Haleon plc (HLN) Earnings Call Transcript & Summary
September 2, 2025
Earnings Call Speaker Segments
Warren Ackerman
analystLet's kickoff with the second session today. So welcome, everybody. I'm delighted to welcome Brian McNamara of Haleon. Good to be here on the stage. Thank you for supporting us every year, Brian. We appreciate making the effort with us. Same format as before, 35-, 40-minute questions.
Warren Ackerman
analystAnd I want to kick off, Brian, just with guidance. I mean, you lowered your full year guide from 4% to 3.5%. Can you explain the moving pieces that led you to that decision, as the guide was already second half weighted? And even with the lowered guide, you still assume a step-up in the second half. So just what underpins your confidence to the 3.5% is the absolute minimum, you'll deliver? And could it still actually get closer to 4%, if you have a good cough/cold season, because there was no season virtually last year. So just on that 3.5% number, your conviction that, that is the floor.
Brian McNamara
executiveWell, first of all, I think if you step back and look at what we said at half year, we did do two things. We took down sales to around 3.5%, and we took up our profit guidance to high single digits on an organic basis. And I'm sure we'll talk about that later, but that's really underpinned by this productivity program really coming through very strongly and giving us a lot of confidence. 3.5% -- To be very clear, it wasn't 3.5% per se. Listen, halfway through the year, we're at 3.2% growth. And certainly, in the U.S., we were down slightly. And if you look at the U.S. consumption in Q3, we were up roughly 0.5 point in consumption. The market was roughly down 0.5 point. Now market was up much more in Q1, and so were we, and that was the seasonality effect. So as we looked at the U.S. environment, two things are happening. We're seeing a bit of a muted overall market growth environment. And we're also seeing continued pressure on the inventory levels. So given all that, we decided to change our guidance to around 3.5%, not expecting, honestly, the U.S. for the balance of the year to change that much from a net sales perspective. We think there's continued inventory pressure in the U.S. We want to get much more proactive in managing that with our retailers, because, frankly, you can get to the point also where you can start seeing out of stocks and some challenges on shelf. So we want to get more proactively managing it. And if you also remember last year, in Q4, cold and flu in December was down 10% from a consumption basis, which ended -- which meant that inventories were kind of high at year-end also. So we want to make sure that we end the year in a healthy place in the U.S. On the balance, if you look at the balance of our portfolio, we grew mid-single digits, both in EMEA, LatAm and in Asia Pac. And we do expect to see some acceleration in growth and consistent growth in those two regions. And the combination of those two give us the confidence in the around 3.5%, but certainly not counting on a big change in the U.S. trajectory to get there.
Warren Ackerman
analystAnd can I maybe touch on volume, because one of the big features from results season is investors are super focused on volume. Do you -- is there enough focus, Haleon, on the volume mix? You talk a lot about the 4% to 6% organic growth. And some of your peers are targeting 3% volume growth. But if I look at your volume mix since spin, and I track it since then, it's been tracking at around 1, mid-1s. And it's been quite driven by Asia with volume mix quite low in the U.S. and Europe. So within the 4% to 6% guide presumably, the vol mix would need to be at least 2% or even higher. And so my question is, is the top team incentivized enough on the vol mix? Or do you need to make a bit of a pivot between organic growth and vol mix or are you happy with the balance?
Brian McNamara
executiveYes. So just as a team, we're very focused on volume. Volume has such a big impact overall on a lot of things, cost structure, manufacturing sites, all that kind of stuff. If we think about our guidance of organic growth. We always said we expect to see a relative balance between volume mix and price. So if you think 4% to 6%, 2% to 3% volume mix, 2% to 3% price now. I've always said what's balanced 60-40, 40-60. I mean, and it's not a super exact science in any given year. It can fluctuate a little bit. So I honestly don't really have a desire to get into very specific guidance on volume mix versus price and all that, but absolutely focused on it. We track it. we look at it. Also, if we take a step back and see what we laid out for our Capital Markets Day, reaching 1 billion more consumers. A lot of that is the opportunities we have with the low-income consumer in emerging markets, and we're starting to see some, some of that launches are happening. It's a bit of a slower burn, but that's a volume play also. So it's very much a big focus for the team and I, and we track both price and volume mix and are very rigorous about that.
Warren Ackerman
analystAnd just digging into the destocking, I think it was a minus 2% in both Q1 and Q2. What's your assumption on destocking in the U.S. in the second half? Because I've seen some of your peers talking about the difference between sell-in and sell-out of minus 4%, minus 5%. What -- you talked about visibility. What visibility do you have on retail inventory? And is there a risk that it becomes a bigger headwind as the drug stores lose share to retailers that have better inventory management, such as Walmart or Amazon. So within your guide, are you assuming the minus 2% continues? Does it get a bit worse, a bit better? Where are we on your -- how much visibility on that particular point?
Brian McNamara
executiveWell, first of all, from a visibility perspective, we have very good visibility on inventory. Certainly, with our top 10 customers, extreme visibility. And that's the vast majority of our business. And we have visibility below that, too, but we partner with our retailers. I think you're right that there, if you look at our business and our portfolio, we have more business in a Walgreens and maybe CVS type of retailer than someone who's in different consumer staple categories, by the nature of the categories we're in. That's a reality. They tend to hold higher inventory levels. We do believe that the inventory reduction we saw in the first half and that gap will continue. We are not seeing those numbers swing higher. So -- and that's what we're assuming. And what we need to do is we need to get -- and we are getting much more proactive to partner to do that, because one of the challenges is Walmart, Amazon, Dollar, Club are very good at inventory management. The drug channel just had a different bit of an operating model. The risk is, inventories get lower, and then it results in out of stocks in the store, because the systems don't quite support the inventory levels they have. So we're very conscious of that. We have teams on the ground and that partner with all our big retailers and certainly those. So in the balance of the year, we want to proactively manage that better than maybe, and everyone has been a little bit surprised by it at this point. We see that there's going to be more pressure there and more opportunity. We want to proactively management. And that's in our guide for the year.
Warren Ackerman
analystAnd in terms of consumption in the U.S., you were 3% in Q1, you were at 0.5% in Q2, the market was a minus 0.5%. Can you break down why did the market slow from 3% to 0.5%. Is it smokers health? Is it allergy? Is there any reason to think it doesn't naturally come back to the usual 2% to 3%? I guess you think it's mostly cyclical. Are there any elements that potentially could be structural?
Brian McNamara
executiveYes. I think it is more cyclical. I think if you just break down what happened in Q1 versus Q2. In Q1, what you saw consumption-wise, was a high cold and flu season at the end of the quarter. And we are a seasonal business, and we are impacted by that. So that really drove that kind of higher growth in Q1. So you come to Q2 and allergy season was lower. So you lose the tailwind of the cold and flu, because when you get into April and May, that kind of goes away. And then allergy season was a bit lower. And I think that's the natural dynamic on the business. Smokers health, we've talked about. That is a category that certainly is under more pressure in a $30 to $40 price point kind of range for consumers that are really under a lot of pressure and feeling it, it's a much bigger choice than, let's say, an Advil at $5 or $6.99 or Sensodyne kind of thing. The one thing that's been consistent throughout, I have to say, has been our oral health performance, which has continued to go from strength to strength. We continue to grow share. We continue to see good consumption growth. And that is a category that we're seeing in the 3% kind of growth range, but being in therapeutic oral health, where we're much higher than that, and we're growing share in a healthy way.
Warren Ackerman
analystJust want to touch on smokers health, I think it was down 20% in the quarter and the minus 1.7% you had in the U.S. would have been almost flat. So for the second half, should we assume that the down 20% continues at that run rate? Or I think you've got new innovation coming, might help a little bit. What should we think about in terms of the drag?
Brian McNamara
executiveYes. I would expect that it's going to continue to be a drag, but not that level of drag. So there were some unique things that happened, some things in the base. But in the end, we believe we have plans that can help stabilize that a bit. We also do have a new innovation. It's a lozenge. FDA approved. So there won't be private label on that. It's a flavored lozenge, stops cravings within 3 minutes. We're launching on e-com in the back half, and we'll do a full launch next year. So we have reason to believe we can get that business more stable. It's never been a big growth driver business for us, but it is a good business. It meets a real unmet health need. And we are -- we believe we can get it to a place where it can play the role it needs to in the portfolio.
Warren Ackerman
analystAnd just maybe following up on channel mix. You mentioned you're maybe slightly overweight the drugstores. But how are you executing with the growing retailers like Amazon, like Costco, like Walmart? Do you need to do anything around strengthening those relationships in terms of execution, in terms of category management, in terms of supply chain, data merchandise? I don't know what it is. Are you happy with how you're executing with the growing retailers?
Brian McNamara
executiveYes. Listen, we have very good partnerships with all of them. And Walmart, Amazon are our top 2 customers in the U.S. We have teams on the ground like every other CPG company or consumer staples company in those locations. Very good business at Club, very good business at Dollar. So it's not an issue of -- the channel shift isn't going on for years. It's a bit exasperated, because of the challenges that, that drug channel is having and then trying to meet their financial commitments and things like that. But I think we're very focused on winning with the winners. Also while ensuring we have a lot of consumers and our consumers that go through that drug retailer. So, we want to make sure we're right on that business. But no, I don't have a concern that we're moving to channels where maybe we're less -- have less strength. And then actually, if you look at Amazon specifically, our top 18 brands are over 90% of the business in the Amazon, 18 brands are over 90% of the business. 16 of those brands actually have higher share on Amazon than they do bricks and mortars. So for instance, Sensodyne, which is roughly a 21% share or so in bricks and mortar is close to a 28% share on Amazon. So even when that channel shift happens, there is some benefit to us as you're moving from a channel with higher share.
Warren Ackerman
analystAnd maybe final question on the U.S. But in terms of competitiveness, when you look -- obviously, a lot of stuff going on with the channel or the consumer, but where are we in terms of U.S. market share competitiveness? Are there spots where you're still not happy from a share point of view. I mean, Advil is an obvious one where it's been a share issue. Where are we on that? And are there any other spaces within the U.S. where you'd like to improve the share?
Brian McNamara
executiveYes. So if you take, again, a big step back and overall share, we're growing share in the U.S. And again, 0.5 point up in the market, 0.5 point down from a consumption per basis, means we're growing ahead of the market, we're growing share. Within that, clear strength in oral health continues, and we expect it to continue. And then across any portfolio, you have areas that are doing better and not doing better. Advil grew share full year 2024 in the first half, though, it was under share pressure again. We've now in the latest period, we've stabilized that. We think we have strong plans in the back half. So again, I think across any business in any portfolio at any given time, you'll have things that are doing better, not better. We're very focused on the overall consumption. Am I happy? I'm never happy. So I mean, yes, we should be -- I want to see us grow more share. I want to see us grow a bigger percentage of the business growing share. I want to see us drive more volume. I mean, it's very much a focus of the business of how do we maximize the portfolio. But it's not that we're losing across the board, and we have major significant issues on share.
Warren Ackerman
analystAnd maybe just turning to one of the key categories of VMS. I mean, the question we're getting from investors is the category structurally challenged, especially in developed markets. Obviously, it's a different story in emerging markets, but in developed markets. And Centrum has been doing well. You've been putting science in it, with Centrum Silver, et cetera. You've got new stuff coming in Q3. But some of your competitors like Nestle are now looking to sell big chunks of VMS, Church & Dwight. And so there's a bit of a question mark about, actually does the consumer really believe in this science? And why are other players actually exiting where you're doubling down? It's obviously been challenged in the first quarter. It was a bit better in the second quarter, but still negative in the U.S. How do you think about it kind of structurally? And should we expect to see VMS in the back half in the U.S. to turn positive?
Brian McNamara
executiveSo I think, if you take a step back and just if you look at our portfolio, three brands make up about 85% or so. So that's Centrum, obviously, in 68 countries. Emergency, immunity, very focused on the U.S. Caltrate, which is in a number of countries, the biggest country being China, and we feel like China is a very strong place as osteoporosis is a major focus for the Chinese government, we partner with them, and we think we drive really good business there. Now -- and again, just to isolate it back to the U.S., if you look at our business outside the U.S., it grew mid-single digits. It was the U.S. that was the challenge. The challenge specifically in the U.S. that we saw in the first half is a year ago, consumption on Centrum was up in the high teens. And that was driven by the activation of the cognitive function claim that you mentioned. Now, it's down. We're not -- we're giving some of that back. We're not giving it all back. So I think for us, it's more of getting the rhythm right on the claims and what we do. I do believe -- and we have a new claim, as you mentioned, we're activating now in the back half around that cognitive function. We have a number of things going on to come out with new science-backed claims. We do believe that, that is a massive opportunity done in the right way with the right credibility and the cognition claims, some of them were done in partnership with Harvard Medical School. So it's like this is real credible stuff in a category where, frankly, there isn't as much credible stuff, and we believe the consumers that really resonates with consumers. We also think Centrum is a brand with a history and legacy that can really carry that. So, we believe there's an opportunity here as a consumer health company where we can do something unique and different, given our medical, regulatory and clinical capabilities that maybe some other companies that aren't in the consumer health space would necessarily have. So I'm still optimistic about it. There's no question we faced some headwinds in the last 6 months.
Warren Ackerman
analystHave VMS maybe in emerging markets by the contrast growing?
Brian McNamara
executiveYes. So again, in emerging markets, it's growing really well. It's also part of our focus on low-income consumer. We believe this is an opportunity. Again, we believe those things are going to be slower burns. So we launched in India, Centrum 1.5 years ago or so. A couple of years ago, we launched in Centrum Essentials in Brazil, where we specifically designed products for that low-income consumer. That kind of stuff takes a little bit of time, but we think can really build momentum. I look at launching Sensodyne in India 11 years ago, and now it's our second largest market continuing to grow in the mid-teens. But in those first 3 or 4 years, it was a relatively small business. So I believe some of this is long-term investment and category creation. If you look at China, it's a well-established category, and we have very strong positions with both Centrum and Caltrate.
Warren Ackerman
analystCan we spend a bit of time on the Oral Care business? Obviously, great portfolio for you. You mentioned a multiyear runway for Sensodyne and you've got a clinical platform, the Clinical Whitening platform, Clinical Repair, Pronamel as well. Are there any new areas that can be -- that are untapped? Or is it more about extending existing brands and then closing the incidents versus the treatment cap? And what innovations should investors be most excited about? Is it more just about rolling into more countries, maybe kind of size it for us?
Brian McNamara
executiveYes. So if you look at the performance of Oral Health first and then Sensodyne over the last number of years, it continues to be really strong. We continue to grow share in the U.S. and outside the U.S. and on a global basis. The clinical platform, we started with Clinical White and then we launched Clinical Repair. And now in the U.S., we launched Clinical Enamel. It's doing really, really well. And it's really doubling down on what I would say, makes Sensodyne in kind of special, which is this therapeutic focus, the dental recommendation. And what we've seen on all three of those innovations that it really does get that dental recommendation in a big way, because the data is real and it's there. And I've told this story a few times, but 6 months after Clinical White launch last year, I went to Chicago for business meetings, I spent a day with our dental detailing team. And to a dentist, they would say, we don't recommend whitening products, because they're not good for gums and sensitive teeth. It took them through the clinical data on Clinical White and they said, we'd recommend that. And that's the thing. So Clinical White is now in 16 markets. It'll be in 21 markets by the end of the year. Clinical Repairs in 16 markets, they'll be in 21 markets by the end of the year. Clinical Enamel has launched in the U.S., and we'll start rolling that out, although Enamel isn't as big in many other markets. And we're very clear. There are some markets where Clinical White may not launch for 3 years, because the whitening segment isn't quite as established. And then beyond that, we have additional Clinical Innovation that will come out. We haven't launched yet. We also -- again, the low-income consumer opportunity with INR 20 pack in India, we launched that. We've gone from 0.5 million outlets in India to 1 million. We'll go to 2 million to 3 million. We're also launching cavity plus sensitivity in emerging markets for low-income consumers, because for that consumer and for that mother who's buying, she's buying for the family and cavity is still very important. So we'll also launch slightly bigger sizes. So we're continuing to learn and kind of evolve. But we think in the longer term and midterm, that's going to be a real growth driver for us.
Warren Ackerman
analystAnd maybe while we're at it, can you talk about Parodontax? I mean, feature in the CMD. How many countries is Parodontax in today? I think China was a big new market, big launch -- in building gum. So any idea of how big the brand is, how many countries that you've got a long runway to go.
Brian McNamara
executiveYes. Yes. Listen, it's in about 60 countries, but I think the challenge for Parodontax historically has been the resource allocation to be able to support it. And I'm talking pre-kind of Haleon, right? When we were still a division of a pharma company, we didn't have the P&L capacity necessarily to go fully activate that. We do now, and we are. So that's why launches in China, in India, in South Africa and a number of markets we've kind of leaned in on. It is growing in the mid-teens. I don't think we've disclosed how big it is. It's not nearly as big as Sensodyne as you can imagine. Gum health is quite a big category. And actually, in China, it's multiples bigger than the sensitivity market. So early days again, and it's -- it's an investment we will make for the medium term and long term, but we are quite optimistic about the launch in China and what's happening. And we believe this mid-teens growth of Parodontax can continue on for the foreseeable future.
Warren Ackerman
analystBut you mentioned China, so maybe that's a good segue to talk about China. You've completed the buyout of your JV partner. Can you tell us now post that buyout what, what the opportunity is, what the growth was in the first half, the outlook? I guess you can reach more pharmacies. Why is it such a big unlock for you? And what is the size of the price in China?
Brian McNamara
executiveYes. So listen, to step back, if you think about our business broadly, 20% oral health, we've owned that 100% all along. 40% VMS. That's been our business, 100% ownership. The joint venture has been on the OTC business. And it was a 55%, 45% joint venture. So first thing is, by doing the deal, it brings in 100% of the profit. And we're not paying a JV partner. That was 2% EPS accretive. So financially, this absolutely made sense. From an operating perspective, we were running the business ourselves, but there was a JV board. And it kept us from doing things that just made sense for the business. One of them you mentioned, which is our go-to-market model, we would have -- TSKF was the name of the JV. There was a TSKF sales force and a Haleon sales force. Calling on pharmacy, sometimes one after another, because of the structure of the JV, there wasn't really any opportunity to collaborate or work together. We're combining those sales forces now. It does two things. One is, there's just cost synergies, although it's less about that for me in China. But there is serious cost synergies because we don't need 1,000 of these and 1,000 of those call in the pharmacy. And then from a go-to-market perspective, now we're showing up the pharmacies with the broad portfolio and the scale and it does allow us to reach more markets. So I think it's a really -- it was financially a really smart thing to do. Operationally, I think it frees us up to really invest and unlock the full potential of that business. And now the returns on the business are much greater, because we're getting 100% of the returns.
Warren Ackerman
analystAnd then, maybe moving to India. I mean, obviously growing very quickly already. Do you think India can accelerate the growth from here into the back half? And you've got quite a small portfolio in India, although you said Sensodyne, it's the #3 market already. Is there any reason why you can't surf in more of your portfolio more quickly into India to broaden your footprint, maybe expand distribution? I know that was a focus at the CMD. Maybe you can give us an idea of where the distribution points are today in India, how much you can increase those by? Presumably, at the end of the day, it comes down to price point as well. If you get the wrong price point, it's not going to work. How do you balance the price point versus the margin as you're trying to scale a business in India?
Brian McNamara
executiveYes. And listen, first of all, we look at our portfolio and business, Sensodyne. And like you -- like I mentioned earlier, #2 market globally behind only the U.S. growing in the mid-teens. By the way, up until a year ago in 0.5 million outlets, India has millions and millions. The other just on the portfolio, we've launched Parodontax, although not in a big way as China, because gum health isn't as established. So again, we think is a longer-term play. We do have IODEX, which is a topical product that we've launched Voltaren brand under. It didn't makes sense to launch Voltaren. We've launched it under that. ENO Digestive Health brand is also a very big brand in India. And then we've launched Centrum recently. I feel like we have enough going on in India now to establish the launches that we have and stuff, but there's an opportunity over time for us to continue to expand the portfolio. From a distribution perspective, again, Sensodyne has 0.5 million outlets, we'll get it up to 3 million outlets. And on the low income consumer and price point and stuff, if you think about the gross margin on that, if you design it right, it doesn't need to be significantly gross margin dilutive. Actually, our ENO brand in India, which sells a majority of the volume goes through a INR 10 price point has very healthy gross margin on it. So we think there's opportunities to continue to expand, continue going after the low-end consumer on ENO, which is already established, on Sensodyne, on Centrum, and I am optimistic that the back half will accelerate growth.
Warren Ackerman
analystOkay. I'm going to turn to savings. At the CMD, you outlined GBP 800 million of savings out to 2030, and you guided to 50 to 80 bps of gross margin per annum, and high single-digit adjusted EBIT growth at constant currency. If I do my math on that, if I take the midpoint, 65 bps for 4, 5 years, you get to a gross margin of basically 66, 67 by 2030, so a big increase. Does that drop through or does it get reinvested back? Because you're already spending 19% of sales on advertising. Does the advertising number need to go higher to improve your volumes more consistently in the U.S. and Europe? And if push comes to shove, would you sacrifice your gross margin target to do less than that if you needed to deliver more volume growth to hit the kind of healthy volume balance within the 4% to 6%? So it's one about the savings or drop through and then how you think about it philosophically in terms of what's more important.
Brian McNamara
executiveSo -- Yes. So the GBP 800 million savings and 50 to 80 basis points of gross margin, we're quite confident in that just to be clear. And if you saw the first half of the year, we grew gross margin 160 basis points. So I think what you find, by the way, when you do the supply chain things is you try to quantify all the work you're going to do and what's it going to deliver, and we did that. And my feeling was, there's more there, once you get into it and you realize that. So I feel very confident in the savings. What it allows us to do, by the way, is provide the high single-digit operating profit growth and still invest in the business. So if you look at the first half, we invested in A&P, 6.8% growth and R&D plus 9%. I want to invest in A&P and R&D to unlock and drive growth. We're not underfunded in A&P to be clear. But as we go after some of these new areas, low-income consumer, which requires education, launches of Paradigm tax in China that's going to require more investment, and we want to invest to drive growth. Your question on gross margin versus sales growth, I actually think from a gross margin perspective, it's almost a bit independent, because it's supply chain savings and things in our control. It's not like if I said, I'll do a little less gross margin to drive more growth. Now I could transfer your question to operating margin. That's a different choice that anyone can make. The high single-digit growth, we believe, given our confidence in the productivity will still allow us to invest in A&P and R&D in a healthy way. It also gives us a ton of flexibility that if we don't believe the ROI is there, we don't believe that the investments make sense, we can bring more to the bottom line. So we feel like that algorithm of the 50 to 80 basis points, 4% to 6% growth with operating leverage in any business get you the high single digit with still a lot of flexibility to make the investment choices.
Warren Ackerman
analystMaybe you can talk a little bit more about the savings. When Namrata Patel gave the presentation, it was quite significant in terms of the buckets. People forget that Haleon is a 3-year old company, there's actually a lot of opportunity. If you had to sort of rank the top 3 cost opportunities, what would you say on that?
Brian McNamara
executiveWell, I'd almost put it in three tranches. And again, this background, if you think about Novartis Consumer Health, GSK Consumer Health, Pfizer Consumer Health, three supply chains that historically, by the way, those supply chains were run by the pharma divisions of the company. By the way, three great companies, very good at what they do, but supply chain for pharma companies where you have 90% gross margin in some cases and low volume isn't the place where you get value. So as we take a step back -- and because we were a company that brought a portfolio together from three different companies, and we focused on delivering GBP 1 billion of synergies across the two big deals, we did the integration. There's a bit of low-hanging fruit tranche, which is clean up the portfolio, some of it is just blocking and tackling multi-language packaging, the number of different 12-ounce sized bottles we have, which drive changeovers in the plant. So over the next couple of years and what you're seeing now is a bit of the benefit of that. So we're seeing more efficiency in the plant, better leveraging the plant, allowing us to bring things in from third parties into the plant. So I'd say there's the portfolio simplification make operations better. There is the CMO kind of in-house things as we get more capacity in our plant. The second is just around capital allocation to automation in the plant. And we're beginning that now, but that will also take a little bit -- it will be a bit longer term that it will continue to deliver dividends over the next number of years. And then the third is the opportunity to build additional plants in areas that really make sense where we see the opportunity. All that is kind of the three-step approach, and we've talked to India and China. I think we said that at Capital Markets Day. So that's why we see this kind of 5-year run rate of the low-hanging fruit, not necessarily easy to do, but not rocket science, right? Just blocking and tackling.
Warren Ackerman
analystAnd maybe a final question for you, Brian. On the algo, how confident are you of getting back to the 4% to 6% algo in 2026. And what would you assume North America does within that? And then, what would need to happen to get into the top of the range? And what would need to happen if it was at the bottom of the range? What's the -- is it the U.S.? It's primarily the delta -- just in terms of your confidence into next year, what's North America assumption?
Brian McNamara
executiveYes, yes. So listen, we're in the process of finalizing all next year's plans. We have quite a robust strategic planning process and looking at the next 3 years, and we've done that. And I really am confident in the guidance I gave at Capital Markets Day over the medium term, which is the 4% to 6% and the continued profit guidance and the strong cash flow and everything else that comes with that. I think, as I look at next year, I do expect to see the U.S. come back to growth, not necessarily, let's say, not counting on some amazing turnaround or anything, but we -- I see the opportunities for us to get that business back to a place and end the year in really a healthy inventory level. So I remain confident. Listen, the stuff we laid out at the Capital Markets Day still really holds a treatment versus incident gap. The innovation-led premiumization, which is oral health continues to go from strength to strength the low-income consumer in the emerging markets. And if you do look at this year, the challenge really has been the U.S. and it's a bit of market dynamic. And it's a bit of, honestly, I think we can and should do better. And I think with our new leadership in the U.S., I'm quite optimistic that we'll get that right.
Warren Ackerman
analystGood.
Brian McNamara
executiveI have a few questions for you. The reverse fireside as I like to call it. Okay. So listen, we're a relatively young company, only 3 years old. As you look at our business, do you think there's areas you talked to a lot of investors that are less understood in the business areas that we need to educate our investor base on more to understand our business?
Warren Ackerman
analystI think one area that maybe goes under the radar is the cash flow. I mean, from CMD, you're talking about a 30% reduction in like cash working capital. And clearly, if you can really take down that cash or improve the cash conversion and reduce the inventory days, I think the impact on the balance sheet deleveraging hasn't been fully recognized by the market. And it'd be lovely to get a little bit more detail on the drivers and the timing of that. There's so much focus on the top line and the margin savings, people forgot that actually cash flow was another big element of the CMD. I think that's one. I think two, we'd love to hear from Natalie in the U.S. when she's done the diagnosis of the business to hear from Natalie about what the issues are, how you can improve things, where you are specifically around things like e-com and marketing given her background at L'Oreal. We would love to do that. So maybe a little bit of an ask for mini CMD on the U.S. when you can. And then maybe thirdly, you're going from five categories or six categories, and you're breaking out for the first time, therapeutic skin health as a category, as a sixth category. It'd be great to understand what your vision is in terms of growth, and you've obviously done it for a reason. We'd love to know what the playbook is and how you think about it?
Brian McNamara
executiveI ask you a question and I end up with three questions. Well done. Well done. Maybe just two things before I get to my second question is, listen, on cash flow, I think it's a really good point. Extremely strong cash business. And as we look at investing more capital in our supply chain, we can fund that completely by the inventory reduction and working capital reduction. And part of that, by the way, links to the productivity program and the efficiency of our plants. Simpler the portfolio, the better our plants operate, the more room we have to reduce inventory perspective. And I do agree on the U.S. that we've had some discussions about how do we give more visibility to the U.S. as we get clear on that point.
Warren Ackerman
analystSo -- so yes, so thank you for that. And maybe my last question, listen, we obviously here talked a lot about the U.S. I would imagine that everyone is talking a lot about the U.S. As you look across consumer staples more broadly, what's your takeaway on the U.S. environment, U.S. consumer? And do you see differences within Consumer Health versus other consumer staple categories you cover?
Brian McNamara
executiveI think a couple of years ago, Consumer Health has seen us being quite a modern category. And I think what we're seeing now is that some segments are becoming winners and some that are becoming relative losers and I think that investors are starting to make that distinguish between the winners and losers. I also think there's a bit of a point around the U.S. Consumer Health versus Rest of World Consumer Health. And ultimately, I'm getting more questions about in Consumer Health in the U.S. Is there a pricing issue? Has the price been taken a bit too high in some of the more commoditized categories. But ultimately, what everybody wants to know is when is the U.S. sell-out kind of improve and when what's destocking. I think there's a question mark about this destock. I mean, as long as I've been doing this job, we've been talking about destocking. It's not a new phenomenon. It just seems like it's getting a bit weaker. And so, I think people are trying to sort of understand how much of that is actually just cyclical versus is there a lot of structural elements. So yes, it's quite a complex environment in the U.S., and everybody is just trying to get a head around it.
Warren Ackerman
analystYes. But on that note, Brian, I'm going to -- we're going to cut it there. And we're going to have a breakout next door. So we're going to have 15 minutes. If you want to join us next door for more questions for Brian, please do join us. Thanks, Brian.
Brian McNamara
executiveThank you. Yes. Thanks, Warren.
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