions by employer
Contributions by members
Benefits paid
Experience gain
Expenses paid related to UK buy-in
Foreign exchange
At 31 December 2020(a)
Current service cost
Interest income/(expense)
Remeasurement gain
Contributions by employer
Contributions by members
Benefits paid
Experience gain
Pension settlement
Foreign exchange
At 31 December 2021(a)

Assets
$m
30.4
–
0.3
(1.3)
0.8
0.7
(1.8)
–
(0.4)
1.6
30.3
–
0.1
0.1
0.7
0.6
(2.7)
–
(14.4)
(0.6)
14.1

Liabilities
$m
(45.5)
(2.4)
(0.4)
(0.9)
–
(0.7)
2.1
1.8
–
(3.8)
(49.8)
(2.1)
(0.3)
1.2
–
(0.6)
3.0
1.9
11.0
1.9
(33.8)

Total
$m
(15.1)
(2.4)
(0.1)
(2.2)
0.8
–
0.3
1.8
(0.4)
(2.2)
(19.5)
(2.1)
(0.2)
1.3
0.7
–
0.3
1.9
(3.4)
1.3
(19.7)

(a)  Excludes surplus restriction of $nil (2020: $1.3 million) in respect of the UK plan.

Plan assets
The fair value of defined benefit plan assets at 31 December, which has been determined in accordance with IFRS 13, Fair Value Measurements, 
is analysed below. All assets have a quoted market price and are categorised as a Level 1 measurement in the fair value hierarchy.

Equity instruments
Debt instruments
Property
Qualifying insurance policies
Other
Plan assets

UK

Germany

Switzerland

Other

Total

2021
$m
–
–
–
–
–
–

2020
$m
–
3.9
–
11.8
–
15.7

2021
$m
–
–
–
–
–
–

2020
$m
–
–
–
–
–
–

2021
$m
4.0
4.8
2.0
–
2.5
13.3

2020
$m
3.7
5.2
1.8
–
3.1
13.8

2021
$m
–
–
–
0.8
–
0.8

2020
$m
–
–
–
0.8
–
0.8

2021
$m
4.0
4.8
2.0
0.8
2.5
14.1

2020
$m
3.7
9.1
1.8
12.6
3.1
30.3

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13. Post-employment benefits (continued)
Actuarial assumptions
The Group makes certain key assumptions in order to value the plan obligations, and the approach to how these are set was as follows:

Discount rate

Inflation
Future salary increases
Mortality

Approach taken
Calculated by reference to the yields on high-quality corporate bonds which match expected cash flows 
in each territory in which a defined benefit plan is present.
Calculated using the difference on yields between fixed and index-linked government bonds.
Based on historical expectations and known future increases, including expected inflation rates.
Based on mortality tables derived from assessments performed by national governments and based upon 
recommendations by plan actuaries.

The principal actuarial assumptions for each defined benefit arrangement used at 31 December were as follows:

UK

Germany

Switzerland

Other

Discount rate(a)
Rate of price inflation
Future salary increases

2021
N/A
N/A
N/A

2020
1.32%
2.50%
N/A

2021
1.03%
N/A
2.00%

2020
1.26%
N/A
2.00%

2021
0.30%
0.50%
1.75%

2021

2020
0.20%
0.50%

2020
0.29% to 1.22% (0.05)% to 1.15%
1.20% to 2.00% 1.00% to 2.00%
1.75% 0.00% to 3.00% 0.00% to 3.00%

(a)  The discount rate in Italy at 31 December 2020 of (0.05)% is based on Eurozone AA bonds with a duration of 7 to 10 years consistent with the expected duration of the 

obligation.

The current mortality assumptions underlying the values of the obligations in the defined benefit plans were as follows:

Life expectancy at age 65
Male
Female

Life expectancy at age 65 in 20 
years’ time
Male
Female

UK

Germany

Switzerland

Other

2021

2020

2021

2020

2021

2020

2021

2020

N/A 22.8 years
16.7 years 22.7 years 21.8 years 20.5 years 20.4 years
N/A 23.9 years 20.9 years 20.7 years 24.5 years 24.9 years 24.0 years 24.0 years

17.5 years

N/A 24.2 years 20.2 years
N/A 25.5 years

19.3 years 25.0 years 23.5 years
23.1 years 23.2 years 26.5 years 26.4 years

21.7 years 21.6 years
25.1 years
25.1 years

Sensitivity analysis
The effect of movements in the key actuarial assumptions in respect of the Germany and Switzerland plans at 31 December 2021 would be 
an (increase)/decrease to the defined benefit asset/liabilities as follows:

Discount rate
Inflation
Future salary increases

Life expectancy

Germany

Switzerland

Increase 
0.5%
1.4
N/A
N/A

Decrease 
0.5%
(1.7)
N/A
N/A

Increase 
0.5%
1.6
(0.6)
(0.4)

Decrease 
0.5%
(1.7)
0.6
0.4

1 year 
increase
(0.5)

1 year 
decrease
0.5

1 year 
increase
(0.3)

1 year 
decrease
0.3

Future funding
Payments expected to be made by the Group to its defined benefit pension plans in the year ended 31 December 2022 are as follows:

Expected payments

UK
$m
–

Germany
$m
0.1

Switzerland
$m
0.9

Other
$m
–

Total
$m
1.0

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

Capital structure and financial costs

The Group ensures that all entities within the Group have sufficient funding to deliver the Group’s strategy while maximising the return 
to shareholders through the debt and equity balance. The capital structure of the Group consists of net debt (which includes borrowings 
less cash and cash equivalents and excluding lease liabilities) and equity of the Group, comprising issued capital, reserves and earnings as 
disclosed in the Consolidated Statement of Changes in Equity.

14. Capital structure and net debt
The capital structure of the Group at 31 December was as follows:

Borrowings (Note 19)
Less: Cash and cash equivalents (Note 20)
Net debt
Equity
Total capital

2021
$m
1,344.6
463.4
881.2
1,694.8
2,576.0

2020
$m
1,456.4
565.4
891.0
1,670.7
2,561.7

The Group’s capital structure is managed to provide ongoing returns to shareholders and service debt obligations whilst maintaining 
maximum operational flexibility. Refer to pages 77 to 85 in the Financial review for discussion of the Group’s sources and uses of cash.

15. Share capital and reserves

Share capital
Called up share capital is the total number of shares in issue at their par value. The rights attaching to the ordinary shares are uniform 
in all respects. They form a single class for all purposes, including with respect to voting and for all dividends and other distributions 
thereafter declared, made or paid on the ordinary share capital of the Group. Incremental costs directly attributable to the issue of new 
ordinary shares are shown in equity as a deduction from the proceeds, net of tax.

Repurchased shares are classified as own shares and are disclosed in the own shares reserve.

Share premium
The share premium represents amounts received in excess of the nominal value of the ordinary shares.

Own shares
Own shares are ordinary shares in the Group purchased and held by an Employee Benefit Trust to satisfy obligations under the Group’s 
employee share ownership programmes.

When any Group company purchases the Company’s equity share capital (own shares), the consideration paid, including any directly 
attributable incremental costs (net of tax), is deducted from equity until the shares are cancelled, reissued or disposed of. Where such 
shares are subsequently sold or reissued, any consideration received, net of any directly attributable costs and the related tax effects, 
is recognised in equity and the resulting surplus or deficit on the transaction is presented within share premium.

Merger reserve
In 2016, the Consolidated Financial Statements were prepared under merger accounting principles. Under these principles, no acquirer 
was required to be identified and all entities were included at their pre-combination carrying amounts. This accounting treatment led to 
differences on consolidation between issued share capital and the book value of the underlying net assets. This difference is included 
within equity as a merger reserve.

Cumulative translation reserve
The foreign currency translation reserve is used to record exchange differences arising from the translation of the financial statements 
of foreign subsidiaries.

Other reserves
Other reserves comprises of the cumulative changes in the effective portion of cash flow hedges, remeasurement of defined benefit 
plans and the share-based payment reserve.

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15. Share capital and reserves (continued)
Share capital
Shares were allotted during the year in respect of the Group’s scrip dividend offering. The movements in ordinary shares of 10 pence each 
were as follows:

Issued and fully paid or credited as fully paid
1 January 2020
Issue of new shares for Scrip Scheme – 2019 final dividend
Issue of new shares for Scrip Scheme – 2020 interim dividend

31 December 2020
Issue of new shares for Scrip Scheme – 2020 final dividend
Issue of new shares for Scrip Scheme – 2021 interim dividend

31 December 2021

Ordinary shares
number
1,983,513,851
16,991,621
3,841,666
20,833,287
2,004,347,138
9,475,532
750,265
10,225,797
2,014,572,935

Share capital
$m
242.9
2.1
0.5
2.6
245.5
1.3
0.2
1.5
247.0

Share premium
$m
70.7
35.7
8.9
44.6
115.3
24.8
2.2
27.0
142.3

At 31 December 2021, 742,756 shares (2020: 2,401,898 shares) were held in the Employee Benefit Trust. The market value of own shares 
at 31 December 2021 was $1.9 million (2020: $6.5 million). 

Other reserves include the share-based payment reserve of $135.3 million (2020: $121.8 million), partially offset by the remeasurement 
of defined benefit obligations of $3.6 million (2020: $8.2 million) and the effective portion of cash flow hedges of $5.2 million 
(2020: $4.5 million). A reconciliation of movements in all reserves is provided in the Consolidated Statement of Changes in Equity.

Distributable reserves 
Retained and realised distributable reserves equates to the retained surplus of ConvaTec Group Plc as set out in the Company Financial 
Statements on page 198. At 31 December 2021, the retained surplus of the Company was $1,590.3 million (2020: $1,653.1 million). 
The capacity of the Company to make dividend payments is primarily determined by the availability of these retained and realised 
distributable reserves and the Group’s cash resources.

16. Dividends

The Group ensures that adequate realised distributable reserves are available in the Company in order to meet proposed shareholder 
dividends, and the purchase of shares for employee share scheme incentives. The Company principally derives distributable reserves 
from dividends received from subsidiary companies.

In determining the level of dividend for the year, the Board considers the following factors and risks that may influence the 
proposed dividend:
– Availability of realised distributable reserves;
– Available cash resources and commitments;
– Strategic opportunities and investments, in line with the Group’s strategic plan; and
– Principal risks of the Group (as disclosed on pages 68 to 73).

The Board paid the 2020 final dividend in May 2021 and the interim dividend in October 2021. The Board has taken into consideration 
balancing the return to shareholders and the additional investment in transformation in the period. The decision to increase the dividend 
for 2021 reflects the Board’s confidence in the future performance of the Group and the underlying financial strength, distributable 
reserves position and cash generation of the Group when assessing cash flow forecasts for the next two years from the date of the 
dividend payment. Further details of the Group’s considerations and rationale for its policy in respect of the dividend distribution are 
given in the Directors’ report on page 146.

Accounting policy

Dividends paid are included in the Group Consolidated Financial Statements at the earlier of payment of the dividends or, in respect of the 
Company’s final dividend for the year, on approval by shareholders.

The Company operates a scrip dividend scheme allowing shareholders to elect to receive their dividend in the form of new fully paid 
ordinary shares. For any particular dividend, the Directors may decide whether or not to make the scrip offer available.

185
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

16. Dividends (continued)
Dividends paid and proposed were as follows:

Final dividend 2019
Interim dividend 2020
Paid in 2020
Final dividend 2020
Interim dividend 2021
Paid in 2021
Final dividend 2021 proposed

pence per 
share
3.095
1.306
4.401
2.845
1.229
4.074
3.161

cents per 
share
3.983
1.717
5.700
3.983
1.717
5.700
4.154

Total
$m
75.8
34.3
110.1
79.7
34.6
114.3
83.7

Settled in
cash
$m
38.0
24.9
62.9
53.6
32.2
85.8

No of scrip 
Settled via 
shares 
scrip
issued
$m
16,991,621
37.8
9.4
3,841,666
47.2 20,833,287
9,475,532
26.1
750,265
2.4
28.5 10,225,797

The final dividend proposed for 2021, to be distributed on 19 May 2022 to shareholders registered at the close of business on 1 April 2022, 
is based upon the issued and fully paid share capital as at 31 December 2021 and is subject to shareholder approval at the Annual General 
Meeting on 12 May 2022. The dividend will be declared in US dollars and will be paid in Sterling at the chosen exchange rate of $1.314/£1.00 
determined on 7 March 2022. A scrip dividend alternative will be offered allowing shareholders to elect by 27 April 2022 to receive their 
dividend in the form of new ordinary shares.

The interim and final dividends for 2021 give a total dividend for the year of 5.871 cents per share (2020: 5.700 cents per share).

17. Share-based payments

The Group operates a number of plans used to award shares to Executive Directors and other senior employees as part of their 
remuneration package. A charge is recognised over the vesting period in the Consolidated Income Statement to record the cost of these, 
based on the fair value of the award at the grant date.

The Group’s share-based payment schemes in place are as follows:

Long Term Incentive Plan (“LTIP”)
Provides Performance Share Plan (“PSP”) awards subject to Group performance and market conditions and Restricted Stock Units 
(“RSU”) subject only to remaining employed up to the vesting date. Details on share-based payments in relation to Executive Directors 
is set out on pages 129 to 130. 

Deferred Bonus Plan (“DBP”)
Provides for the grant of share awards to defer a portion of the participant’s bonus as determined by the Remuneration Committee. 
The awards vest subject only to remaining employed up to the vesting date.

Share Plan/Matching Share Plan (“SP/MSP”)
Provides for the grant of discretionary share awards. Awards granted in 2021 will vest to employees still employed on the vesting date. 
The awards granted in 2020 are subject to the completion of the Group’s Transformation Initiative.

Employee Plans
The Group also operates Employee Plans which provide eligible employees the opportunity to save up to £500 per month (or local 
currency equivalent) with an option to acquire shares using these savings at a 15% discount to the market price at date of grant. 
The Employee Plans are available to employees under the following schemes:
 – Save-As-You-Earn (“SAYE”) – Available to all employees in the UK employed by participating Group companies.
 – Employee Stock Purchase Plan (“ESPP”) – Available to all employees in the US.
 – International Share Save Plan – Available to all employees in the rest of the world.

Accounting policy

Equity-settled share-based payment awards are measured at the fair value of the award on the grant date, excluding the effect of 
non-market-based vesting conditions. The fair value of the awards at the date of the grant is expensed to general and administrative 
expenses in the Consolidated Income Statement over the vesting period on a straight-line basis.

Appropriate adjustments are made to reflect expected and actual forfeitures during the vesting period due to uncertainties in satisfying 
service conditions or non-market performance conditions. The corresponding credit is to other reserves in the Consolidated Statement 
of Financial Position.

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17. Share-based payments (continued)
All share-based payment expenses were equity-settled and recognised in the Consolidated Income Statement as follows:

LTIP
SP/MSP
DBP
Employee Plans

2021
$m
11.6
2.1
1.4
1.3
16.4

2020
$m
9.2
1.4
0.6
1.2
12.4

Awards outstanding
The movements in the number of share and share option awards and the weighted average exercise price of share options are detailed below:

Outstanding at 1 January
Granted
Forfeited
Exercised
Outstanding at 31 December
Exercisable at 31 December
Weighted average fair value of awards granted (£ per share)

2021

2020

Weighted 
average 
exercise 
price of 
options
£ per share
0.51
0.33
0.53
0.46
0.43
1.80
1.18

Number of 
shares/
options
000’s
30,472
13,190
(8,265)
(1,690)
33,707
826
–

Number of 
shares/
options
000’s
29,503
11,513
(6,250)
(4,294)
30,472
937
–

Weighted 
average 
exercise 
price
£ per share
0.57
0.26
0.67
0.03
0.51
2.49
1.19

The average share price during 2021 was £2.15 (2020: £1.96). The share price of the Company at 31 December 2021 was £1.93.

The range of exercise prices and the weighted average remaining contractual life of options outstanding at 31 December were as follows:

Range of prices
Nil
1.21
1.76
1.84
2.08
2.49

Weighted average remaining contractual life of options outstanding

2021
Number of 
shares/
options
000’s
24,198
5,338
1,344
755
2,072
–
33,707
1.9 years

2020
Number of 
shares/
options
000’s
20,637
5,993
1,635
1,270
–
937
30,472
2.0 years

Valuation assumptions
All share awards granted are valued directly by reference to the share price at date of grant except:
 – PSP shares awarded under the LTIP and MSP plans are subject both market based measures and non-market based measures. Vesting 
under the market-based element are based on relative Total Shareholder Return (“TSR”) performance conditions and are valued using 
a Monte Carlo simulation.

 – Options granted under the Employee Plans are valued using the Black-Scholes model. 

The principal assumptions used in these valuations were:

Share price at date of grant
Exercise price
Expected life
Expected volatility(a)
Risk free rate
Dividend yield
Fair value

2021

SAYE & 
International 
Share Save 
Plan
£2.44
£2.08
3.6 years
40.6%
0.1%
2.1%
£0.54

LTIP
£1.92
nil
3.0 years
40.6%
0.1%
2.1%
£1.00

2020

ESPP
£2.44
£2.08
2.0 years
40.6%
0.1%
2.1%
£0.48

LTIP 
March 2020
£1.85
nil
3.0 years
43.9%
0.1%
2.4%
£1.13

LTIP 
May 2020
£2.07
nil
3.0 years
46.1%
0.1%
2.2%
£1.51

SAYE & 
International 
Share Save 
Plan
£1.89
£1.76
3.6 years
46.1%
0.1%
2.2%
£0.28

ESPP
£2.07
£1.76
2.0 years
46.1%
0.1%
2.2%
£0.30

(a)  The expected volatility was determined by calculating the observed historical volatility of share prices of peer group companies (including the Company) over the expected life 

of the share award.

187
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

18. Financial risk management

The Group’s treasury policy seeks to minimise the Group’s principal financial risks. No trading or speculative transactions in financial 
instruments are undertaken. This note presents information about the Group’s exposure to financial risks and the Group’s objectives, 
policies and processes for measuring and managing risks.

Financial risk management objectives
Based on the global operations of the Group, management consider the key financial risks to be liquidity, foreign exchange, interest rate and 
counterparty credit. The management of counterparty credit risk is discussed in Note 10 – Trade and other receivables.

Liquidity risk
Liquidity risk is the risk that the Group will encounter difficulty in meeting its financial obligations as they fall due. The Group manages and 
minimises liquidity risk by using global cash management solutions and actively monitoring both actual and projected cash outflows to 
ensure that it will have sufficient liquidity to meet its liabilities when due and have headroom to provide against unforeseen obligations. As at 
31 December 2021, the Group held cash and cash equivalents of $463.4 million (2020: $565.4 million), of which 87% was held centrally, and 
had access to a $200.0 million multicurrency revolving credit facility, available until October 2024, which has remained undrawn.

Medium and long-term borrowing requirements are met through committed bank facilities and capital market funding as detailed in Note 19 
– Borrowings. Short-term borrowing requirements, if necessary, may be met from drawings under the multicurrency revolving credit facility.

Cash collections have remained strong throughout 2021 and the Group has not taken advantage of any governmental COVID-19 support 
programmes available or needed to utilise its revolving credit facility to manage short-term liquidity requirements. Longer term, the Group 
has assessed its liquidity forecast as part of the viability assessment and its ability to continue trading as a going concern. For further detail 
on the Group’s assessment of liquidity risk, refer to the Viability statement on pages 74 to 76.

Foreign exchange risk
As a result of the global nature of operations, the Group is exposed to market risk arising from changes in foreign currency exchange rates.

Where possible, the Group manages foreign exchange risk by matching same currency revenues and expenses. It will also denominate debt 
in certain currencies and use foreign exchange forward contracts and swap contracts to further minimise both translation and transactional 
foreign exchange risk, with certain currency contracts designated as cash flow hedges; refer to Note 21 – Financial instruments for details. 
As a result, the impact of the fluctuations in the market values of assets and liabilities and the settlement of foreign currency transactions 
are reduced.

The following table summarises the exchange rates used for the translation of currencies into US dollars that have the most significant 
impact on the Group results:

Currency
USD/EUR

USD/GBP

USD/DKK

Average rate/
Closing rate
Average
Closing
Average
Closing
Average
Closing

2021
1.18
1.14
1.38
1.35
0.16
0.15

2020
1.14
1.22
1.28
1.37
0.15
0.16

Sensitivity analysis on foreign exchange risk
The sensitivity analysis below assumes a 10% strengthening of the US dollar against the principal currencies to highlight the sensitivity of 
profit before income taxes and total equity to foreign exchange risk as at 31 December, with all other variables held constant.

Sensitivity

+10%
+10%
+10%

+10%
+10%
+10%

2021 
$m

0.1
(40.6)
(20.5)

(93.0)
6.5
(31.4)

2020 
$m

1.7
(31.6)
(10.0)

(92.6)
3.8
(34.6)

Currency
Increase/(decrease) in profit before income taxes
USD/GBP
USD/EUR
USD/DKK
Decrease/(increase) in total equity
USD/GBP
USD/EUR
USD/DKK

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18. Financial risk management (continued)
Interest rate risk
The Group’s principal exposure to interest rate risk is in relation to interest expense on borrowings made under the Group’s credit facilities 
which attract interest at floating rates plus a fixed margin. Floating rate borrowings expose the Group to interest rate cash flow and expense 
risk. The Group manages this exposure on a net basis within Board approved policy parameters, including the use of interest rate swaps 
designated as cash flow hedges to maintain an appropriate mix between fixed and floating rate borrowings.

As at 31 December 2021, the Group’s borrowings are denominated in USD and EUR. The credit facilities expose the Group to floating 
USD LIBOR and EURIBOR. Refer to Note 19 – Borrowings for further details of the Group’s credit facilities agreement. The Group 
maintains USD interest rate swaps of $275.0 million, with exposure to USD LIBOR as a reference rate; refer to Note 21 – Financial 
instruments for details. 

Sensitivity analysis on interest rate risk
Based on the composition and the terms of the Group’s borrowings as at 31 December 2021, and including the 0% interest rate floor and 
before the effect of the interest rate swaps, if interest rates were to increase or decrease by 100 basis points, the interest expense on 
borrowings would increase by $7.6 million (2020: $12.4 million) or decrease by $1.4 million (2020: $2.1 million) assuming that all other 
variables remain constant and excluding any effect of tax.

IBOR Reform
The transition away from LIBOR and other IBORs (together “IBOR Reform”) removed certain IBOR as an interest rate benchmark for 
financial instruments. In May 2021, the Group amended its credit facilities, removing GBP as an optional currency for drawings and removing 
1-week and 2-month draw periods for USD. This change did not result in any impact on the Group’s financial statements for the year ended 
31 December 2021. Given that the Group is not forecasting a material requirement for GBP, the changes do not affect the Group’s ability to 
draw under the facility in the required principal currencies. 

19. Borrowings

The Group’s sources of borrowing for funding and liquidity purposes derive from senior notes and drawn credit facilities including 
a committed revolving credit facility.

In October 2021, the Group issued unsecured senior notes of $500 million in accordance with Rule 144A and Regulations S (under the 
Securities Act) and used the proceeds to prepay a portion of the drawings against the credit facilities. 

Accounting policy

Borrowings are recognised at fair value less directly attributable costs on the date that they are entered into and subsequently measured 
at amortised cost using the effective interest rate method. Borrowing costs directly attributable to the facility are capitalised and 
amortised over the period of the loan. 

The effective interest rate method is a method of calculating the amortised cost of a financial liability and allocating the interest expense 
over the relevant period. The effective interest rate is the rate that exactly discounts estimated future cash payments through the 
expected life of the financial liability, or, where appropriate, a shorter period, to the net carrying amount on initial recognition.

Borrowings are classified as non-current when the repayment date is more than 12 months from the period-end date or where they are 
drawn on a facility with more than 12 months to expiry.

The Group derecognises borrowings when its contractual obligations are discharged, terminated or expired.

Fair value measurement
Borrowings are classified as Level 1 or Level 2 in the fair value hierarchy in accordance with IFRS 13, Fair Value Measurements, based 
upon the degree to which the fair value movements are observable. 

The Group’s borrowings as at 31 December were as follows:

Revolving Credit Facility
Senior Notes
Term Loan Facility A(a)
Term Loan Facility B(b)
Interest-bearing borrowings
Financing fees
Carrying value of borrowings
Less: current portion of borrowings
Non-current borrowings

Currency
Multicurrency
USD
USD/Euro
USD/Euro

Year of 
maturity
2024
2029
2024
2024

2021 
Face value 
$m
–
500.0
461.2
396.7
1,357.9
(13.3)
1,344.6
144.8
1,199.8

2020 
Face value 
$m
–
–
560.1
908.2
1,468.3
(11.9)
1,456.4
86.6
1,369.8

(a)  Included within Term Loan Facility A is €78.4 million ($89.2 million) and €140.4 million ($171.6 million) at 31 December 2021 and 2020 respectively. This represents 19% 

(2020: 31%) denominated in Euros and 81% (2020: 69%) denominated in US dollars.

(b)  Included within Term Loan Facility B is €67.5 million ($76.7 million) and €227.8 million ($278.2 million) at 31 December 2021 and 2020 respectively. This represents 19% 

(2020: 31%) denominated in Euros and 81% (2020: 69%) denominated in US dollars.

189
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

19. Borrowings (continued)
Senior notes
Unsecured senior notes of $500.0 million were issued on 7 October 2021 with a maturity date of 15 October 2029 at a coupon rate of 
3.875% per annum, payable semi-annually and, except for certain options redemption conditions, is not redeemable at the issuer’s option 
prior to 7 October 2024. Issue proceeds were used to prepay a portion of the drawings against credit facilities and the existing share pledges 
securing the credit facilities were released.

The senior notes are subject to a financial covenant which is an interest cover test (minimum of 2 times) as defined in the indenture. 
Testing is required annually based on the last 12 calendar months’ financial performance. 

Credit facilities
The credit facilities held by the Group are committed and available for the refinancing of certain existing financial indebtedness and general 
corporate purposes. Provided by a group of financial institutions and maturing in October 2024, it consisted originally of two 5-year 
multicurrency term loans totalling $1.5 billion and a $200 million multicurrency revolving credit facility, allowing drawings to be made in 
different currencies. During the year ended 31 December 2021, $88.4 million (2020: $45.0 million) was repaid in accordance with the 
repayment schedule and $495.5 million was prepaid using proceeds from the senior notes issued on 7 October 2021. Of the remaining 
balance, $461.2 million is amortising in accordance with the repayment schedule, and $396.7 million is repayable in full at maturity. The 
multicurrency revolving credit facility has an option to increase its amount by up to 50% ($100.0 million) subject to certain conditions. 
The multicurrency revolving credit facility remained undrawn as at 31 December 2021.

The principal financial covenants are based on a permitted net debt to adjusted EBITDA ratio and interest cover test as defined in the credit 
facilities agreement. Testing is required on a semi-annual basis, at June and December, based on the last 12 months’ financial performance. 
At 31 December 2021, the permitted net debt to adjusted EBITDA ratio was a maximum of 3.50 times and the interest cover a minimum of 
3.50 times, terms as defined by the credit facilities agreement. In accordance with the credit facilities agreement, net debt to adjusted 
EBITDA ratio can increase to a maximum 4.00 times for permitted acquisitions or investments. 

Financial covenants
The Group was in compliance with all financial and non-financial covenants at 31 December 2021, with significant available headroom on the 
financial covenants (in excess of $700.0 million debt headroom on net debt to adjusted EBITDA). 

Excluding the impact of interest rate swaps, the weighted average interest rate on borrowings for the year ended 31 December 2021 
was 2.0% (2020: 2.6%).

Borrowings not measured at fair value
The senior notes are listed and their fair value of $507.7 million at 31 December 2021 has been obtained from quoted market data and 
therefore categorised as a Level 1 measurement in the fair value hierarchy under IFRS 13, Fair Value Measurements. For the Group’s other 
borrowings, the fair value is based on discounted cash flows using a current borrowing rate and are categorised as a Level 2 measurement. 
At 31 December 2021, the estimated fair value of the Group’s other borrowings was $847.3 million (2020: $1,473.7 million).

Maturity of financial liabilities
The contractual undiscounted future cash flows, including contractual interest payments, related to the Group’s financial liabilities were 
as follows:

At 31 December 2021
Borrowings
Lease liabilities(a)
Trade and other payables
Derivative financial instruments
Derivative financial instruments payable
Derivative financial instruments 
receivable
At 31 December 2020
Borrowings
Lease liabilities(a)
Trade and other payables
Derivative financial instruments
Derivative financial instruments payable
Derivative financial instruments 
receivable

Within 1 
year or on 
demand
$m

184.7
22.6
342.5

1,723.4

(1,726.3)

122.8
23.3
334.1

971.1

(967.6)

Contractual cash flows

1 to 2  
years
$m

182.0
19.4
–

2.9

–

181.6
18.6
–

3.7

–

2 to 3 
years
$m

591.2
14.7
–

–

–

178.8
15.3
–

0.9

–

3 to 4 
years
$m

19.4
10.9
–

–

–

1,099.3
11.3
–

–

–

4 to 5 
years
$m

More than 
5 years
$m

Total
$m

Carrying 
amount
$m

19.4
8.3
–

558.1
28.4
–

1,554.8
104.3
342.5

1,344.6
90.5
342.5

–

–

–
8.1
–

–

–

–

–

–
32.4
–

–

–

1,726.3

14.6

(1,726.3)

(15.1)

1,582.5
109.0
334.1

1,456.4
92.1
334.1

975.7

15.4

(967.6)

(8.1)

(a)  The lease liabilities disclosed in this table are on an undiscounted basis. The lease liabilities on a discounted basis at 31 December 2021 are $90.5 million (2020: $92.1 million).

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19. Borrowings (continued)
Reconciliation of movement in borrowings

Borrowings at 1 January
Repayment of borrowings(a)
Proceeds of new borrowings, net of financing fees(b)
Foreign exchange
Non-cash movements(c)
Borrowings at 31 December

2021
$m
1,456.4
(583.9)
491.8
(26.5)
6.8
1,344.6

2020
$m
1,486.1
(73.0)
–
39.0
4.3
1,456.4

(a)  In the year ended 31 December 2021, repayment of borrowings includes the scheduled repayment instalment on Term Loan Facility A of $88.4 million (2020: $45.0 million). 
In the year ended 31 December 2020, there was an additional payment of $28.0 million on Euro denominated borrowings triggered by the movement in the Euro to USD 
exchange rate exceeding 5%.

(b)  On 7 October 2021, 180 Medical, Inc. a wholly owned subsidiary of the Group, issued 8-year, non-call for 3 years unsecured senior notes of $500 million in accordance with Rule 

144A and Regulation S (under the Securities Act). Transaction costs in respect of the issuance were $8.2 million.

(c)  Non-cash movements are in respect of the amortisation of deferred financing fees associated with the borrowings less financing fees charged to finance expense following the 

repayment of a portion of the loan facilities. 

20. Cash and cash equivalents

Cash held at bank is used for the Group’s day-to-day operations. The Group utilises bank deposits or money market funds which have 
a maturity of three months or less as liquid investments that enable short-term liquidity requirements to be met.

Accounting policy

Cash and cash equivalents comprise cash in hand and current balances with banks and similar institutions. All liquid investments, including 
term deposits and money market funds, have original maturities of three months or less, are subject to insignificant risk of changes in 
value and are repayable within one business day with no significant loss of interest, resulting in classification as cash equivalents.

Cash at bank earns interest at rates based on daily bank deposit rates. Term deposits and money market funds earn interest at the 
respective short-term deposit rate.

Cash and cash equivalents at 31 December 2021 included $37.5 million (2020: $42.2 million) of cash held in territories where there are 
restrictions related to timely repatriation. The amounts meet the definition of cash and cash equivalents but are not deemed to be readily 
available for general use by the wider Group.

Consolidated Statement of Cash Flows
Under certain circumstances, the Group utilises bank overdrafts to manage temporary fluctuations in cash positions. The bank 
overdrafts are repayable on demand, used as part of the Group’s overall cash management strategy and form part of cash and cash 
equivalents for the purpose of the Consolidated Statement of Cash Flows. The Group had no bank overdrafts as at 31 December 2021 
or 31 December 2020.

The Group reports cash flows from operating activities using the indirect method in accordance with IAS 7, Statement of Cash Flows. 
The Group has elected to classify net interest paid (including interest on lease liabilities) as cash flows from operating activities.  
Short-term lease payments and payments for leases of low-value assets are included in cash flows from operating activities. 

Changes in working capital assets and liabilities as reported in cash flows from operating activities reflect the changes in the 
Consolidated Statement of Financial Position between the current and previous financial year end, including adjustments for amounts 
relating to acquisitions and disposals (when necessary), as well as currency translation adjustments. 

Cash payments for the principal portion of lease liabilities is included within cash flows from financing activities.

Acquisition of property, plant and equipment, and intangible assets reflects additions to the related assets, including adjustments for 
changes in capital accruals. Acquisition of intangible assets relates to capitalised software, development and product-related licences. 
Refer to Note 8 – Intangible assets and goodwill for further details.

The adjustment for non-operating expense, net in the Consolidated Statement of Cash Flows excludes the gains and losses realised 
on cash-settled derivative financial instruments. Refer to Note 4 – Non operating income/expense, net.

Cash at bank and in hand
Money market funds and bank deposits
Cash and cash equivalents

2021 
$m
69.5
393.9
463.4

2020 
$m
105.0
460.4
565.4

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

21. Financial instruments

A derivative financial instrument is a contract that derives its value from the performance of an underlying variable, such as foreign 
exchange rates or interest rates. The Group uses derivative financial instruments to manage foreign exchange and interest rate risk 
arising from its operations and financing. Derivative financial instruments used by the Group are foreign exchange forwards (including 
non-deliverables) and interest rate swaps.

The Group utilises interest rate swap agreements, designated as cash flow hedges, to manage its exposure to variability in expected 
future cash outflows attributable to the changes in interest rates on the Group’s committed borrowing facilities.

Accounting policy

Derivative financial instruments are initially recognised at fair value on the derivative contract date and are remeasured at their fair value 
at subsequent reporting dates. Derivative financial instruments are classified at fair value through profit or loss (“FVTPL”) unless they are 
designated and qualify as an effective cash flow hedge. The fair value of forward foreign exchange contracts is determined by using the 
difference between the contract exchange rate and the quoted forward exchange rate from third parties at the reporting date.

Hedge accounting
The Group has elected to apply the IFRS 9, Financial Instruments hedge accounting requirements. Changes in the fair values of 
derivatives designated as cash flow hedges are recognised in other comprehensive income to the extent the hedges are effective. The 
fair value is the estimated amount that the Group would receive or pay to terminate the forward or swap at the reporting date, taking into 
account current market rates, the Group’s current creditworthiness, as well as that of the financial instrument counterparties.

The cumulative gain or loss is then reclassified to the Consolidated Income Statement in the same period when the relevant hedged 
transaction is realised. Any ineffectiveness on hedging instruments is recognised in the Consolidated Income Statement as they arise. 
Hedge accounting is discontinued when the hedging instrument expires or is sold, terminated or exercised, or no longer qualifies for 
hedge accounting.

The Group maintains USD interest rate swaps of $275.0 million, with exposure to USD LIBOR as a reference rate (as detailed below). 
In assessing hedge effectiveness on a prospective basis for this relationship, the Group has assumed that the USD LIBOR-related interest 
cash flows on the swap are not altered by IBOR reform and the hedge continues to be highly effective. Furthermore, hedge accounting 
did not need to be discontinued during the period of IBOR-related uncertainty as the Group has taken the relief available in Phase 1 to 
separately identify the risk component at the initial hedge designation and not on an ongoing basis. 

Right to offset
Financial assets and liabilities are offset and the net amount presented in the Consolidated Statement of Financial Position when, and 
only when, the Group has a legal right to offset the amounts and intends either to settle them on a net basis or to realise the asset and 
settle the liability simultaneously.

Fair value measurement
Financial instruments are classified as Level 1 or Level 2 in the fair value hierarchy in accordance with IFRS 13, Fair Value Measurements, 
based upon the degree to which the fair value movements are observable. The only instrument classified as Level 1 are the senior notes, 
given the availability of quoted market price. Level 2 fair value measurements are defined as those derived from inputs other than quoted 
prices that are observable for the asset or liability, either directly (prices from third parties) or indirectly (derived from third-party prices).

The Group holds interest rate swap agreements to fix a proportion of variable interest on US dollar denominated debt, in accordance with 
the Group’s risk management policy. The interest rate swaps are designated as hedging instruments in a cash flow hedging relationship.

In accordance with Group policy, the Group uses forward foreign exchange contracts, designated as cash flow hedges, to hedge certain 
forecast third-party foreign currency transactions for up to one year. When a commitment is entered into a layered approach is taken when 
hedging the currency exposure, ensuring that no more than 100% of the transaction exposure is covered. The currencies hedged by forward 
foreign exchange contracts are US dollars, Swiss Francs and Japanese Yen. 

The Group further utilises foreign exchange contracts and swaps classified as FVTPL to manage short-term foreign exchange exposure.

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21. Financial instruments (continued)
Cash flow hedges
The fair values are based on market values of equivalent instruments at 31 December. The following table presents the Group’s outstanding 
interest rate swaps, which are designated as cash flow hedges at 31 December:

Effective
date

Maturity  
date

2021

2020

Notional 
amount 
$m

Fair value(a) 
assets/ 
(liabilities) 
$m

Notional 
amount 
$m

Fair value(a)
assets/ 
(liabilities) 
$m

3 Month LIBOR Float to 
Fixed Interest Rate Swap

24 Jan 2020 24 Jan 2023

275.0

(2.9)

275.0

(7.7)

(a)  The fair values of the interest rate swaps are disclosed in non-current derivative financial liabilities in the Consolidated Statement of Financial Position. There is no 

ineffectiveness recognised in the Consolidated Income Statement. 

Foreign exchange forward contracts
The following table presents the Group’s outstanding foreign exchange forward contracts valued at FVTPL and foreign currency forward 
contracts designated as cash flow hedges, disclosed in current derivative financial assets and liabilities, at 31 December:

Foreign exchange contracts
Foreign currency forward exchange contracts 
designated as cash flow hedges
Derivative financial assets
Foreign exchange contracts
Foreign currency forward exchange contracts 
designated as cash flow hedges
Derivative financial liabilities

2021

2020

Notional 
amount 
$m
864.6

40.8
905.4
695.9

130.2
826.1

Fair value 
asset/ 
(liabilities) 
$m
14.5

0.6
15.1
(6.5)

(5.2)
(11.7)

Notional 
amount 
$m
512.5

98.3
610.8
355.3

–
355.3

Fair value 
assets/ 
(liabilities) 
$m
6.4

1.7
8.1
(7.7)

–
(7.7)

Term
≤ 3 months

≤ 12 months

≤ 3 months

≤ 12 months

During the year ended 31 December 2021, the Group realised a net loss of $9.7 million (2020: $21.7 million gain) on foreign exchange 
forward contracts designated as FVTPL in non-operating income/expenses, net, in the Consolidated Income Statement.

Impact of hedging on other comprehensive income
The following table presents the impact of hedging on other comprehensive income:

Recognised in other comprehensive income:
Effective portion of changes in fair value of cash flow hedges:
 Interest rate swaps
 Foreign currency forward exchange contracts designated as cash flow hedges
Changes in fair value of cash flow hedges reclassified to the Consolidated Income Statement
Cost of hedging
Total

2021 
$m

2020 
$m

(1.0)
(4.1)
5.7
(0.4)
0.2

(8.5)
1.8
(0.2)
(0.1)
(7.0)

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

22. Leases

The Group principally leases real estate and vehicles. Leases are recognised as a right-of-use asset with a corresponding liability recorded 
at the date at which the leased asset is available for use by the Group.

Accounting policy

The lease liability is measured at the present value of future lease payments discounted using the rate implicit in the lease. If this rate is 
not readily determinable, the Group uses its incremental borrowing rate. Generally, the Group uses its incremental borrowing rate as the 
discount rate.

Options such as lease extensions or terminations on lease contracts are considered on a case-by-case basis by regular 
management assessment.

Each lease payment is allocated between amounts paid for principal and interest. The interest cost is charged to the Consolidated Income 
Statement over the lease term to produce a constant periodic rate of interest on the remaining balance of the liability for each period. 
The right-of-use asset is depreciated on a straight-line basis over the lease term.

Payments associated with short-term leases and low-value leases are recognised on a straight-line basis as an expense in the 
Consolidated Income Statement. Short-term leases are leases with a lease term of 12 months or less and low-value leases comprise of 
leases with an underlying asset value of less than $5,000. Expenses recognised for these short-term and low-value leases for the year 
ended 31 December 2021 were $2.8 million (2020: $3.9 million).

The movements in right-of-use assets were as follows:

Real estate 
and other 
$m
68.6
14.5
(1.1)
(14.1)
2.4
70.3
17.1
0.7
(0.4)
(14.5)
(2.9)
70.3

Vehicles 
$m
15.9
8.4
(0.9)
(8.3)
0.4
15.5
7.8
–
(1.1)
(8.3)
(0.6)
13.3

2021
$m
92.1
24.9
0.7
(22.0)
(1.5)
3.8
(3.8)
(3.7)
90.5

Total 
$m
84.5
22.9
(2.0)
(22.4)
2.8
85.8
24.9
0.7
(1.5)
(22.8)
(3.5)
83.6

2020
$m
88.5
22.9
–
(20.6)
(1.9)
3.8
(3.8)
3.2
92.1

As at 1 January 2020
Lease additions
Leases terminated
Depreciation of right-of-use assets
Foreign exchange
As at 31 December 2020
Lease additions
Acquisitions
Leases terminated
Depreciation of right-of-use assets
Foreign exchange
As at 31 December 2021

Movements in lease liabilities were as follows:

Lease liabilities as at 1 January
Lease additions
Acquisitions
Payment of lease liabilities
Leases terminated
Interest expense on lease liabilities (Note 23)
Interest paid on lease liabilities
Foreign exchange
Lease liabilities as at 31 December

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22. Leases (continued)
Total cash outflow of lease liabilities including interest for the year ended 31 December 2021 was $25.8 million (2020: $24.4 million).

Lease liabilities by category at 31 December were as follows:

Current
Non-current
Total

Real estate 
and other 
$m
13.2
64.0
77.2

The maturity of lease liabilities at 31 December was as follows:

2021

Vehicles 
$m
6.5
6.8
13.3

2021

Vehicles 
$m
6.5
4.1
2.0
0.6
0.1
–
–
13.3

Real estate 
and other 
$m
13.2
12.7
10.7
8.5
6.8
24.2
1.1
77.2

63.5
13.7

12.8
0.5

Total 
$m
19.7
70.8
90.5

Total 
$m
19.7
16.8
12.7
9.1
6.9
24.2
1.1
90.5

76.3
14.2

Real estate 
and other 
$m
12.4
64.1
76.5

Real estate 
and other 
$m
12.5
10.8
10.4
8.7
6.3
22.9
4.9
76.5

60.1
16.4

2020

Vehicles 
$m
7.4
8.2
15.6

2020

Vehicles 
$m
7.3
4.9
2.5
0.7
0.2
–
–
15.6

14.9
0.7

Total 
$m
19.8
72.3
92.1

Total 
$m
19.8
15.7
12.9
9.4
6.5
22.9
4.9
92.1

75.0
17.1

Within 1 year
1 to 2 years
2 to 3 years
3 to 4 years
4 to 5 years
5 to 10 years
More than 10 years
Total
Of which:
Principal
Interest

23. Finance income and expense

Finance expenses arise from interest on the Group’s borrowings and lease liabilities. Finance income arises from interest earned on 
investment of surplus cash.

Accounting policy

Finance expenses, including the transaction costs for borrowings and any discount or premium on issue, are recognised in the 
Consolidated Income Statement using the effective interest rate method.

When existing debt is derecognised in the financial statements any transaction costs not amortised are recognised immediately in the 
Consolidated Income Statement.

Upon derecognition of financial liabilities, any unamortised financing fees are recognised immediately in the Consolidated 
Income Statement.

Interest related to qualifying assets under construction included within PP&E is capitalised (refer to Note 7 – Property, plant 
and equipment).

Refer to Note 22 – Leases for accounting policy on interest expense on lease liabilities.

Interest arising from interest rate swaps is recorded as either interest income or expense over the term of the agreement. When a 
hedging instrument expires, is sold or terminated or no longer meets the requirements for hedge accounting, the cumulative gain or loss 
of hedging that was reported in equity is immediately reclassified to the Consolidated Income Statement.

195
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Consolidated Financial Statements
continued

23. Finance income and expense (continued)
Finance costs, net for the year ended 31 December were as follows:

Finance income
Interest income on cash and cash equivalents
Total finance income
Finance expense
Interest expense on borrowings(a)
Other financing-related fees(b)
Interest expense on interest rate derivatives
Interest expense on lease liabilities
Capitalised interest(c)
Other finance costs
Total finance expense
Finance costs, net

2021
$m

0.8
0.8

(29.2)
(8.1)
(3.8)
(3.8)
0.6
–
(44.3)
(43.5)

2020
$m

1.9
1.9

(39.2)
(5.9)
(1.8)
(3.8)
0.7
(0.3)
(50.3)
(48.4)

(a)  Interest expense is in respect of amounts payable on the Group’s borrowings of which, in the year ended 31 December 2021, $4.6 million is in respect of the senior notes. 

Refer to Note 19 – Borrowings for further details.

(b)  Other financing-related fees include amortisation of deferred financing fees and fees associated with the multicurrency revolving credit facility.
(c)  Capitalised interest was calculated using the Group’s weighted average interest rate over the year of 2.0% (2020: 2.6%).

24. Commitments and contingencies

Commitments represent the Group’s future capital expenditure which is not recognised as a liability in the Consolidated Financial 
Statements but represents a non-cancellable commitment.

A contingent liability is a possible liability that is not sufficiently certain to qualify for recognition as a provision because the amount cannot 
be measured reliably or because settlement is not considered probable.

Capital commitments
At 31 December 2021, the Group had non-cancellable commitments for the purchase of property, plant and equipment, capitalised software 
and development of $32.1 million (2020: $29.6 million).

Contingent liabilities
Following a mutually amicable settlement (Note 12 – Provisions), ConvaTec Inc and Scapa Tapes North America LLC and Scapa Group plc 
dismissed their claims against each other in relation to the previous pending litigation between the companies. 

There are no contingent liabilities recognised as at 31 December 2021. 

196
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Annual Report and Accounts 2021

25. Related party transactions
The Directors have not identified any related parties to the Group, other than the key management personnel. The Group considers key 
management personnel as defined in IAS 24, Related Party Disclosures to be the members of the CELT as set out on page 97 and the 
Non-Executive Directors as set out on pages 94 to 95.

Key management personnel compensation
Key management personnel compensation for the year ended 31 December was as follows:

Short-term employee benefits
Share-based payment expense
Post-employment benefits
Termination benefits
Total

2021 
$m
14.4
9.0
0.7
–
24.1

2020 
$m
15.9
6.8
0.5
1.8
25.0

Further details of short-term employee benefits, share-based payment expense and post-employment benefits for the Executive Directors 
are shown on page 127. Details of the Non-Executive Directors’ fees, included in the table above, are provided on page 130.

The Group has not been a party to any other material transaction, or proposed transactions, in which any member of the key management 
personnel had or was to have a direct or indirect material interest.

26. Subsequent events
The Group has evaluated subsequent events through to 7 March 2022, the date the Consolidated Financial Statements were approved by 
the Board of Directors. 

Details of the proposed final dividend are disclosed in Note 16 – Dividends.

On 28 January 2022, the Group announced that it has entered into an agreement to acquire Triad Life Sciences Inc (“Triad”), a US-based 
medical device company that develops biologically-derived innovative products to address clinical needs in surgical wounds, chronic wounds 
and burns. The transaction, which is subject to regulatory approvals and other customary conditions, is expected to be completed by 
31 March 2022. The initial consideration is $125 million with two potential additional payments of $25 million each dependent on meeting 
short-term milestones. The acquisition cost is expected to be funded through existing cash resources. There are also two potential earnout 
payments conditional on performance during the first two years post-completion, with a maximum earnout of $275 million payable based 
on stretching financial performance over the period. Directly attributable acquisition costs of $0.5 million have been recognised in general 
and administrative expenses in the Consolidated Income Statement in the year ended 31 December 2021.

197
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Company Statement of Financial Position

As at 31 December 2021

Assets
Non-current assets
Investment in subsidiaries
Deferred tax assets

Current assets
Other receivables

Total assets
Equity and liabilities
Current liabilities
Trade and other payables

Total liabilities
Net assets
Equity
Share capital
Share premium
Own shares
Retained surplus
Merger reserve
Cumulative translation reserve
Other reserves
Total equity
Total equity and liabilities

Notes

2021
$m

2020
$m

3 
4 

5 

6 

7 
7 
7 

4,271.5
2.1
4,273.6

10.2
10.2
4,283.8

8.3
8.3
8.3
4,275.5

247.0
142.3
(2.2)
1,590.3
1,765.6
460.8
71.7
4,275.5
4,283.8

4,305.9
2.7
4,308.6

27.3
27.3
4,335.9

4.7
4.7
4.7
4,331.2

245.5
115.3
(6.7)
1,653.1
1,765.6
499.8
58.6
4,331.2
4,335.9

The Company reported a net profit for the year ended 31 December 2021 of $51.5 million (2020: $234.7 million).

The Financial Statements of ConvaTec Group Plc (registered number 10361298) were approved by the Board of Directors and authorised 
for issue on 7 March 2022. They were signed on its behalf by:

Frank Schulkes 
Chief Financial Officer 

Karim Bitar
Chief Executive Officer

198
ConvaTec Group Plc
Annual Report and Accounts 2021

 
 
  
 
 
 
Company Statement of Changes in Equity

For the year ended 31 December 2021

At 1 January 2020
Net profit
Foreign currency translation adjustment
Total comprehensive income
Dividends paid
Scrip dividend
Share-based payments
Share awards vested
Excess deferred tax benefit from 
share-based payments
Purchase of own shares
At 31 December 2020
Net profit

Foreign currency translation adjustment
Total comprehensive income
Dividends paid
Scrip dividend
Share-based payments
Share awards vested
Excess deferred tax benefit from 
share-based payments
At 31 December 2021

Share 
capital
$m
242.9
–
–
–
–
2.6
–
–

–
–
245.5
–

–
–
–
1.5
–
–

Share 
premium
$m
70.7
–
–
–
–
44.6
–
–

–
–
115.3
–

–
–
–
27.0
–
–

Own 
shares
$m
(10.8)
–
–
–
–
–
–
9.7

Retained 
surplus
$m
1,528.5
234.7
–
234.7
(62.9)
(47.2)
–
–

–
(5.6)
(6.7)
–

–
–
–
–
–
4.5

–
–
1,653.1
51.5

–
51.5
(85.8)
(28.5)
–
–

Merger 
reserve
$m
1,765.6
–
–
–
–
–
–
–

–
–
1,765.6
–

–
–
–
–
–
–

Cumulative 
translation 
reserve
$m
376.3
–
123.5
123.5
–
–
–
–

Other 
reserves
$m
55.4
–
–
–
–
–
12.4
(9.7)

–
–
499.8
–

(39.0)
(39.0)
–
–
–
–

0.5
–
58.6
–

–
–
–
–
16.4
(3.5)

0.2
71.7

Total 
equity
$m
4,028.6
234.7
123.5
358.2
(62.9)
–
12.4
–

0.5
(5.6)
4,331.2
51.5

(39.0)
12.5
(85.8)
–
16.4
1.0

0.2
4,275.5

–
247.0

–
142.3

–
(2.2)

–
1,590.3

–
1,765.6

–
460.8

For further information on share-based payments, refer to Note 17 – Share-based payments, and for dividends refer to Note 16 – Dividends 
to the Consolidated Financial Statements.

199
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Company Financial Statements

1. Basis of preparation

This section describes the Company’s significant accounting policies in respect of the Company Financial Statements and explains critical 
accounting judgements and estimates that management has identified as having a potentially material impact to the Company. Specific 
accounting policies relating to the Notes to the Company Financial Statements are described within that note.

1.1 General information
The separate Financial Statements of the Company are presented as required by the Companies Act 2006. The Company meets the 
definition of a qualifying entity under Financial Reporting Standard 100 (“FRS 100”) issued by the Financial Reporting Council (“FRC”). 
Accordingly, the Financial Statements have been prepared in accordance with Financial Reporting Standard 101 (“FRS 101”) Reduced 
Disclosure Framework as issued by the FRC.

As permitted by FRS 101, the Company has taken advantage of the disclosure exemptions available under that standard in respect of 
share-based payments, financial instruments, capital management, comparative information, presentation of a cash flow statement, new but 
not yet effective IFRSs and certain related party transactions.

As permitted by s408 of the Companies Act 2006 the Company has elected not to present its own Income Statement for the current or 
prior year. The profit attributable to the Company is disclosed in the footnote to the Company’s Statement of Financial Position.

Where required, equivalent disclosures are given in the Consolidated Financial Statements.

The auditor’s remuneration for audit and other services is disclosed in Note 3.3 – Auditor’s remuneration to the Consolidated Financial 
Statements.

1.2 Significant accounting policies
Basis of accounting
The Financial Statements have been prepared on the historical cost basis, except for certain financial instruments where fair value has been 
applied. The principal accounting policies adopted are the same as those set out in the Consolidated Financial Statements except as 
noted below.

Foreign currencies
The functional currency of the Company is Sterling, being the currency of the primary economic environment in which it operates.

The Company has adopted US dollars as the presentation currency for its Financial Statements, in line with the presentation currency for 
the Consolidated Financial Statements. For the purpose of presenting individual company financial statements, assets and liabilities of the 
Company are translated into US dollars at exchange rates prevailing on the balance sheet date. Income and expense items are translated 
at the average exchange rates for the period, unless exchange rates fluctuate significantly during that period, in which case the exchange 
rates at the date of transactions are used. Exchange differences arising, if any, are recognised in other comprehensive income and 
accumulated in a separate component of equity, the cumulative translation reserve, in accordance with IAS 21, The Effects of Changes 
in Foreign Exchange Rates.

Share-based payments
The Company has implemented the generally accepted accounting principle for accounting for share-based payments with subsidiary 
undertakings under FRS 101, whereby the Company has granted rights to issue its shares to employees of its subsidiary undertakings under 
an equity-settled arrangement and the subsidiaries have not reimbursed the Company for these rights. Under this arrangement, the 
Company treats the share-based payment recognised in the subsidiary’s financial statements as an increase in the cost of investment in 
the subsidiary and credits equity with an equal amount.

1.3 Critical accounting judgements and key sources of estimation uncertainty
The preparation of the Company’s Financial Statements in accordance with FRS 101 requires management to make judgements, estimates 
and assumptions that affect the application of accounting policies and the reported value of assets and liabilities, income and expense. 
Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to 
accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period, or in the period of 
the revision and future periods if the revision affects both current and future periods.

Management has concluded that there are no critical accounting judgements and key sources of estimation uncertainty that could result 
in a material adjustment in the next 12 months. Furthermore, no areas of critical accounting judgement or key sources of estimation 
uncertainty have been identified.

200
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2. Staff costs

The Executive Directors of the ConvaTec Plc Group are the only employees of the Company. The remuneration of the Executive 
Directors is set out on pages 127 to 135 within the Remuneration Committee report.

Their aggregate remuneration comprised:

Wages and salaries
Share-based payment expense
Social security costs
Pension-related costs
Total

2021 
$m
3.6
3.5
0.5
0.3
7.9

2020 
$m
3.3
2.8
0.8
0.3
7.2

Average monthly number of employees (including Executive Directors) was 2 (2020: 2).

3. Investments in subsidiaries

Investments in subsidiaries represent the cost of the Company’s investment in its subsidiary undertakings, net of any impairment charges. 
Refer to pages 204 to 206 for details of all the Company’s direct and indirect holdings.

Accounting policy

Investments in Group undertakings are stated at cost less any provision for impairment. The Company assesses investments for 
impairment whenever events or changes in circumstances indicate that the carrying value of an investment may not be recoverable. If any 
such indication of impairment exists, the Company makes an estimate of the recoverable amount. If the recoverable amount of the 
investment is less than the carrying amount of the investment, the investment is considered to be impaired and is written down to its 
recoverable amount.

Any impairment loss is offset against the merger reserve in the first instance. If the merger reserve is not sufficient to cover an 
impairment loss the excess impairment is recognised immediately in the Income Statement.

At 1 January 2020
Additions
Capital contributions in respect of share-based payments to employees of subsidiaries
Reduction due to reimbursement upon exercised awards
Foreign exchange
At 31 December 2020
Additions
Capital contributions in respect of share-based payments to employees of subsidiaries
Reduction due to reimbursement upon exercised awards
Foreign exchange
At 31 December 2021

Cost
$m
5,726.9
127.5
8.7
(5.9)
181.0
6,038.2
–
12.1
(3.0)
(61.0)
5,986.3

Impairment
$m
(1,680.0)
–
–
–
(52.3)
(1,732.3)
–
–
–
17.5
(1,714.8)

Net book 
value
$m
4,046.9
127.5
8.7
(5.9)
128.7
4,305.9
–
12.1
(3.0)
(43.5)
4,271.5

In the year ended 31 December 2020, a contribution of $127.5 million was made to ConvaTec Finance Holdings Limited in the form of 
a capital contribution.

An impairment assessment was performed on the investments in subsidiaries at 31 December 2021 and 31 December 2020 with no 
impairment identified. The share price of ConvaTec Group plc at 31 December 2021 was £1.93 (2020: £1.99).

The following UK subsidiaries are exempt from the requirement to file audited accounts by virtue of Section 479A of the Companies 
Act 2006:

ConvaTec Group Holdings Limited
ConvaTec International U.K. Limited

Company 
registration 
number
12698069
06622355

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Notes to the Company Financial Statements
continued

4. Deferred tax assets

Deferred tax assets mainly arise in relation to timing differences on the exercise of share-based awards, and taxable losses arising in the 
normal course of business.

At 1 January 2020
Movement in income statement
Movement in other comprehensive income
Foreign exchange
At 31 December 2020
Movement in income statement
Movement in other comprehensive income
At 31 December 2021

The deferred tax asset consists of deferred tax on the following items:

Share-based payments
Tax losses
At 31 December

Deferred tax assets are only recognized where it is probable that future profit will be available to utilize the tax losses.

5. Other receivables

Other receivables consist of amounts due from Group undertakings, other receivables and prepaid insurance.

Amounts falling due within one year:
Amounts owed by Group undertakings
Other receivables
Prepayments

$m
2.0
0.1
0.5
0.1
2.7
(0.8)
0.2
2.1

2020 
$m
1.0
1.7
2.7

2020 
$m

26.4
0.2
0.7
27.3

2021 
$m
2.1
–
2.1

2021 
$m

7.1
2.9
0.2
10.2

Included in the amounts owed by Group undertakings at 31 December 2021 are intercompany loans of $1.5 million (2020: $17.4 million) with 
a variable interest rate of one-year LIBOR plus 1.64%. The loans are unsecured and are repayable on demand.

6. Trade and other payables

Trade payables consist of amounts payable to third parties related predominantly to the Company being listed on the London 
Stock Exchange.

Other payables represent amounts owed to Group undertakings, accruals and other taxation and social security.

2021 
$m

2020 
$m

2.9
1.0
4.4
8.3

0.6
2.6
1.5
4.7

Amounts falling due within one year:
Trade payables
Other taxation and social security
Accruals

202
ConvaTec Group Plc
Annual Report and Accounts 2021

7. Reserves

All reserve balances included in this note are components of Equity and are non-distributable.

Share capital, share premium and own shares
Details of the Company’s share capital, share premium and own shares are detailed in Note 15 – Share capital and reserves to the 
Consolidated Financial Statements.

Merger reserve
The merger reserve represents the fair value in excess of the par value of shares issued as part of a share exchange upon incorporation 
of the Company.

Currency translation reserve
The currency translation reserve comprise the exchange differences arising on the translation of the assets and liabilities of the Company 
into US dollars at the prevailing balance sheet rate and income and expense items being translated at the average exchange rates for 
the period.

Other reserves
Other reserves are in respect of movements on equity-settled share-based payments.

8. Distributable reserves

As the Company is a holding company with no direct operations the capacity of the Company to make dividend payments is primarily 
derived from dividends received from subsidiary companies.

The retained surplus $1,590.3 million (2020: $1,653.1 million) of the Company equates to the distributable reserves. Details of the 
considerations and rationale for the distribution of dividends are given in the Directors’ report on page 146.

9. Financial guarantees
The company has guaranteed certain external borrowings of subsidiaries which at 31 December 2021 amounted to $1,357.9 million 
(2020: $1,468.3 million).

10. Subsequent events
On 2 March 2022, the Board proposed the final dividend in respect of 2021 subject to shareholder approval at the Annual General Meeting 
on 12 May 2022, to be distributed on 19 May 2022. See Note 16 – Dividends to the Consolidated Financial Statements for further details.

203
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Subsidiary and related undertakings

Details of the Company’s subsidiaries and associated undertakings at 31 December 2021 are as follows:

Name
Akers & Dickinson Limited1
Allied Medical (UK) Services Limited 1
Alpha-Med (Medical & Surgical) Limited1
Amcare Limited1
Arthur Wood Limited1
B.C.A. Direct Limited1
Bradgate-Unitech Limited1
ConvaTec Accessories Limited1
ConvaTec Holdings U.K. Limited1
ConvaTec Speciality Fibres Limited1
ConvaTec International U.K. Limited1
ConvaTec Limited1
Farnhurst Medical Limited1
Lance Blades Limited1
M.S.B. Limited1
Needle Industries (Sheffield) Limited1
Nottingham Medical Equipment Limited1
Novacare UK Limited1
Pharma-Plast Limited1
Resus Positive Limited1
Rotax Razor Company Limited1
Shrimpton & Fletcher Limited1
Steriseal Limited1
SureCalm Healthcare Holdings Limited1
SureCalm Healthcare Ltd1
SureCalm Pharmacy Limited1
Unomedical Developments Limited1
Unomedical Holdings Limited1
Unomedical Limited1
Unoplast (U.K.) Limited1
ConvaTec Finance Holdings Limited*2
ConvaTec Management Holdings Limited*2
ConvaTec Group Holdings Limited*2
ConvaTec Services Limited2
Cidron Healthcare Limited*3
ConvaTec Healthcare Ireland Limited4
ConvaTec France Holdings SAS5
Laboratoires ConvaTec SAS5
ConvaTec Healthcare D S.à.r.l.6
ConvaTec Spain Holdings, S.L.7
ConvaTec Spain S.L.7
CVT Business Services, Unipessoal Lda.8
KVTech Portugal – Produtos Medicos Unipessoal Ltda9
ConvaTec OY10
ConvaTec (Switzerland) GmbH11
ConvaTec International Services GmbH12
ConvaTec (Austria) GmbH13
ConvaTec Italia S.r.l.14
ConvaTec Hellas Medical Products S.A.15
ConvaTec Polska Sp. Z.o.o16
ConvaTec Ceska Republika s.r.o.17
ConvaTec (Australia) PTY Limited18
ConvaTec (New Zealand) Limited19
FE Unomedical Limited20
ConvaTec Sağlik Ürünleri Limited Şirketi21

204
ConvaTec Group Plc
Annual Report and Accounts 2021

Place of 
business and 
registered 
office
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
United Kingdom
Jersey
Ireland
France
France
Luxembourg
Spain
Spain
Portugal 
Portugal
Finland
Switzerland
Switzerland
Austria
Italy

Greece
Poland
Czech Republic
Australia
New Zealand
Belarus
Turkey

Portion of 
ownership 
interest
%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

100%
100%
100%
100%
100%
99%
100%

Portion of 
voting power 
held
%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

100%
100%
100%
100%
100%
99%
100%

Name
ConvaTec (Sweden) AB22
ConvaTec Norway AS23
ConvaTec (Germany) GmbH24
EuroTec GmbH25
Unomedical s.r.o.26
EuroTec B.V.27
EuroTec Beheer B.V.27
ConvaTec Nederland B.V.28
ConvaTec Belgium BVBA29
EuroTec BV – Belguim Branch30
Papyro-Tex A/S31
ConvaTec Denmark A/S32
Unomedical A/S33
ConvaTec South Africa (PTY) Limited34
ConvaCare Medical South Africa (PTY) Ltd34
ConvaTec Middle East & Africa LLC35
ConvaTec Middle East FZ-LLC36

ConvaTec (Singapore) PTE Limited37
ConvaCare Medical Singapore Pte Ltd37
ConvaTec Malaysia Sdn Bhd38
Convatec China Limited (Beijing Branch)39
Convatec China Limited (Guang Zhou Branch)40
ConvaTec China Limited41
ConvaTec Dominican Republic Inc.42

Boston Medical Device Dominicana S.R.L.43

ConvaTec Hong Kong Limited44
ConvaTec Japan KK45
ConvaTec (Singapore) PTE Limited (Taiwan Branch)46
ZAO ConvaTec47
ConvaTec (Thailand) Co. Limited48
ConvaTec Korea, Ltd49
ConvaTec Argentina SRL50
ConvaTec Canada Limited51
Unomedical S.A de C.V.52
Boston Medical Care, S. de R.L. de C.V.53
Boston Medical Device de México, S. de R.L. de C.V.53
Unomedical Devices S.A. de C.V.54
ConvaTec Peru S.A.C.55
BMD Comercio de Productos Medicos Ltda.56
ConvaTec Medical Care Assistencia a Paciente Ltda56
Boston Medical Devices Colombia Ltda.57
Boston Medical Care S.A.S IPS58
ConvaTec Medical Care SpA 59
Convatec Chile S.A.59
Boston Medical Device Ecuador S.A.60
Boston Medical Device de Venezuela, C.A.61
ConvaTec India Private Limited62
ConvaCare Medical India Private Limited 63
180 Medical Acquisition Inc.64
180 Medical Holdings Inc.64
180 Medical Inc.64
AbViser Medical, LLC65
Boston Medical Device, Inc.65
ConvaTec Inc.65

Place of 
business and 
registered 
office
Sweden
Norway
Germany
Germany
Slovakia
Netherlands
Netherlands
Netherlands
Belgium
Belgium
Denmark
Denmark
Denmark
South Africa
South Africa
Egypt
United Arab 
Emirates
Singapore
Singapore
Malaysia
China 
China 
China
Dominican 
Republic
Dominican 
Republic
Hong Kong
Japan
Taiwan
Russia
Thailand
Korea
Argentina
Canada
Mexico
Mexico
Mexico
Mexico
Peru
Brazil
Brazil
Colombia
Colombia
Chile
Chile
Ecuador
Venezuela
India
India
US
US
US
US
US
US

Portion of 
ownership 
interest
%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

Portion of 
voting power 
held
%
100%
100%
100%
100%
100%
100%
100%
100%
100%
NA
100%
100%
100%
100%
100%
100%
100%

100%
100%
100%
100%
100%
100%
100%

100%

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

100%
100%
100%
NA
NA
100%
100%

100%

100%
100%
NA
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

205
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Subsidiary and related undertakings
continued

Name
Boston Medical Device International, LLC66
Cidron Healthcare GP, Inc.67
ConvaTec Technologies Inc.68
Personally Delivered, Inc.69
Woodbury Holdings, Inc.69
WPI Acquisition Corporation69
WPI Holdings Corporation69
Wilmington Medical Supply, Inc.70
PRN Medical Services, LLC71
PRNMS Investments LLC71
Symbius Medical Inc.71
South Shore Medical Supply, Inc.72
Unomedical America, Inc.73
Unomedical, Inc.73
J&R Medical, LLC74
Cure Medical LLC75

10 Earlsfort Terrace, Dublin 2, D02 T380, Ireland

1  GDC First Avenue, Deeside Industrial Park, Deeside, Flintshire CH5 2NU, UK
2  3 Forbury Place, 23 Forbury Road, Reading, RG1 3JH, UK
3  44 Esplanade, St. Helier, Jersey, JE4 9WG Channel Islands 
4 
5  90, Boulevard National, La Garenne Colombes, F-92250, Paris, France
6 
7  Constitucion 1, 3ªPlanta, 08960 Sant Just Desvern, Barcelona, Spain
8  Avenida da Liberdade, 249-1, 1250-143 Lisbon, Portugal 
9  Av. da Liberdade, 144, 7º-Dtº., 1250-146 Lisboa, distrito de Lisboa, concelho de 

12C, rue Guillaume Kroll, L-1882 Luxembourg

Lisboa, freguesia de Santo António, Portugal

10  Life Science Center, Keilaranta 16 B, 02150 Espoo, Finland
11  Mühlentalstrasse 38, 8200 Schaffhausen, Switzerland
12  Mühlentalstrasse 36/38, 8200 Schaffhausen, Switzerland
13  Schubertring 6, 1010 Wien, Austria
14  Via della Sierra Nevada, 60-00144 Rome, Italy
15  392A Mesogeion Avenue, Ag. Paraskevi, 15341, Athens, Greece
16  Al. Armii Ludowej 26, 00-609 Warszawa, Poland
17  Olivova 2096/4, Prague 1, 110 00, Praha 1, Czech Republic
18  Level 2 Building 5, Brandon Office Park, 530-540 Springvale Road, Glen Waverley 

VIC 3150, Australia

19  Crowe Horwath, Level 29, 188 Quay Street, Auckland 1010, New Zealand
20  Zavodskaya Street., 50, 222750, Fanipol, Dzerzhinsk region., Minsk district, Republic 

of Belarus

Place of 
business and 
registered 
office
US
US
US
US
US
US
US
US
US
US
US
US
US
US
US
US

Portion of 
ownership 
interest
%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

Portion of 
voting power 
held
%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

40  Unit 808, Level 8, Fortune Plaza, No.116 Ti Yu Dong Road, Tianhe District, 

Guangzhou City, Guangdong Province, 510620, P.R.C.

41  Unit 1105-1106, Crystal Plaza Office Tower 1, No.1359 Yaolong Road, Pudong 

District, Shanghai 200124, P.R.C

42  Carretera Sanchez km 18 ½, Parque Industrial Itabo, Haina, San Cristóbal, 

Dominican Republic 

43  Avenida Wiston Churchill ES1. 27 de Febrero, Apto Plaza Central, Tercer Nivel, del 

Sector PIANTINI de la Ciudad de Santo Domingo de Guzman, República Dominicana 
Suite A-368

44  Unit 1901 Yue Xiu Bldg 160–174, Lockhart Road, Wan Chai, Hong Kong
45  1-1-7 Choraku, Bunkyo-ku, Tokyo 112-0004, Japan
46  5F.-4, No. 57, Fuxing N. Rd, Songshan Dist., Taipei City, Taiwan (Post code :10595)
47  Kosmodamianskaya nab. 52, building 1, 9th floor, 115054, Moscow Russia
48  No. 87, 9th Floor M Thai Tower All Seasons Place, Wireless Road, Lumpini, 

Phatumwan, Bangkok Thailand

49  4F, American Standard B/D, Yeongdongdaero 112gil 66, Gangnam-Gu, Seoul, 

Republic of Korea 06083

50  CERRITO 1070 Piso:3 Dpto:71, 1010-CIUDAD AUTONOMA BUENOS AIRES
51  900-1959 Upper Water Street, Halifax, Nova Scotia B3J 2N2
52  Avenida Industrial Falcón, L7, Parque Industrial del Norte, Reynosa Tamps, Mexico 

C.P. 88736

53  Avenida Insurgentes sur 619, 3° Piso, CIUDAD DE MEXICO, Nápoles, 03810, Mexico
54  Av. Fomento Industrial L9 M3, Parque Industrial del Norte, Reynosa Tamps, 

21  Şehit İlknur Keles Sokak, Hüseyin Bağdatlioğlu Plaza 7/3, Kozyatagi, Istanbul 

Mexico C.P. 88736

Turkey 34742

22  Gårdsfogdevägen 18B, 168 67 Bromma, Sweden
23  Nils Hansen vei 2, 0667 Oslo, Norway
24  Gisela-Stein-Strasse 6, 81671 Munich
25  Solinger Strasse 93 40764 Langenfeld, Germany
26  Priemyselný Park 3, 071 01 Michalovce, Slovakia
27  Schotsbossenstraat 8, 4705AG Roosendaal Nederland
28  Houttuinlaan 5F, 3447 GM Woerden, Netherlands
29  Parc d’Alliance, Boulevard de France 9, B-1420 Braine l’Alleud, Belgium
30  Stationsstraat 35, 2950 Kapellen, Belgium
31  c/o ConvaTec Harlev Skinderskovvej 32-36, 2730 Herlev
32  Lautruphøj 1 DK-2750 Ballerup, Denmark
33  Åholmvej 1-3, 4320 Lejre, Denmark
34  Workshop 17 Office 1-4, 16 Baker Street, Rosebank, Johannesburg, Gauteng 2196
35  22 Kamal El Din Hussein St, 3rd Floor, Heliopolis Sheraton, Post Code 11977, 

Cairo, Egypt

36  Customer Services Counter, Building N. 02, First Floor, Dubai Studio City 
37  456 Alexandra Road, Fragrance Empire Building #18-01/02, Singapore 119962
38  10th floor, Menara Hap Seng, No. 1 & 3, Jalan P. Ramlee, 50250 Kuala Lumpur, 

Malaysia

39  Unit 805, 8F Jinbao Tower, No.89 Jinbao Street Dongcheng District, Beijing 

100005, P.R.C.

55  Av. La Encalada 1010 of. 806, Santiago de Surco, Lima 15023, Perú 
56  Rua Alexandre Dumas, 2100,15º. Andar, Ed Corporate Plaza, Conj 151 e 152, 

– Chácará Stº Antonio – São Paulo, Brazil Cep: 04717-913

57  Torre los Nogales, Calle 76 # 11-17, Fifth and Second Floor, Bogota, Colombia
58  Calle 82 # 18-31, Bogotá Colombia
59  Av Suecia 0181, Providencia, Santiago, Chile
60  Robles E4-136 y Av. Amazonas, Edificio Proinco Calisto, piso 12, Quito, Ecuador 

EC170526 

61  Av. Sorocaima, Libertador con Venezuela, Edif Atrium. Piso 3, Oficina 3G, 

Urb El Rosal, Municipio Chacao, Edo, Miranda, Venezuela

62  Next Logistics, No. 217, Soukya Road (Next to Scania warehouse) Korallur Village, 

Hoskote Taluk, Bangalore KA 560067

63  10th floor 1002 B, Mangnum Tower-1, Golf Course Extention Road, Sector 58, 

GURUGRAM, Gurgaon, Haryana, India, 122011 (Company in liquidation)

64  8516 Northwest Expressway, Oklahoma City, OK 73162, US
65  1160 Route 22 East, Suite 304, Bridgewater, NJ 08807, US
66  2315 NW 107th Avenue Suite A30, Doral, Florida 33172 US
67  The Corporation Trust Company, Corporation Trust Center, 1209 Orange Street, 

Wilmington, New Castle, Delaware 19801

68  3993 Howard Hughes Parkway Suite 250, Las Vegas, Nevada 89169-6754, US
69  725 Primera Blvd, Suite 230, Lake Mary, FL 32746-2127 US
70  1206 N. 23rd Street, Wilmington, NC 28405-1810
71  20333 N. 19th Avenue, Suite 101, Phoenix, AZ 85027-3627
72  58 Norfolk Avenue, Unit 2, South Easton, MA 02375-1907
73  5701-1 S Ware RD, McAllen, TX 78504, US
74  4635 Southwest Freeway, Suite 800, Houston TX 77027-7105, US
75  3471 Via Lido Ste. 211, Newport Beach, CA 92663.

*   Directly held investments by ConvaTec Group Plc

206
ConvaTec Group Plc
Annual Report and Accounts 2021

Non-IFRS financial information

Non-IFRS financial information or alternative performance measures (“APMs”) are those measures used by management on a day-to-day 
basis in their assessment of profit and performance and comparison between periods. The adjustments applied to IFRS measures reflect 
the effect of certain cash and non-cash items that the Board believes distort the understanding of the quality of earnings and cashflows as, 
by their size or nature, they are not considered part of the core operations of the business. Adjusted measures also form the basis for 
performance measures for remuneration, e.g. adjusted EBIT. For further information see pages 208 and 210.

The APMs used include adjusted gross profit, adjusted research and development expenses, adjusted operating profit (“adjusted EBIT”), 
EBITDA, adjusted EBITDA, adjusted net profit, adjusted earnings per share, adjusted working capital, adjusted cash conversion, adjusted free 
cash flow and net debt. Reconciliation for these adjusted measures determined under IFRS are shown on pages 208 to 210. The definitions 
of adjusted measures are as calculated within the reconciliation tables.

It should be noted that the Group’s APMs may not be comparable to other similarly titled measures used by other companies and should not 
be considered in isolation or as a substitute for the equivalent measures calculated and presented in accordance with IFRS.

In determining whether an item should be presented as an allowable adjustment to IFRS measures, the Group considers items which are 
significant either because of their size or their nature and arise from events that are not considered part of the core operations of the 
business. These tend to be one-off events but may still cross more than one accounting period. Recurring items may be considered in 
respect of the amortisation of acquisition related intangibles assets in order to provide comparability between peer groups where such 
assets may have been internally generated and therefore, are not reflected on that company’s balance sheet with a resulting amortisation 
charge. 

If an item meets at least one of these criteria, the Board, through the Audit and Risk Committee, then exercises judgement as to whether 
the item should be classified as an allowable adjustment to IFRS performance measures.

Adjustments to derive adjusted EBIT (also referred to as adjusted operating profit), excluding the impact of tax, for the years ended 
31 December 2021 and 2020 include the following costs or credits:
 – Amortisation of intangible assets in respect of material acquisitions ($130.4 million and $125.3 million respectively).
 – Costs and gains incurred in respect of acquisition and divestiture activities (costs of $17.8 million and a gain of $16.5 million respectively).
 – Termination costs in respect of the Group’s transformation programme ($4.3 million and $12.2 million respectively).
 – Litigation expenses arising on matters deemed outside the ordinary course of business ($5.6 million and $nil respectively). 

The tax effect of the adjustments is reflected in the adjusted tax expense to remove the tax impact from adjusted net profit and adjusted 
earnings per share.

Adjusted EBITDA, which is used to calculate the metric of adjusted cash conversion and adjusted working capital, is calculated by adding 
back share-based payments to adjusted EBIT, together with the annual depreciation and amortisation charge. 

Amortisation of acquisition-related intangible assets
The Group’s strategy is to grow both organically and through acquisition, with larger acquisitions being targeted to strengthen our position in 
key geographies and/or business categories or which provide access to new technology. The nature of the businesses acquired includes the 
acquisition of significant intangible assets, which are required to be amortised. The Board and management regard the amortisation as a 
distortion to the quality of earnings and it has no cash implications in the year. The amortisation also distorts comparability with peer groups 
where such assets may have been internally generated and, therefore, not reflected on their balance sheet. Amortisation of acquisition-
related intangible assets is, by its nature, a recurring adjustment.

Acquisitions and divestitures
Costs directly related to potential and actual strategic transactions which have been executed, aborted or are in-flight and which would 
improve the strategic positioning of the Group are deemed adjusting items. 

Acquisition-related costs relate to deal costs, integration costs and earn-out adjustments which are incurred directly as a result of the Group 
undertaking or pursuing an acquisition. Deal costs are wholly attributable to the deal, including legal fees, due diligence fees, bankers’ fees/
commissions and other direct costs incurred as a result of the actual or potential transaction. Integration costs are wholly attributable to the 
integration of the target and based on integration plans presented at the point of acquisition, including the cost of retention of key people 
where this is in excess of normal compensation, redundancy of target staff and early lease termination payments. 

Divestiture-related activities comprise of the gain or loss and any directly attributable transaction costs resulting from the preparation for 
disposal or completed disposal of a business during the year.

Adjusted measures in relation to acquisitions and divestitures will also include aborted deal costs.

Impairment of assets
Impairments, write-offs and gains and losses from the disposal of fixed assets are adjusted when management consider the circumstances 
surrounding the event are not reflective of the core business or when the transactions are in respect of acquisition-related intangible assets, 
in line with the eligibility criteria referred above.

Termination benefits and related costs
Termination benefits and other related costs arise from Group-wide initiatives to reduce the ongoing cost base and improve efficiency in the 
business. The Board considers each project individually to determine whether its size and nature warrants separate disclosure. Qualifying 
items are limited to termination benefits (including retention) without condition of continuing employment in respect of major Group-wide 
change programmes. Where discrete qualifying items are identified these costs are highlighted and excluded from the calculation of 
adjusted measures. Due to their nature, these adjusted costs may span more than one year. Restructuring costs not related to termination 
benefits are reported in the normal course of business and are not adjusted.

207
ConvaTec Group Plc
Annual Report and Accounts 2021

Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Non-IFRS financial information
continued

Litigation expenses
Litigation expenses may arise from the ongoing defence or pursuit of claims against or for the Group or the settlement of claims. The Board 
considers each litigation claim individually to determine whether the financial consequences were due to a major incident or uncontrollable 
factors which distort IFRS measures, and determine if adjusting for the expense would aid the user in understanding the Group’s 
performance in that year and comparative periods. 

Reconciliation of earnings to adjusted earnings for the years ended 31 December 2021 and 2020

Year ended 31 December 2021
As reported
Amortisation of acquired 
intangibles
Acquisitions and divestitures
Termination benefits and 
related costs
Litigation expenses
Total adjustments including 
tax effect
Other discrete tax items
Adjusted
Software and R&D 
amortisation
Amortisation of immaterial 
acquired intangibles
Depreciation
Impairment/write-off of 
assets
Share-based payments
Adjusted EBITDA

Year ended 31 December 2020
As reported
Amortisation of pre-2018 
acquisition intangibles
Divestitures
Impairment of assets
Termination benefits and 
other related costs
Total adjustments including 
tax effect
Other discrete tax items
Adjusted
Software and R&D 
amortisation
Amortisation of immaterial 
acquisition intangibles
Depreciation
Impairment/write-off of 
assets
Share-based payments
Adjusted EBITDA

Finance
expense, 
net 
$m
(43.5)

Non-
operating 
expense, 
net 
$m
(8.8)

–
–

–
–

–
–

–
–

–
–
(43.5)

–
–
(8.8)

PBT 
$m
151.3

130.4
17.8

4.3
5.6

158.1
–
309.4

Income  
tax 
$m
(33.7)

Net profit 
$m
117.6

(10.8)
–

(0.7)
–

(11.5)
(1.2)
(46.4)

119.6
17.8

3.6
5.6

146.6
(1.2)
263.0

Revenue 
$m
2,038.3

Gross 
profit 
$m
1,123.1

Operating 
costs 
$m
(919.5)

Operating 
profit 
$m
203.6

–
–

–
–

109.5
–

0.7
–

20.9
17.8

3.6
5.6

–
–
2,038.3

110.2
–
1,233.3

47.9
–
(871.6)

130.4
17.8

4.3
5.6

158.1
–
361.7

13.7

3.1
63.4

5.9
16.4
464.2

Revenue 
$m
1,894.3

Gross profit 
$m
1,018.8

Operating 
costs 
$m
(807.8)

Operating 
profit 
$m
211.0

Finance
expense, 
net 
$m
(48.4)

Non-
operating 
expense, 
net 
$m
12.1

PBT 
$m
174.7

125.3
(16.5)
1.7

Income  
tax 
$m
(62.2)

(10.2)
–
–

Net profit 
$m
112.5

115.1
(16.5)
1.7

–
(16.5)
–

–
–
–

–

–

12.2

(2.1)

10.1

–
–
(48.4)

(16.5)
–
(4.4)

122.7
–
297.4

(12.3)
17.6
(56.9)

110.4
17.6
240.5

–
–
–

–

–
–
1,894.3

106.7
–
–

1.3

108.0
–
1,126.8

18.6
–
1.7

10.9

31.2
–
(776.6)

125.3
–
1.7

12.2

139.2
–
350.2

9.4

2.1
60.9

10.0
12.4
445.0

208
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Acquisition and divestiture costs of $17.8 million (2020: gain of $16.5 million) are directly related to potential and actual strategic transactions 
which have been executed, aborted or are in-flight and which seek to improve the strategic positioning of the Group. The net cash impact in 
relation to these costs was $13.0 million (2020: inflow of $29.8 million).

Termination benefits and other related costs of $4.3 million (2020: $12.2 million), pre-tax, are in respect of the Transformation Initiative, 
a global multi-year transformation programme which commenced in 2019 and simplifies the way in which the business operates. The net 
cash impact of these costs was $8.4 million (2020: $7.3 million). It is currently expected that no more than $8.0 million of severance and 
associated retention costs will be incurred in the year ending 31 December 2022, when the programme will effectively be complete. 
No termination benefits or related costs recognised by the Group are related to COVID-19.

Litigation expenses relate to a one-off claim settled in the period with an adjusted net cash impact in relation to this settlement of 
$5.6 million. Further details are provided in Note 12 – Provisions. 

Other discrete tax items in 2021 relate to the tax benefit of $6.8 million resulting from the recognition of deferred tax following the 
acquisition of Cure Medical, partially offset by a tax expense of $5.6 million relating to the revaluation of deferred tax liabilities related to UK 
acquisition intangibles as a result of the increase in the UK corporation tax rate from 1 April 2023. In 2020, other discrete tax items arose 
following a reassessment of the estimate of the deferred tax asset recognised in the prior year related to the Swiss tax reform. For further 
details on deferred taxation see Note 5 – Income Taxes to the Consolidated Financial Statements. 

Reconciliation of operating costs to adjusted operating costs for the years ended 31 December 2021 and 31 December 2020

As reported
Amortisation of acquired intangibles
Acquisitions and divestitures
Impairment of assets
Termination benefits and related costs
Litigation expenses
Adjusted

2021

2020

S&D(a) 
$m
(539.7)
–
0.5
–
–
–
(539.2)

G&A(b) 
$m
(285.3)
20.9
17.3
–
3.7
5.6
(237.8)

R&D(c) 
$m
(94.5)
–
–
–
(0.1)
–
(94.6)

Operating 
costs 
$m
(919.5)
20.9
17.8
–
3.6
5.6
(871.6)

S&D(a) 
$m
(463.3)
–
–
–
0.7
–
(462.6)

G&A(b) 
$m
(262.1)
18.6
–
1.7
9.0
–
(232.8)

R&D(c) 
$m
(82.4)
–
–
–
1.2
–
(81.2)

Operating 
costs 
$m
(807.8)
18.6
–
1.7
10.9
–
(776.6)

(a)  “S&D” represents selling and distribution expenses.
(b)  “G&A” represents general and administrative expenses.
(c)  “R&D” represents research and development expenses.

Reconciliation of income tax expense to adjusted income tax expense

Income tax expense
Tax effect of adjustments
Other discrete tax items
Adjusted income tax expense

2021
$m
(33.7)
(11.5)
(1.2)
(46.4)

2020
$m
(62.2)
(12.3)
17.6
(56.9)

Other discrete tax items – see note above in respect of adjustments to profit.

Reconciliation of basic and diluted earnings per share to adjusted earnings per share for the years ended 31 December 2021 and 
31 December 2020

Net profit attributable to the shareholders of the Group

Basic weighted average ordinary shares in issue(a)
Diluted weighted average ordinary shares in issue(a)

Basic earnings per share
Diluted earnings per share

(a)  See Note 6 – Earnings per share to the Consolidated Financial Statements.

2021
$m
117.6

cents per share
5.9
5.8

Adjusted 2021
$m
263.0
Number
2,008,923,797
2,026,340,345
cents per share
13.1
13.0

2020
$m
112.5

cents per share
5.7
5.6

Adjusted 2020
$m
240.5
Number
1,991,596,105
2,006,590,463
cents per share
12.1
12.0

209
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Non-IFRS financial information
continued

Cash conversion for the years ended 31 December 2021 and 31 December 2020

Operating profit/EBIT
Depreciation of property, plant and equipment
Depreciation of right-of-use assets
Amortisation of intangibles assets
Impairment/write-off of intangible assets and property, plant and equipment
EBITDA
Non-cash items
Share-based payments
Working capital movement
(Loss)/gain on foreign exchange derivatives
Net cash generated from operations
Acquisition of property, plant and equipment and intangibles assets
Net cash for cash conversion
Income taxes paid
Free cash flow

Reconciliation of Adjusted net cash and Adjusted free cash flow (to calculate Adjusted cash conversion)

Net cash for cash conversion
Non-operating loss/(gain) on foreign exchange forward contracts
Acquisition and divestitures adjustments
Termination benefits and related costs adjustments
Litigation costs adjustments
Adjusted net cash for cash conversion
Income taxes paid
Adjusted free cash flow

EBITDA
Adjusted EBITDA
Cash conversion
Adjusted cash conversion

Reconciliation of Adjusted working capital

Working capital movement(a)
Decrease/(increase) in termination benefits(b)
(Increase)/decrease in respect of acquisitions and divestitures(b)
Adjusted working capital movement

2021
$m
203.6
40.6
22.8
147.2
5.9
420.1

16.4
(31.6)
(4.3)
400.6
(94.1)
306.5
(59.2)
247.3

2021
$m
306.5
0.4
13.0
8.4
5.6
333.9
(59.2)
274.7

420.1
464.2
73.0%
71.9%

2021
$m
(31.6)
4.1
(4.8)
(32.3)

2020
$m
211.0
38.5
22.4
136.8
11.7
420.4

12.4
47.8
21.9
502.5
(86.2)
416.3
(54.5)
361.8

2020
$m
416.3
(21.7)
–
7.3
–
401.9
(54.5)
347.4

420.4
445.0
99.0%
90.3%

2020
$m
47.8
(4.9)
–
42.9

(a)  Working capital movement is the change in assets and liabilities total within the Consolidated Statement of Cash Flows on page 154. 
(b)  These are the cash flow impacts to the adjusted items shown in the reconciliation of earnings to adjusted earnings table on page 208.

Net debt
Net debt is calculated as the carrying value of current and non-current borrowings (Note 19 – Borrowings), net of cash and cash equivalents 
(Note 20 – Cash and cash equivalents) and excluding lease liabilities.

Borrowings
Lease liabilities
Total carrying value of borrowings
Cash and cash equivalents
Net debt (including lease liabilities)
Net debt
Net debt/adjusted EBITDA

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2021
$m
1,344.6
90.5
1,435.1
(463.4)
971.7
881.2
1.9

2020
$m
1,456.4
92.1
1,548.5
(565.4)
983.1
891.0
2.0

Independent auditor’s report

to the members of ConvaTec Group Plc

Report on the audit of the financial statements
1. Opinion
In our opinion:
 – the financial statements of ConvaTec Group Plc (the ‘parent company’) and its subsidiaries (the ‘Group’) give a true and fair view of 

the state of the Group’s and of the parent company’s affairs as at 31 December 2021 and of the Group’s profit for the year then ended;

 – the Group financial statements have been properly prepared in accordance with United Kingdom adopted international 

accounting standards;

 – the parent company financial statements have been properly prepared in accordance with United Kingdom Generally Accepted 

Accounting Practice, including Financial Reporting Standard 101 “Reduced Disclosure Framework”; and

 – the financial statements have been prepared in accordance with the requirements of the Companies Act 2006.

We have audited the financial statements which comprise:
 – the Consolidated Income Statement;
 – the Consolidated Statement of Comprehensive Income;
 – the Consolidated and Company Statements of Financial Position;
 – the Consolidated and Company Statements of Changes in Equity;
 – the Consolidated Statement of Cash Flows; and 
 – the related notes 1 to 26 of the Consolidated Financial statements and Notes 1 to 10 of the Company Financial Statements 

The financial reporting framework that has been applied in the preparation of the Group financial statements is applicable law and United 
Kingdom adopted international accounting standards. The financial reporting framework that has been applied in the preparation of the 
parent company financial statements is applicable law and United Kingdom Accounting Standards, including FRS 101 “Reduced Disclosure 
Framework” (United Kingdom Generally Accepted Accounting Practice).

2. Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities 
under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of our report. 

We are independent of the Group and the parent company in accordance with the ethical requirements that are relevant to our audit of the 
financial statements in the UK, including the Financial Reporting Council’s (the ‘FRC’s’) Ethical Standard as applied to listed public interest 
entities, and we have fulfilled our other ethical responsibilities in accordance with these requirements. The non-audit services provided to 
the Group and parent company for the year are disclosed in note 3.3 to the financial statements. We confirm that we have not provided any 
non-audit services prohibited by the FRC’s Ethical Standard to the Group or the parent company.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

3. Summary of our audit approach

Key audit matters

The key audit matters that we identified in the current year were:
 – Change in cash-generating unit (“CGU”) groups and reallocation of goodwill
 – Acquisition accounting of Cure Medical LLC – focusing on the intangible asset valuation
 – Taxation – focusing on the uncertain tax positions in connection with transfer pricing 
 – Identification and valuation of adjusting items reported within Alternative Performance Measures (“APMs”)

Within this report, key audit matters are identified as follows:

 Newly identified
 Increased level of risk
 Similar level of risk
 Decreased level of risk

Materiality

Scoping

Significant changes 
in our approach

The materiality that we used for the Group financial statements was $8.4m which was determined on the basis of 
4.7% of pre-tax profit, adjusted for certain non-recurring items. This equates to 5.6% of the statutory profit 
before tax.
We performed full scope audit procedures on thirteen components, as well as the parent company, covering a total 
of eight countries. In addition, we have performed specified audit procedures in eight components across eight 
countries. Together, these accounted for 80% of revenue, 87% of profit before tax and 83% of net assets.
We no longer consider occurrence in relation to revenue recognition in certain US and UK components as a key audit 
matter. Given recent performance history and our cumulative experience from prior year audits, which has indicated 
a low number of corrected and uncorrected misstatements identified, we have no longer identified this as a key 
audit matter.

In addition, we no longer consider the recognition of US deferred tax assets (“US DTAs”) to be a key audit matter in 
2021 given the history of US tax losses and management’s updated assessment of whether there is convincing 
evidence of future taxable profits. 

In the current year, we have identified three new key audit matters. These are the change in CGU groups and 
reallocation of goodwill, the acquisition accounting of Cure Medical LLC focusing on intangible asset valuation and 
the identification and valuation of adjusting items reported within Alternative Performance Measures (“APMs”) as 
newly identified key audit matters. Further explanation of the reasons these have been assessed as key audit 
matters is explained in Section 5. 

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to the members of ConvaTec Group Plc
continued

4. Conclusions relating to going concern
In auditing the financial statements, we have concluded that the directors’ use of the going concern basis of accounting in the preparation 
of the financial statements is appropriate.

Our evaluation of the directors’ assessment of the Group’s and parent company’s ability to continue to adopt the going concern basis 
of accounting included:
 – Evaluating the Group’s existing access to sources of financing, including undrawn committed bank facilities;
 – Comparing forecasted sales to recent historical financial information to assess forecasting accuracy; 
 – Testing the underlying data generated to prepare the forecast scenarios and determining whether there was adequate support for the 

assumptions underlying the forecast; 

 – Recalculation and assessment of the amount of cash and covenant headroom in the forecasts; and
 – Evaluating the Group’s disclosures on going concern against the requirements of IAS 1.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually 
or collectively, may cast significant doubt on the Group’s and parent company’s ability to continue as a going concern for a period of at least 
twelve months from when the financial statements are authorised for issue.

In relation to the reporting on how the Group has applied the UK Corporate Governance Code, we have nothing material to add or draw 
attention to in relation to the directors’ statement in the financial statements about whether the directors considered it appropriate to adopt 
the going concern basis of accounting.

Our responsibilities and the responsibilities of the directors with respect to going concern are described in the relevant sections of 
this report.

5. Key audit matters
Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the financial statements of 
the current period and include the most significant assessed risks of material misstatement (whether or not due to fraud) that we identified. 
These matters included those which had the greatest effect on: the overall audit strategy, the allocation of resources in the audit; and 
directing the efforts of the engagement team.

These matters were addressed in the context of our audit of the financial statements as a whole, and in forming our opinion thereon, and we 
do not provide a separate opinion on these matters.

5.1. Change in cash-generating unit (“CGU”) groups and reallocation of goodwill  
Key audit matter 
description

At 31 December, the Group held goodwill of $1,156.3m (2020: $1,097.2m) and indefinite-lived intangible assets of 
$249.8m (2020: $251.0m). 

In 2021, management identified a trigger for a change in CGU groups due to the evolution of the Group’s global 
operating model, specifically the change in the internal monitoring of the business from a geographical to a category 
basis. Goodwill is now monitored on a category basis, therefore the Group has identified new CGU groups, being 
Advanced Wound Care, Ostomy Care, Continence and Critical Care and Infusion Care. 

In accordance with IAS 36, Impairment of assets, management has allocated goodwill and indefinite-lived intangible 
assets to the four CGU groups using a relative value approach, which is the case of goodwill was based on Earnings 
Before Interest and Tax (“EBIT”). The assessment of CGU groups and the metrics used in the allocation 
methodology require the application of judgment.

The associated disclosure is included within Note 8.5. The Audit and Risk Committee has included their assessment 
of this risk on page 113. For specific detail on the Group’s accounting policy, please see Note 8.5.
We obtained an understanding of the relevant controls over the impairment review, and in particular, the assessment 
of the identification of the new CGU groups.

We challenged the appropriateness of management’s change in CGU groups by considering contradictory evidence 
and the level at which operations are managed and goodwill is monitored for internal reporting purposes.

We evaluated the appropriateness of the EBIT metrics used to allocate goodwill and intangible assets to assess the 
reflected relative value.

We assessed the mechanical accuracy of the models including the allocation of goodwill and indefinite-lived 
intangibles to the new CGU groups.

How the scope of 
our audit responded 
to the key audit 
matter

Key observations

We reviewed the disclosures in the financial statements (note 8.5 Cash Generating Unit Impairment Review) for 
compliance with IAS 36, including the requirement to disclose the change in CGU groups and the judgement in the 
metric used to allocate the goodwill to the new CGU groups.
We concur that the change in reported CGU groups of Advanced Wound Care, Ostomy Care, Continence and 
Critical Care and Infusion Care is appropriate and that the method of allocation of goodwill and indefinite-lived 
intangible assets are reasonable. We considered the disclosures included in note 8.5 to be appropriate. 

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5.2. Acquisition accounting of Cure Medical LLC – focusing on the intangible asset valuation 
Key audit matter 
description

On 15 March 2021, the Group completed the acquisition of Cure Medical LLC for a total purchase consideration of 
$88.5m resulting in recognising goodwill of $55m and intangibles assets of $38m. The acquisition is significantly 
larger in size relative to other acquisitions over recent years and therefore there is greater management focus on the 
assessment of fair value of the intangible assets acquired. 

How the scope of 
our audit responded 
to the key audit 
matter

Management assessed the fair value of the assets acquired, including the valuation of intangibles and the 
resulting goodwill.

Key management judgment was in respect of the useful economic life (UEL) and the attrition rates in relation to the 
customer relationships. Management utilised an expert to assist in determining the valuations of the fair value of 
assets and liabilities acquired including intangibles.

The associated disclosure is included within Note 8.4. The Audit and Risk Committee has included their assessment 
of this risk on page 113. For specific detail on the Group’s accounting policy, please see Note 8.4.
We obtained an understanding of the relevant controls over the valuation of intangible assets, in particular the 
relevant controls over management’s valuation of intangibles arising on acquisition including the useful economic life 
(UEL) and the attrition rates in relation to the customer relationships. 

We reviewed the significant terms of the acquisition within the sale and purchase agreement.

We assessed management’s proposed accounting of the acquisition in line with IFRS 3, Business Combinations.

We assessed the competence, capability, and objectivity of management’s expert.

With the assistance of our valuation specialists, we assessed the appropriateness and application of the valuation 
methodology as well as the customer attrition rates and the UEL.

We assessed performance and budgeting accuracy since acquisition to confirm that the forecast that underpin the 
valuation of intangibles arising on acquisition were appropriate.

Key observations

We assessed the disclosures in the annual report for appropriateness based on the IFRS 3 disclosure requirements.
We concur with management’s assessment of the carrying value of the goodwill and indefinite lived assets. We are 
satisfied that assumptions used in the valuation are within an acceptable range. We consider the disclosures in 
relation to the acquisition to be appropriate.

5.3. Taxation – uncertain tax positions (UTPs) in connection with transfer pricing arrangements  
Key audit matter 
description

At 31 December 2021, there were provisions for UTPs held related to transfer pricing arrangements. There are a 
number of tax judgements inherent in the calculation of the tax charge which result in the existence of UTPs. 

How the scope of 
our audit responded 
to the key audit 
matter

Transfer pricing is the primary area of taxation uncertainty, driven largely by the global nature of the Group and the 
historical business model. The operating model is pivoting to focus more on business performance at the category 
level, rather than on geographical markets. Changes to the business model increase management judgement, and 
hence risk, in relation to the impact on transfer pricing and related UTPs. 

The associated disclosure is included within Note 5. The Audit and Risk Committee has included their assessment 
of this risk on page 114. For specific detail on the Group’s accounting policy, please see Note 5.
We obtained an understanding of the relevant controls that are involved in assessing whether management is 
appropriately identifying and quantifying UTPs. 

We held discussions with management and their external advisers to understand the status of interactions with tax 
authorities in relation to transfer pricing matters.

With involvement of our internal tax audit specialists, including internal transfer pricing specialists, we have 
challenged management’s judgements regarding the identification and quantification of uncertain tax treatments in 
relation to transfer pricing, including the judgements as to whether they will lead to a probable economic outflow. 

We obtained management’s technical support for the source of the estimation uncertainty in order to challenge 
their assessment of the probability that the tax positions will ultimately be accepted by the tax authorities. The 
support included management’s analysis, supported by external professional advice, of the evolution in locations of 
the creation of value across the Group including the location of key strategic management roles and where taxable 
profits arise, which is a key judgement in assessing transfer pricing risk. 

We challenged management’s approach to determine whether the methodology for assessing provisions is 
consistent with IFRIC 23, Uncertainty over Income Tax Treatments including identification, where applicable, of any 
significant changes in facts and circumstances as required by IFRIC 23. 

Key observations

We assessed the appropriateness of the related Financial Statement disclosures.
Based on the work we have performed, we are satisfied that management has appropriately considered the risk 
of a transfer pricing challenge and that the level of UTPs is reasonable. 

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to the members of ConvaTec Group Plc
continued

5.4. Identification and valuation of adjusting items reported within Alternative Performance Measures (“APMs”)  
Key audit matter 
description

The Group has presented adjusted profit before tax of $309.4m as a key APM (2020: $297.4m), which is derived 
from statutory profit before tax of $151.3m (2020: $174.7m) adjusted for a number of items (totalling $158.1m 
(2020: $122.7m)) which management consider meet its definition of an ‘adjusting item’. 

In line with the Group’s APMs policy, included within their APMs in 2021 are termination benefits in respect of 
transformation activity of $4.3m (2020: $12.2m), amortisation of acquired intangibles of $130.4m (2020: $125.3m), 
costs related to acquisition and divestment activity of $17.8m (2020: gain of $16.5m) and a dispute settlement 
of $5.6m.

Judgment is exercised by management in determining the identification and valuation of such items and accordingly 
we consider there to be a key audit matter relating to the reporting of adjusting items. There is also guidance 
published by the European Securities and Markets Authority (ESMA) and the Financial Reporting Council (FRC) 
in relation to the disclosure of APMs.

The associated disclosure is included within the Non-IFRS financial information section of the Annual Report. The 
Audit and Risk Committee has included their assessment of this risk on page 114. For specific detail on the Group’s 
accounting policy, please see Non-IFRS financial information section.
We obtained an understanding of relevant controls, relating to the identification and disclosure of adjusting items 
within APMs.

We made enquiries of management to understand the rationale applied in identifying items as adjusting and 
completed an independent assessment as to the selection and presentation of adjusting items based on their nature 
by comparing the adjusted items to the Group’s accounting policy.

We assessed the identification and consistency of items reported as adjusting period on period in accordance with 
ESMA and FRC guidance.

We performed tests over a representative sample of adjusting items through agreement to supporting evidence.

How the scope of 
our audit responded 
to the key audit 
matter

Key observations

We assessed the completeness and accuracy of disclosures within the financial statements in accordance 
with IFRSs.
We are satisfied that the items included in adjusting items within the APMs are in line with the Group’s policy and 
that they are appropriately disclosed.

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6. Our application of materiality
6.1. Materiality
We define materiality as the magnitude of misstatement in the financial statements that makes it probable that the economic decisions of 
a reasonably knowledgeable person would be changed or influenced. We use materiality both in planning the scope of our audit work and 
in evaluating the results of our work.

Based on our professional judgement, we determined materiality for the financial statements as a whole as follows:

Materiality
Basis for 
determining 
materiality

Rationale for the 
benchmark applied

Group Financial Statements
$8.4m (2020: $6.7m)
4.7% (2020: 4.2%) of pre-tax profit, adjusted for 
acquisition and divestitures costs, termination benefits 
and related costs and litigation expenses. This equates 
to 5.6% of the statutory profit before tax.
In determining our materiality benchmark, we 
considered the focus of the users of the Financial 
Statements. Pre-tax profit is the base from which key 
performance measures are calculated as well as key 
metrics used in providing trading updates. We have 
adjusted pre-tax profit for certain non-recurring items 
as summarised above.

Parent Company Financial Statements
$5.0 (2020: $4.7m)
Parent Company materiality equates to 0.1% 
(2020: 0.3%) of net assets, which is capped at 60% 
(2020: 70%) of Group materiality.

In determining our materiality, based on professional 
judgement, we have considered net assets as the 
appropriate benchmark given the Parent Company is 
primarily a holding company for the Group. We then 
capped materiality at 60% of Group materiality.

1.  PBT adjusted for certain items: $179.0m
2. Group materiality: $8.4m

1.

2.

Component materiality 
range $4.2m to $5.9m

Audit and Risk Committee 
reporting threshold $0.4m

6.2. Performance materiality
We set performance materiality at a level lower than materiality to reduce the probability that, in aggregate, uncorrected and undetected 
misstatements exceed the materiality for the financial statements as a whole. 

Performance 
materiality
Basis and rationale 
for determining 
performance 
materiality

Group Financial Statements
70% (2020: 70%) of Group materiality

Parent Company Financial Statements
70% (2020: 70%) of parent company materiality 

In determining performance materiality, we considered the following factors:
 – our risk assessment, including our understanding of the entity and its overall control environment; 
 – the disaggregated nature of the Group which reduces the likelihood of an individually material error; and 
 – our cumulative experience from prior year audits, which has indicated a low number of corrected and 

uncorrected misstatements identified.

6.3. Error reporting threshold
We agreed with the Audit and Risk Committee that we would report to the Committee all audit differences in excess of $0.4m 
(2020: $0.3m), as well as differences below that threshold that, in our view, warranted reporting on qualitative grounds. We also report to 
the Audit and Risk Committee on disclosure matters that we identified when assessing the overall presentation of the financial statements.

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to the members of ConvaTec Group Plc
continued

7. An overview of the scope of our audit
7.1. Identification and scoping of components
Our Group audit was scoped on an entity level basis, assessing components against the risk of material misstatement at the Group level. We 
have also considered the quantum of Financial Statement balances and individual financial transactions of a significant nature. In performing 
our assessment, we have considered the geographical spread of the Group and any risks presented within each region. 

Based on this assessment, we focused our work on thirteen (2020: fourteen) components covering eight (2020: nine) countries, 
72% (2020: 73%) of revenue, 83% (2020: 87%) of profit before tax and 77% (2020: 81%) of net assets. All thirteen (2020: fourteen) 
components were subject to a full scope audit. The thirteen (2020: fourteen) components are located in: the United States of America, 
the United Kingdom, Switzerland, Denmark, Germany, Italy, France, and Australia, which include the principal operating units of the Group. 

In addition, we have performed specified audit procedures in eight (2020: nine) components covering eight (2020: eight) countries, 
8% (2020: 9%) of revenue, 4% (2020: 4%) of profit before tax, and 6% (2020: 4%) of net assets. The eight (2020: nine) components are 
located in: the United States of America, Denmark, Spain, Canada, Brazil, the Dominican Republic, Japan and Slovakia. 

We also performed testing at a Group level. This included testing the consolidation process and carrying out analytical review procedures on 
the aggregated financial information of the remaining components not subject to audit, specified audit procedures or individual desk top 
reviews. Any movements in account balances, which did not corroborate our initial risk assessment, were investigated further. This testing 
confirmed our conclusion that there were no significant risks of material misstatement of the aggregated financial information of the 
remaining components not subject to a full scope audit or specified procedures.

Revenue %

Profit before tax %

Net assets %

1.  Full audit scope: 72%
2. Specified audit procedures: 8%
3. Review at Group level: 20%

1.  Full audit scope: 83%
2. Specified audit procedures: 4%
3. Review at Group level: 13%

1.  Full audit scope: 77%
2. Specified audit procedures: 6%
3. Review at Group level: 17%

1.

3.

2.

1.

3.

2.

1.

3.

2.

7.2. Our consideration of the control environment 
The Group operates a number of IT systems which underpin the financial reporting process. For certain components we identified relevant 
IT systems for the purpose of our audit work. We obtained an understanding of relevant IT controls and tested the general IT controls for 
some operating companies using our IT specialists. 

We continue to adopt a largely substantive audit approach. Where control improvements are identified they are reported to management 
and the Audit and Risk Committee as appropriate. Management continues to develop their roadmap to further enhance and standardise 
the control environment in line with the expected requirements from the white paper relating to “Restoring trust in audit and corporate 
governance”. As management develops and completes this programme of work in future years, we expect our audit approach to evolve 
alongside the developments in the internal control environment.

7.3. Our consideration of climate-related risks 
In planning our audit, we have considered the potential impact of climate change on the Group’s business and its financial statements. 
The Group has assessed the risk and opportunities relevant to climate change and has elevated the Environment & Communities risk to a 
principal risk across the Group. This risk has also been considered and embedded into the businesses as explained in the Strategic Report.

As a part of our audit procedures, we have obtained management’s environment related risk assessment and held discussions with the Audit 
and Risk Committee to understand the process of identifying climate-related risks, the determination of mitigating actions and the impact 
on the Group’s financial statements. While management has acknowledged that the transition and physical risks posed by climate change 
have the potential to impact the medium to long term success of the business, they have assessed that there is no material impact arising 
from climate change on the judgements and estimates made in the financial statements as at 31 December 2021 as explained in note 1.3 
on page 156.

We performed our own qualitative risk assessment of the potential impact of climate change on the Group’s account balances and classes 
of transaction and did not identify any additional risks of material misstatement. Our procedures include reading disclosures included in the 
Strategic Report to consider whether they are materially consistent with the financial statements and our knowledge obtained in the audit. 

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7.4. Working with other auditors
As part of our oversight of the component teams, planning meetings were held with all component audit teams. The purpose of these 
planning meetings was to determine whether the component teams had sufficient understanding of the Group’s businesses, its core 
strategy and significant risks. 

We sent our component teams detailed instructions, included them in our team briefings and discussed their risk assessment. We also 
provided direction in response to enquiries made by the component auditors. All the findings observed were discussed with the component 
auditors in detail and instructions to perform further procedures were issued where relevant. 

In response to the Covid-19 pandemic, which limited our ability to make component visits, more frequent calls were held between the Group 
and component teams and remote access to relevant documents was provided. Given the pandemic, the majority of our year-end audit was 
performed in a remote working environment. Throughout this time, we increased the frequency of interactions with management. We were 
able to perform our procedures without needing to make substantial changes to our planned approach.

8. Other information
The other information comprises the information included in the annual report the overview, strategic report and governance sections,
other than the financial statements and our auditor’s report thereon. The directors are responsible for the other information contained 
within the annual report. 

Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our 
report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the 
financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated.

If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a 
material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material 
misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

9. Responsibilities of Directors
As explained more fully in the directors’ responsibilities statement, the directors are responsible for the preparation of the financial 
statements and for being satisfied that they give a true and fair view, and for such internal control as the directors determine is necessary
to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the directors are responsible for assessing the Group’s and the parent company’s ability to continue 
as a going concern, disclosing as applicable, matters related to going concern and using the going concern basis of accounting unless the 
directors either intend to liquidate the Group or the parent company or to cease operations, or have no realistic alternative but to do so.

10. Auditor’s responsibilities for the audit of the financial statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement,
whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, 
but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. 
Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be 
expected to influence the economic decisions of users taken on the basis of these financial statements.

A further description of our responsibilities for the audit of the financial statements is located on the FRC’s website at: www.frc.org.uk/
auditors responsibilities. This description forms part of our auditor’s report.

11. Extent to which the audit was considered capable of detecting irregularities, including fraud
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our 
responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our
procedures are capable of detecting irregularities, including fraud is detailed below. 

11.1. Identifying and assessing potential risks related to irregularities
In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and 
regulations, we considered the following:
 – the nature of the industry and sector, control environment and business performance including the design of the Group’s remuneration

policies, key drivers for directors’ remuneration, bonus levels and performance targets;

 – the Group’s own assessment of the risks that irregularities may occur either as a result of fraud or error that was approved by the Board;
 – results of our enquiries of management, Internal Audit and the Audit and Risk Committee about their own identification and assessment

of the risks of irregularities; 

 – any matters we identified having obtained and reviewed the Group’s documentation of their policies and procedures relating to:

 – identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance;
 – detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud;
 – the internal controls established to mitigate risks of fraud or non-compliance with laws and regulations;

 – the matters discussed among the audit engagement team including component audit teams and relevant internal specialists, including tax,
valuations and IT specialists regarding how and where fraud might occur in the financial statements and any potential indicators of fraud.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Independent auditor’s report 
to the members of ConvaTec Group Plc
continued

As a result of these procedures, we considered the opportunities and incentives that may exist within the organisation for fraud and 
identified the greatest potential for fraud in the following areas: manual adjustments to revenue, change in CGU groups and reallocation of 
goodwill, the acquisition accounting of Cure Medical LLC focusing on the intangible asset valuation and the identification and valuation of 
adjusting items reported within APMs. In common with all audits under ISAs (UK), we are also required to perform specific procedures to 
respond to the risk of management override.

We also obtained an understanding of the legal and regulatory frameworks that the Group operates in, focusing on provisions of those laws 
and regulations that had a direct effect on the determination of material amounts and disclosures in the financial statements. The key laws 
and regulations we considered in this context included the UK Companies Act, Listing Rules, pensions legislation and tax legislation.

In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but 
compliance with which may be fundamental to the Group’s ability to operate or to avoid a material penalty. These included the Food and 
Drug Administration (“FDA”) and the Medical Devices Regulation (“MDR”).

11.2. Audit response to risks identified
As a result of performing the above, we identified manual adjustments to revenue, change in CGU groups and reallocation of goodwill, the 
acquisition accounting of Cure Medical LLC focusing on the intangible asset valuation and the identification and valuation of adjusting items 
reported within APMs as key audit matters related to the potential risk of fraud. The key audit matters section of our report explains the 
matters in more detail and also describes the specific procedures we performed in response to those key audit matters. 

In addition to the above, our procedures to respond to risks identified included the following:
 – reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with provisions of relevant 

laws and regulations described as having a direct effect on the financial statements;

 – enquiring of management, the Audit and Risk Committee and in-house legal counsel concerning actual and potential litigation and claims;
 – obtained an understanding of the relevant controls around manual adjustments to revenue and used data analytic sampling tools to 

identify manual adjustments presenting the highest risk. Those identified were then subjected to substantive and analytical procedures;
 – performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due 

to fraud;

 – reading minutes of meetings of those charged with governance, reviewing internal audit reports and reviewing correspondence with 

HMRC; and

 – in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other 

adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the 
business rationale of any significant transactions that are unusual or outside the normal course of business.

We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members including internal 
specialists and all component audit teams, and remained alert to any indications of fraud or non-compliance with laws and regulations 
throughout the audit.

Report on other legal and regulatory requirements
12. Opinions on other matters prescribed by the Companies Act 2006
In our opinion the part of the directors’ remuneration report to be audited has been properly prepared in accordance with the 
Companies Act 2006.

In our opinion, based on the work undertaken in the course of the audit:
 – the information given in the strategic report and the directors’ report for the financial year for which the financial statements are prepared 

is consistent with the financial statements; and

 – the strategic report and the directors’ report have been prepared in accordance with applicable legal requirements.

In the light of the knowledge and understanding of the Group and the parent company and their environment obtained in the course of the 
audit, we have not identified any material misstatements in the strategic report or the directors’ report.

13. Corporate Governance Statement
The Listing Rules require us to review the directors’ statement in relation to going concern, longer-term viability and that part of the 
Corporate Governance Statement relating to the Group’s compliance with the provisions of the UK Corporate Governance Code specified 
for our review.

Based on the work undertaken as part of our audit, we have concluded that each of the following elements of the Corporate Governance 
Statement is materially consistent with the financial statements and our knowledge obtained during the audit:
 – the directors’ statement with regards to the appropriateness of adopting the going concern basis of accounting and any material 

uncertainties identified set out on page 149;

 – the directors’ explanation as to its assessment of the Group’s prospects, the period this assessment covers and why the period is 

appropriate set out on page 74;

 – the directors’ statement on fair, balanced and understandable set out on page 149;
 – the board’s confirmation that it has carried out a robust assessment of the emerging and principal risks set out on page 87;
 – the section of the annual report that describes the review of effectiveness of risk management and internal control systems set out 

on page 64 and

 – the section describing the work of the Audit and Risk Committee set out on page 110.

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14. Matters on which we are required to report by exception
14.1. Adequacy of explanations received and accounting records
Under the Companies Act 2006 we are required to report to you if, in our opinion:
 – we have not received all the information and explanations we require for our audit; or
 – adequate accounting records have not been kept by the parent company, or returns adequate for our audit have not been received from 

branches not visited by us; or

 – the parent company financial statements are not in agreement with the accounting records and returns.

We have nothing to report in respect of these matters.

14.2. Directors’ remuneration
Under the Companies Act 2006 we are also required to report if in our opinion certain disclosures of directors’ remuneration have not been 
made or the part of the directors’ remuneration report to be audited is not in agreement with the accounting records and returns.

We have nothing to report in respect of these matters.
15. Other matters which we are required to address
15.1. Auditor tenure
Following the recommendation of the Audit and Risk Committee, we were appointed by the directors to audit the financial statements for 
the year ending 31 December 2016 and subsequent financial periods. The period of total uninterrupted engagement including previous 
renewals and reappointments of the firm is 6 years, covering the years ending 31 December 2016 to 31 December 2021.

15.2. Consistency of the audit report with the additional report to the Audit and Risk Committee
Our audit opinion is consistent with the additional report to the Audit and Risk Committee we are required to provide in accordance with 
ISAs (UK).

16. Use of our report
This report is made solely to the company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our 
audit work has been undertaken so that we might state to the company’s members those matters we are required to state to them in an 
auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other 
than the company and the company’s members as a body, for our audit work, for this report, or for the opinions we have formed. 

As required by the Financial Conduct Authority (FCA) Disclosure Guidance and Transparency Rule (DTR) 4.1.14R, these financial statements 
form part of the European Single Electronic Format (ESEF) prepared Annual Financial Report filed on the National Storage Mechanism of 
the UK FCA in accordance with the ESEF Regulatory Technical Standard (‘ESEF RTS’). This auditor’s report provides no assurance over 
whether the annual financial report has been prepared using the single electronic format specified in the ESEF RTS. 

Claire Faulkner, FCA (Senior statutory auditor)
For and on behalf of Deloitte LLP
Statutory Auditor
London, United Kingdom
7 March 2022

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220ESG Target definitions

1.  Quality: 

8.  Procurement and supply chain: 

 By 31 December 2023, ensure that 80% of ConvaTec’s spend 
(from all Business Units globally) is supported by suppliers who 
we have requested to participate in our EcoVadis platform. 
‘Suppliers’ include direct material and external manufacturers 
and exclude indirect service/materials providers. Participation 
is considered when a supplier is either: assessed by EcoVadis 
on all four themes covered in the platform, or when an invitation 
to participate has been extended and the supplier has declined 
to participate, and ConvaTec has a documented audit trail of the 
dialogue between parties

9.  Emission reduction:

9.1 

 Achieve Net Zero Carbon (in line with our SBTi Target) 
by 2045. This includes reducing all value chain carbon 
emissions (Scope 1, 2 &3) in line with SBTi 1.5OC targets by 
2036, with defined 5-year milestone targets developed by 
Q4 2022 aligned to SBTi. All value chain emissions will be 
reduced to zero by beginning of Q1 2045

9.2   Complete the Scope 3 Materiality Assessment and develop 
the measurement strategy by Q4 2022, with the intention 
of publishing our Scope 3 GHG inventory by Q4 2023. 
Analyse existing data available for all 15 categories of Scope 
3 emissions and determine a measurement strategy to 
determine a full GHG inventory for material Scope 3 
emissions in 2023. Scope 3 inventory to be published by 
Q4 2023. 

9.3   Reduce our combined Scope 1 and 2 greenhouse gas 
emissions by 5%, against a 2021 baseline by Q4 2022

10.  Science Based Target commitment:

10.1   Set quantitative Science Based Targets for Scope 1 and 2 

emissions, against a 2021 baseline, by Q4 2022 (end of 
December 2022). Set aligned Science based targets for 
Scope 1 and 2, utilising the SBTi (1.5 oC) calculation tool, to 
predict expected verified SBTi’s at the end of 2022

10.2  Set quantitative targets for Scope 3 GHG emissions, 

against a 2021 baseline, aligned with the Science Based 
Targets criteria by Q4 2023. Set aligned Science Based 
Targets for Scope 3, utilising the SBTi (1.5OC) calculation 
tool, to predict expected verified SBTi’s at the end of 2023
10.3  Achieve validated Science Based Targets for Scope 1, 2 & 3 
emissions by Q4 2023. Gain fully validated SBTi’s, certified 
by the Science Based Target Initiative, covering Scope 1, 2 
& 3 emissions, using the 2021 baseline

11.  Community contributions: 

11.1   Establish new NGO partnership(s) and funding 

commitments by Q4 2022 (end of December 2022). 
Partnerships are formalised via Letters of Agreement and 
may involve product or monetary donations, in-kind 
support, volunteering, or other means of cooperation. 

11.2   Contribute responsibly to a range of healthcare 

professionals (HCP) and patient education programmes 
by Q4 2022 (end of December 2022). Set specific targets 
for 2023-25 on reach and impact. Contributions may 
include monetary and in-kind donations or other types 
of partnerships

 Align existing quality metrics to industry standards and our 
continued focus in product safety by Q4 2022 (end of 
December 2022) to ensure metrics cover both product quality 
and safety aspects

2.  Product vitality: 

 Improve Vitality Index to 30% by Q4 2025 (end of December 
2025). Vitality index is defined as the percentage of revenues 
that are generated from new or significantly upgraded 
products and services launched by ConvaTec in the preceding 
5-year period

3. 

 Product development: 
 Implement ConvaTec Group’s Green Design Guidelines (which 
assess products in five environmentally related areas) as part 
of our internal product development processes (new product 
development and material change processes) for all new 
products. Expand the user base of our new GDG digital tool to 
at least 50 users by Q4 2022 (end of December 2022). Users 
are defined by licenses to the software, will come from research 
and Development (R&D) and Sustaining Engineering Group 
(SEG), and will be trained on using the tool

4.  Health & Safety: 

4.1 

 Increase our Operations Hazard Observation Rate to 
above 200 per 200,000 hours worked by Q4 2 2022 
(end of December 2022). Operations comprises our 
9 manufacturing locations, with the rate normalised per 
200,000 hours worked, during calendar year 2022. The 
metric includes contractor/ agency staff working at our 
sites, as well as permanent staff. Hazard Observation Rate 
is defined based on OSHA definitions

4.2   Reduce Operations Lost Time Injury Rate (LTIR) to below 

0.22 by Q4 2025 (end of December 2025). Operations 
comprises our 9 manufacturing locations, with the rate 
normalised per 200,000 hours worked, during calendar 
year 2022. LTIR is defined as per OSHA definitions

5.  Diversity, Equity & Inclusion and Wellbeing: 

5.1 

 Reach at least 40% females among senior management 
and CELT roles combined by Q4 2024 (end of December 
2024). Senior management roles include direct reports of 
CELT members, excluding executive assistants. Calculated 
on employees as at December 2024

5.2   Reduce voluntary turnover to less than 10% by Q4 2023. 
Voluntary turnover includes retirement and excludes 
redundancies, terminations, apprentices, interns, working 
students, temporary workers, fixed term and contingent 
workers. It is calculated as total employees leaving for the 
year/average monthly headcount

6.  Human rights: 

 Complete the (internal) review, update and publication of our 
human rights-related policies, our Human Rights and Labour 
Standards Policy and Supplier Code of Conduct, by Q4 2022 
(end of December 2022)

7.  Code of Conduct: 

 Have at least 95% of employees trained on an annual basis 
by Q4 2023 and in subsequent years. Training is conducted 
digitally and includes part-time and full-time employees, 
excluding contractors, agency workers and employees on 
long-term absence. Percentage is calculated as number of 
employees trained and employed on 31 December divided 
by total number of employees as at 31 December

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Annual Report and Accounts 2021

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Climate-related emissions reporting principles

We aim to follow the methodologies set out in The Greenhouse Gas 
Protocol: A Corporate Accounting and Reporting Standard (Revised 
Edition) (the “Protocol”). The main elements, and any departures 
from the methodology, are highlighted below. In relation to 
reporting we have adopted a scope determined by our financial 
control of subsidiary businesses, and have followed guidance laid out 
in the Protocol. We have also developed criteria to provide clarity on 
when a target is considered to have been completed and these 
criteria have been shared with our assurance providers. 

In 2021 we undertook a strategic review of our carbon emissions, 
baseline data and targets, developing an improved approach to 
reporting carbon emissions. As such,2021 will be our base year for 
the setting of future reduction/efficiency targets, as this data 
represents a thorough GHG inventory for scope 1 & 2 emissions. 
2021 will therefore be the baseline year for our Science Based 
Targets, which we aim to have validated by end 2023. Emissions and 
energy intensity are calculated using revenue as the denominator 
($m). Calculation of CO2 equivalent included the gases CO2, CH4 and 
N2O (Scope 1 and 2). In 2021, we again participated in the Carbon 
Disclosure Project Climate Change questionnaire, and based on data 
reported at the end of 2020, we were ranked at a level of ‘B’ for our 
disclosure (2020: ‘B’). 

Boundaries 
In Greenhouse Gas Protocol terms, the boundary we are using for 
our Scope 1 and Scope 2 reporting is “Financial Control”, i.e. we 
report 100% of the emissions from operations over which we have 
control. The scope of our GHG reporting has been updated in 2021, 
to cover every physical location. We report emissions from our 
manufacturing plants (highest levels of emissions), our R&D centres, 
our distribution centres, Group and regional head-quarter offices, 
and other offices.

For smaller sales offices where energy is generally invoiced as part 
of the rental, we have made an estimation based on the gross 
internal area, extrapolated from actual data at similar buildings.

Scope 1
Our main Scope 1 fuels are diesel (burned in generators to create 
electricity), natural gas (for heat and generation), refrigerant leakage 
data (for cooling and refrigeration) and fuel burned in company 
vehicles. Conversion factors for these fuels are sourced from UK 
Department for Business, Energy and Industrial Strategy (“BEIS”) 
– 2021 version 1.1 (GWP AR4 applied). For the conversion of diesel 
fuel into electrical power we have assumed generator efficiency 
of 10%.

In 2018, we procured green gas certificates for our UK operations. 
The certificates were sourced from a provider registered with the 
Green Gas Certification Scheme and relate to grid-injected 
biomethane. Approximately 24% of the certificates were applied 
against 2018 gas GHG emissions, leaving 76% (8.5 GWh) for 
application during 2019. The UK Government GHG Conversion 
Factor Guidance states that “within the Scope 1 conversion factors 
for biofuels, the CO2 emissions value is set as net ‘0’ to account for 
the CO2 absorbed by fast-growing bioenergy sources during their 
growth.” However, the guidance also requires a reporting business 
to account for the global warming impact of the other gases 
released during combustion as “outside of scopes”. For biomethane, 
the guidance quotes a conversion factor of 55.28 kgCO2 for every 
gigajoule of biomethane combusted. 

Due to the cost prohibitive nature of Green Gas Certificate 
procurement in 2020, we have purchased UN Carbon Emissions 
Reduction units (“CERs”) to offset the carbon emissions of our gas 
consumption in the UK. By purchasing CERs, which are generated 
from the Clean Development Mechanism (“CDM”) projects and 
verified by the UN Climate Change Secretariat, we have been able to 
ensure that we maintain carbon neutrality in the UK. The CERs have 
been procured by a provider who purchases and cancels CERs 
through their registry, assigns the amount of tCO2e offset to a 
certain approved project and blocks them for further use. A total 
of 1,989 CERs have been purchased to ensure that all natural gas 
emissions in the UK have been offset through CDM projects. 

During 2021, a further 2,009 tCO2e was offset via carbon offset 
certificates, to offset the carbon emissions of gas consumption in 
the UK. This was offset from a total of 1,437 CERs, purchased 
through CDM projects (Covering the period Q1 –3) and from a total 
of 572 tCO2e through Verified Carbon Standard (VCS) reduction 
projects, with additional UK based tree planting for every tonne of 
carbon offset (Covering the Q4 period).

In 2021, we have again reported Scope 1 emissions arising from our 
vehicle fleet, included in the 2021 baseline carbon dataset. This is 
provided by our fleet management partners.

Scope 2 
This year, we are again reporting our Scope 2 emissions on both 
a “location basis” and a “market basis”. Our location-based 
disclosure reflects the electricity grid conversion factors published 
by the International Energy Agency (“IEA”) during 2021 (v1.1). These 
reflect average grid electricity fuel sources for the respective 
markets for 2019. 

Our market-based disclosure uses the following hierarchy in relation 
to selection of conversion factors: 
 – Specific contractual instruments, such as renewable 

energy certificates

 – Direct contracts (e.g. for low carbon generation)
 – Supplier-specific emission rates.
 – Market-based residual mix factors
 – Location-based conversion factors.

In 2021, our electricity was procured under Renewable Energy 
Guarantees of Origin certificates in the UK and Guarantee of Origin 
certificates in the Netherlands, Slovakia and Denmark (12 months at 
our Herlev plant and 9 months at our Osted plant). 

Our energy provider in Portugal was able to provide a supplier 
specific emission rate. 

Our market-based residual mix factors are reported based on;
 – In Europe – the Reliable Disclosure (RE-DISS) and AIB European 

Residual Mixes 2020 V1.01 (GWP Applied) 

 – In the US – Green-e 2021 (2019 data)

All of our other markets are reported on the basis of IEA 
conversion factors.

Scope 3 
We are committed to expanding our reporting of Scope 3 emissions. 
We estimate that the carbon footprint of our products placed on the 
market is between 40,000 and 60,000 tCO2e. This estimate 
resulted from a study undertaken in 2019 based on 2018 sales data 
and an analysis of high-volume representative products that was 
extrapolated to provide estimates for product categories based on 
sales volumes. This necessarily means that there is significant scope 
for error and the final estimated data disclosed should be treated as 
indicative only.

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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Shareholder information

Our corporate website – www.convatecgroup.com
Information about our Stock Exchange announcements, key 
dates in our financial calendar, our share price information and 
background information is available on our corporate website by 
clicking www.convatecgroup.com/investors. 

The date for the release of our interim results for the six months 
ended 30 June 2022 will be posted in due course on our website.

Shareholders may also receive information by email by signing up 
to the news alert service available at www.convatecgroup.com/
investors/sign-up-for-more-information.

Share price information
Our closing share price as at 31 December 2021 was 193.2p.

Managing your shareholding
You can manage your shareholding online by registering to use 
Investor Centre, a free and secure website. Investor Centre is 
available 24 hours a day, 365 days a year. To find out more about 
Investor Centre visit www.investorcentre.co.uk. Registration is a 
straightforward process and all you will need is your shareholder 
reference number (the “SRN”) and registered address details. 

Shareholders who prefer not to manage their shareholding online 
can contact our Registrars, Computershare Investor Services PLC, 
who manage our share register. The shareholder helpline number 
is +44 (0) 370 703 6219 and further information about 
Computershare Investor Services PLC is set out below.

Internet share dealing
Please note that, if you wish to purchase shares in the Company, you 
may do so through a bank or stockbroker. Alternatively, please go to 
www.computershare.com/dealing/uk for a range of Dealing services 
made available by Computershare; this service is only available to 
shareholders in the UK. This service provides shareholders with a 
convenient way to buy or sell the Company’s ordinary shares on the 
London Stock Exchange. The commission is 1.4%, subject to a 
minimum charge of £40. In addition, stamp duty, currently 0.5%, 
is payable on purchases. Real-time dealing is available during market 
hours. In addition, there is a convenient facility to place your order 
outside of market hours. 

Telephone share dealing
Please note this service is, at present, only available to 
shareholders resident in the UK. The commission is 1.4% plus 
a charge of £40. In addition, stamp duty, currently 0.5%, is payable 
on purchases. The service is available from 8.00am to 4.30pm 
Monday to Friday, excluding bank holidays, on telephone number 
+44 (0) 370 703 0084. Before you trade you will need to 
register for this service. This can be done by going online at  
www.computershare.com/dealing/uk. Shareholders should have 
their SRN ready when making the call. The SRN appears on share 
certificates. A bank debit card will be required for purchases. 
Detailed terms and conditions are available on request by 
telephoning +44 (0) 370 703 0084.

Please note that due to the regulations in the UK, Computershare 
are required to check that you have read and accepted their Terms 
and Conditions before being able to trade, which could delay your 
first telephone trade. If you wish to trade quickly, we suggest visiting 
their website and registering online first.

Share fraud
We would like to warn all of our shareholders to be very wary of any 
unsolicited telephone calls or letters which offer investment advice, 
offer to buy your shares at a discounted price, or sell them at an 
inflated price or offers free company reports. This type of call should 
be treated as an investment scam. Further information about 
investment scams and how they should be reported is available 
at www.convatecgroup.com/investors/shareholder-services/. 

Company Secretary and registered office
Evelyn Douglas
3 Forbury Place
23 Forbury Road
Reading RG1 3JH

Registrar
Computershare Investor Services PLC 
The Pavilions 
Bridgwater Road 
Bristol
Telephone +44 (0) 370 703 6219
Email www.investorcentre.co.uk/contactus

Up to 90-day limit orders are available for sales. Before you can 
trade you will need to register for the service. To access the service 
log on to www.computershare.com/dealing/uk.

Auditor
Deloitte LLP

Shareholders should have their SRN available. The SRN appears on 
share certificates as it will be required as part of the registration 
process. A bank debit card will be required for purchases. 

Brokers
Goldman Sachs International
UBS Limited

Solicitors
Freshfields Bruckhaus Deringer LLP

222
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Glossary 

Adjusted free cash flow

Adjusted or alternative 
performance measures 
(APMs)

Advanced Wound Care 
(AWC)

AGM

APAC
ARA
ARC
Articles

Base erosion and profit 
shifting (BEPS) initiative

Basic earnings per share

Basis points (bps)

BEIS

Board

Brexit

Compound annual growth 
rate (CAGR)

Adjusted cash generated from 
operations, net of PP&E and tax paid.
Certain financial measures in this 
Annual Report and Accounts not 
prepared in accordance with IFRS 
and used as a meaningful supplement 
to reported measures.
Advanced wound dressings and skin 
care products for the management 
of acute and chronic wounds 
resulting from ongoing conditions 
such as diabetes and acute conditions 
resulting from traumatic injury 
and burns.
Annual General Meeting of 
the Company.
Countries located in Asia-Pacific.
Annual Report and Accounts
Audit and Risk Committee.
The Articles of Association of the 
Company for the time being in force.
OECD initiative which seeks to close 
gaps in international taxation for 
companies that allegedly avoid tax 
or reduce tax burden in their home 
country by engaging in tax inversions.
Net profit available for ConvaTec 
shareholders divided by the weighted 
average number of ordinary shares in 
issue during the year.
One hundredth of a percentage 
point. Used, for example, in quoting 
movements in margin percentages.
Business, Energy & 
Industrial Strategy.
The Board of Directors of ConvaTec 
Group Plc.
The UK’s withdrawal from the 
European Union.
CAGR shows the rate of return of an 
investment or growth in revenue and 
profit over a certain period of time, 
expressed in annual percentage terms.

Cash conversion

Cash-generating units 
(CGUs)

Capital expenditure (capex) Purchases of property, plant and 
equipment and intangible assets.
Cash generated from operations, net 
of PP&E divided by EBITDA.
The smallest identifiable groups of 
assets that generate cash inflows 
that are largely independent of the 
cash inflows from other assets or 
groups of assets.
Certification mark that indicates 
conformity with health, safety and 
environmental protection standards 
for products sold within the 
European Economic Area.
UK Corporate Governance Code 
2018 in effect from 1 January 2019, 
issued by the FRC. 

CE mark

Code

Code of Conduct

Companies Act

Company or parent 
company
Constant exchange rates 
(CER” growth

Continence & Critical Care 
(CCC)

COVID-19
CELT

CR
DE&I
Derivatives

Our code of conduct which covers 
business conduct and compliance 
issues, including bribery 
and corruption.
Companies Act 2006, as amended, 
of England and Wales.
ConvaTec Group Plc.

CER growth is calculated by applying 
the applicable prior period average 
exchange rates to the Group’s actual 
performance in the respective period.
Products and services for people 
with urinary continence issues related 
to spinal cord injuries, multiple 
sclerosis, spina bifida and other 
causes, and devices and products 
used in intensive care units and 
hospital settings.
Coronavirus disease 2019.
ConvaTec Executive 
Leadership Team 
Corporate responsibility.
Diversity, equity and inclusion.
Financial instruments used to reduce 
risk, the price of which is derived 
from an underlying asset, index 
or rate.

Diluted earnings per share The calculation of diluted earnings 

per share includes the dilutive impact 
of share awards where the average 
market price of the Group’s ordinary 
shares exceeds the exercise price.
A member of the Board of Directors 
of ConvaTec Group Plc.
FCA disclosure guidance and 
transparency rules with which the 
Group must comply.
Adjusted cash generated from 
operations, net of PP&E (see page 
67) divided by dividend paid (dividend 
payable), excluding the effect of 
a scrip option.
Earnings before interest and tax, also 
defined as operating profit.
EBIT divided by revenue.
Earnings before interest, tax, 
depreciation and amortisation.
The tax charge in the income 
statement as a percentage of profit 
before tax.
Countries located in Europe, Middle 
East and Africa.
Environmental, Social and 
Governance.
European Securities and 
Markets Authority.
The European Union.
Financial Conduct Authority.

Director

Disclosure guidance and 
transparency  
rules (DTRs)
Dividend cover

EBIT or operating profit

EBIT margin
EBITDA

Effective tax rate

EMEA

ESG

ESMA

EU
FCA

223
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Overview – IFCStrategic report – 04Governance – 86Financial statements – 150Additional information – 220Net debt

NHS
OECD

Opex

Organisational Health 
Index (OHI)
Ostomy Care (OC)

PBT
PP&E
Product Categories

R&D

ROIC
SBTi
SBTs
SID
SKU
SNC
Sterling, £, pence or p

Subsidiary

TCFD

Transformation Initiative

TSR
UKLA
US dollar, $, cent or ¢

Viability Period

Borrowings less cash and cash 
equivalents and excluding 
lease liabilities.
The UK National Health Service.
Organisation for Economic  
Co-operation and Development.
Operating expenses, being the total 
of selling and distribution expenses, 
general administrative expenses and 
research and development, and other 
operating expenses.
An index tracking the organisational 
elements that drive performance.
Devices, accessories and services for 
people with a stoma (surgically-
created opening where bodily waste 
is discharged), commonly resulting 
from causes such as colorectal 
cancer, inflammatory bowel disease 
and bladder cancer.
Profit before income taxes.
Property, plant and equipment.
The Group has four product groups, 
being Advanced Wound Care, 
Ostomy Care, Continence & Critical 
Care and Infusion Care.
The research and development 
of safe and reliable products 
and technologies.
Return on invested capital.
Science Based Target initiative.
Science Based Targets.
Senior Independent Director.
Stock keeping unit.
Special nomination committee.
The pound sterling, the currency 
of the UK.
A company over which the Group 
exercises control.
Task Force on Climate-related 
Financial Disclosures.
Initiatives and associated investment 
focused on transforming the 
business to deliver sustainable and 
profitable growth.
Total shareholder return.
The UK’s Listing Authority.
The currency of the United States 
of America.
The three-year period from 
January 2021 to December 2023.

Glossary 
continued

IFRS

IASB

IFRIC

Infusion Care (IC)

US Food and Drug Administration.
Financial Reporting Council.
Foreign exchange.
Green Design Guidelines.
General Data Protection Regulation.
Greenhouse gas emissions.
The Company and its subsidiaries.
Group purchasing organisations.
Health and safety.

FDA
FRC
FX
GDGs
GDPR
GHG emissions
Group
GPO
H&S
Home Services Group (HSG) The Group’s US home services 
business unit for catheter and 
incontinence products. Formerly 
Home Distribution Group.
International Accounting Standards 
Board – the independent standard 
setting body of the IFRS Foundation.
International Financial Reporting 
Standards as adopted by the EU and 
as issued by the IASB.
International Financial Reporting 
Interpretations as adopted by the EU 
and as issued by the IASB.
Disposable infusion sets for diabetes 
insulin pumps, similar pumps used in 
continuous infusion treatments for 
conditions such as Parkinson’s 
disease and a range of products for 
hospital and home 
healthcare markets.
Intellectual property.
Initial public offering.
Investor relations.
Financial and non-financial measures 
that the Group uses to assess 
performance and strategic progress.
London Inter-bank Offered Rate.
Methodology employed by the Group 
in the manufacturing process to 
improve operational efficiency by 
maximising productivity and 
minimising waste.
Net debt divided by adjusted EBITDA.
Long-term incentive plan.
Mergers and acquisitions.
Market abuse regulation.
Medical Device Regulations 
introduced in the EU with required 
transition by May 2021. MDR imposes 
rigorous requirements in relation to a 
number of areas including clinical 
data and post-market surveillance.
The period covering two to 
three years.
The period covering three to 
five years.
Medical technology.
Margin Improvement Programme.

IP
IPO
IR
KPI – Key Performance 
Indicator

Leverage ratio
LTIP
M&A
MAR
MDR

LIBOR
LEAN manufacturing

MedTech
MIP

Medium to long term

Medium term

224
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Important information for readers of this Annual Report 

Third-party data
To the extent available, the industry and market data contained in 
this Annual Report has come from third-party sources. Third-party 
industry publications, studies and surveys generally state that the 
data contained therein has been obtained from sources believed 
to be reliable, but that there is no guarantee of the accuracy or 
completeness of such data. In addition, certain industry and market 
data in this Annual Report came from the Group’s own internal 
research and estimates based on the knowledge and experience 
of the Group’s management in the market in which the Group 
operates. While the Group believes that such research and estimates 
are reasonable and reliable, they, and their underlying methodology 
and assumptions, have not been verified by any independent source 
for accuracy or completeness and are subject to change without 
notice. Accordingly, undue reliance should not be placed on any of 
the industry or market data in this Annual Report.

ConvaTec website
Information on or accessible through our website  
www.convatecgroup.com and other websites mentioned in this 
Annual Report, does not form part of and is not incorporated into 
this Annual Report.

Figures
Figures in parentheses in tables and in the Financial Statements are 
used to represent negative numbers. 

Cautionary statement regarding forward-looking statements
The purpose of this Annual Report is to provide information to the 
members of the Company. The Group and its Directors, employees, 
agents and advisers do not accept or assume responsibility to any 
other person to whom this Annual Report is shown or into whose 
hands it may come and any such responsibility or liability is expressly 
disclaimed. In order, among other things, to utilise the “safe harbour” 
provisions of the US Private Securities Litigation Reform Act 1995 
and the UK Companies Act 2006, we are providing the following 
cautionary statement: This Annual Report contains statements that 
are, or may be deemed to be, “forward-looking” statements with 
respect to the operations, performance and financial condition of 
the Group, including among other things, statements about 
expected revenues, margins, earnings per share or other financial 
or other measures. Forward-looking statements are statements 
relating to the future which are based on information available at 
the time such statements are made, including information relating 
to risks and uncertainties. Although we believe that the forward-
looking statements in this Annual Report are based on reasonable 
assumptions, the matters discussed in the forward-looking 
statements may be influenced by factors that could cause actual 
outcomes and results to be materially different from those 
expressed or implied by these statements, many of which are 
beyond the Group’s control. The forward-looking statements reflect 
knowledge and information available at the date of the preparation 
of this Annual Report and the Group undertakes no obligation to 
update these forward-looking statements. We identify the forward-
looking statements by using the words “anticipates”, “believes”, 
“expects”, “intends” and similar expressions in such statements. 
Important factors that could cause actual results to differ materially 
from those contained in forward-looking statements, certain of 
which are beyond our control include, among other things, those 
factors identified in the Principal Risks section which begins on 
page 76. Forward-looking statements are not guarantees of future 
performance and the actual results of operations, financial condition 
and liquidity, and the development of the industry in which the 
Group operates, may differ materially from those made or suggested 
by the forward-looking statements set out in this Annual Report. 
Past performance of the Group cannot be relied on as a guide to 
future performance. Nothing in this Annual Report should be 
construed as a profit forecast.

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Some of the photographs in this Annual Report and Accounts show our 
employees and facilities.

© 2022 ConvaTec Inc
®⁄™ All trademarks are the property of their respective owners.

ConvaTec Group Plc
3 Forbury Place
23 Forbury Road
Reading
RG1 3JH

T: + 44 (0) 118 952 8100
www.convatecgroup.com

Company No: 10361298