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HELP US TO MAKE A DIFFERENCE We remain focused on addressing the world’s unmet healthcare needs, investing in research and manufacturing, leaning on the legacy of our past and positioning ourselves to provide the treatments which can contribute to wellbeing. And we continue to explore and develop innovative ways of bringing our medicines and services to the patient. We all aspire to a world that is healthy – for ourselves, our families, our communities… for now and for generations to come. Let’s make a difference together. For more information, drop us a line or call us – details below CONTACT US HEAD OFFICE Merck Sharp & Dohme Limited Hertford Road Hoddesdon Hertfordshire EN11 9BU T: 01992 467272 E: [email protected] W:www.msd-uk.com Merck Sharp & Dohme Limited. Registered Office: Hertford Road, Hoddesdon, Hertfordshire EN11 9BU. Registered in England No. 820771. © Merck Sharp & Dohme Limited 2016. All Rights Reserved. CORP-1135892-0001 Date of preparation: November 2016 We are MSD – transforming healthcare through innovative solutions OUR LOCATIONS... 1 NORTHUMBERLAND FIRST AND FOREMOST – A WORLD THAT IS WELL Tablet manufacturing, packaging and worldwide supply. Global centre for product safety and efficacy testing. For well over a century, MSD has been driven by a desire to preserve and improve health all around the world. We produced the first tuberculosis vaccine and have continued HERTFORDSHIRE UK headquarters. to bring a number of pioneering medicines in areas such as cardiovascular disease and cancer treatment. We are also investing in research and new treatments in areas of pressing patient need such as dementia and antimicrobial resistance. LONDON We strive to make a difference in everything that we do: • Achieving scientific excellence • Operating with the highest standards of integrity • Expanding access to our products and services Business Development and Licencing hub for Europe, the Middle East and Africa. BUCKINGHAMSHIRE • Employing a diverse workforce that values collaboration “We try never to forget that medicine is for the people. It is not for the profits… We cannot rest until the way has been found with our help to bring our finest achievements to everyone.” George W. Merck, 1950 Animal Health headquarters, housing the largest veterinary production facility in the UK, commercial operations and research and development facilities. WE ARE... PASSIONATELY COMMITTED TO RESEARCH AND INCREASING ACCESS TO HEALTHCARE BRINGING THE WORLD INNOVATIVE MEDICINES AND ANIMAL HEALTH PRODUCTS 2 JUST AS OUR MEDICINES MATTER TO PATIENTS WORLDWIDE, EACH OF OUR EMPLOYEES MATTERS TO OUR COMPANY Our employees are at the heart of everything that we do. We believe in supporting them to deliver on promises to positively impact patients’ lives. With over 2000 committed individuals working across a number of departments, we’re able to provide products and services in key therapeutic areas such as: cardiovascular disease, oncology, infectious diseases, women’s health, diabetes, immunology and anaesthetics. We are also the OPERATING IN 140 COUNTRIES UK’s number one provider of animal health products, supporting sustainable quality food supplies, protecting public health and helping people and pets enjoy their lives together. A variety of programmes ensures that our people can progress their skills and knowledge and feel a strong sense of purpose and belonging. To work for MSD is to be part of one big team with one common goal: helping to achieve well-being around the world. THE LARGEST PROVIDER OF ANIMAL HEALTH PRODUCTS IN THE UNITED KINGDOM We are called MSD everywhere, except in the United States and Canada, where we are known as Merck & Co., Inc., Kenilworth, NJ, USA. 3 4 MAKING GREAT STRIDES BY COMBINING EFFORTS We’re bold enough to want to change the world, but we’re smart enough to know we can’t do it alone. No single provider has everything it takes to deliver INNOVATING BEYOND THE PILL While we continue to focus on our robust product pipeline, guided by the healthcare needs of the population, we view innovation as vital in enabling us to transform healthcare and improve the patient experience. We recognise the value in finding innovative solutions beyond the pill to support patient care plus complete healthcare. reduce hospitalisations and other costly implications of disease. We truly believe patient-centred solutions can only be delivered by the effective integration of healthcare providers through joint working. With the NHS facing funding shortfalls, we view our range of innovative services as beneficial for both patients and our country’s largest healthcare provider. The Currently, we’re working with the National Health Service (NHS) and we Closercare patient-monitoring service allows patients with long-term conditions, innovative treatments have a crucial role to play such as heart failure and chronic obstructive pulmonary disease (COPD), to have recognise that in helping the NHS work more efficiently - whether that’s diabetes medicines controlling blood sugar levels and reducing hospital stays; or life-saving cancer treatments leading to healthier lives. their health monitored remotely while in the comfort of their own home. 50% drop in admissions from Closercare provided to patients in Harrow with heart failure and COPD. Our partnerships have also extended to work with universities and research bodies, as well as commercial and non-profit organisations. We’ve done great things for over 100 years. Together, we’re doing great things for the future. Innovative services support patients and alleviate pressures on the NHS. 5 6 SCIENTIFIC DISCOVERIES LEADING THE WAY TO MEDICAL TREATMENTS Our research and development (R&D) might have begun in the UK over half a century ago, but our global R&D story has been going even longer. Over 150 years of tireless innovation worldwide and over £40 million spent annually on research partnerships with NHS and academic centres. People count on us to make medicines and vaccines that have well documented safety and effectiveness profiles and which offer value. Clinical trials - also known as clinical studies - are a critical step in this process. 100 clinical trials in the UK. around 5,000 people are participating in these trials At any one time, we are conducting approximately On average, each year. 7 8 MANUFACTURING: PRACTICAL VISIONARIES Since 1975, our facility in Cramlington, Northumberland has been our manufacturing hub, producing tablets for worldwide markets and finished packs for patients in the UK and other European markets. Winners of the Best Factory Award for People and Skills Development in 2015, the team nurtures talent and technological expertise both in the UK and in our manufacturing plants around the world through close partnerships with universities. We use leading-edge manufacturing technologies, high-volume packaging lines, a fully automated warehouse; and paperless manufacturing operations. We are also the European centre for stability testing, ensuring our products are safe and effective throughout their shelf life. In the UK we produce over 4 billion tablets a year. 10 GETTING TO THE HEART OF THE MATTER Our commitment to cardiovascular care began with one of the first oral antihypertensive medications in the 1950s and continued with research leading to new cholesterol-lowering statins in the 1970s. Our contribution has been significant in the fight against heart disease, the main cause of premature death in the UK. Cardiovascular disease (CVD) causes more than a quarter of all deaths in the UK, or around 160,000 deaths each year. An estimated 7 million people are living with CVD in the UK, of which 2.3 million people are living with coronary heart disease. Today, we strive to meet even greater expectations by offering options for patients and healthcare providers. These include treatments and tools for healthcare professionals to highlight where treatment targets are not being met and suggesting where care can be improved. We collaborate with professional and patient groups to help prevent premature deaths caused by high cholesterol and cardiovascular disease. 11 SUPPORT FOR THE MANAGEMENT OF CHRONIC HEALTH CONDITIONS There are 3.2 million people who have been diagnosed with diabetes in the UK, 10% of which have Type 1 diabetes and 90% Type 2 diabetes. It’s estimated that over 630,000 more people have the disease but have not been diagnosed. By 2025 it is estimated that 5 million people will have diabetes, most of which will be Type 2 cases. The implications of diabetes are considerable. Associated conditions including heart disease, stroke, blindness and disability represent huge costs to patients and to the healthcare system. Tackling diabetes requires a holistic approach that addresses lifestyle and helps people better manage their condition. MSD is committed to developing innovative medicines to help people with diabetes MSD and Schering-Plough merge to create a stronger, more diverse global healthcare company. The merger provides sustainable growth with a more robust pipeline, broader product portfolio and an expanded global presence. Ernst Schering, centre, with the board of directors of Schering AG circa 1885. The company was incorporated in 1871. The MSD Manual begins publication, providing professionals with the best available medical knowledge of the day. MSD’s penicillin “G” (Penalev) is used in the first successful treatment of blood infection with penicillin in the U.S. Ramping up production for the war earns the company the Army-Navy “E” Award for excellence in manufacturing. The merger with Sharp & Dohme brings to the company important new expertise in biologicals and vaccine research, and global distribution. 1851 1885 1891 1899 1933 1942 1944 1953 1955 Dr. Ernst Christian Friedrich Schering begins developing and selling pharmaceutical products in Berlin. Three years later, the company opens its first production facility. In collaboration with MSD, Dr. Selman Waksman of Rutgers University produces streptomycin, the world’s first cure for tuberculosis. the company waives the patent rights. Leaving Darmstadt, Germany, George Merck arrives in New York and establishes Merck & Co., Inc. The founder’s son, George W. Merck, launches major new research laboratories in Rahway, New Jersey, soon leading to breakthroughs in vitamins, antibiotics, and anesthetics. Dr. E.B. Hershberg, standing top right, leads the team that synthesizes prednisone and prednisolone. These “Meti” drugs fuel Schering’s second big wave of growth in the mid-1950s. A company foundation is created to manage the corporation’s growing philanthropic endeavors. In 1971 M-M-R II (measles, mumps, and rubella virus vaccine, live) is launched in an innovative combined form. Recombivax HB (hepatitis B vaccine, recombinant) is launched – the first genetically engineered vaccine approved for humans, and the first to prevent cancer. Following a decade of intensive research, Crixivan (indinavir sulfate) is approved for treating HIV in just 45 days – one of the fastest FDA reviews to date. In 2006 Gardasil [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant] becomes the first vaccine to prevent cervical cancer (the second-leading cause of cancer deaths among women worldwide). Biopharmaceutical, Cubist is purchased by MSD, further strengthening the company’s presence in Hospital Acute Care, with a focus on antibiotics, anti-infectives and therapies to treat serious and potentially life-threatening infections. MSD are joint winners of the 2012 UK Prix Galien Innovative Product Award. The awards aim to promote significant advances in pharmaceutical research. It also provides the opportunity to give credit to the most important medicines introduced into the public market. 1957 1958 1971 1985 1986 1987 1996 2005 2006 2009 2011 2012 2015 Diuril (chlorothiazide) is launched for congestive heart failure and high blood pressure – the first major product in the company’s new cardiovascular line. Considered the most complex drug synthesis process of the time, the broadspectrum antibiotic Primaxin is launched. Mectizan (ivermectin) is developed for river blindness and distributed free to all who need it. Since then, the company has donated 2.5 million tablets (estimated value of $3.75 billion). CEO and President Dick Clark launches the ”Plan to Win” to address challenges and transform the company into a leader in the pharmaceutical industry. The company launches the 10-year MSD for Mothers initiative, a global effort to bring the issue of maternal mortality to the forefront of global consciousness. Kenneth C. Frazier, the company’s chairman, president and chief executive officer, leads the company into a new era of global healthcare. Early Access to Medicines Scheme: MSD’s innovative treatment for advanced melanoma was the first drug to be made available through the government’s Early Access to Medicines Scheme (EAMS) - helping patients benefit from promising, innovative treatments in advance of a European licence being granted. The Mectizan Donation Program celebrates its 25th anniversary. 15 16 A COMMITMENT TO ONE OF OUR BIGGEST HEALTH CHALLENGES REFLECTING ON A DISTINGUISHED HISTORY, LOOKING FORWARD TO THE NEXT CENTURY OF DELIVERING HEALTHCARE SOLUTIONS Cancer is one of the most significant global health challenges today, representing one of the most urgent unmet medical needs. At MSD, our goal is to translate breakthrough science into biomedical innovations to help people with cancer. For our oncology team, helping people fight cancer is our passion, supporting accessibility to our cancer medicines is our commitment, and pursuing research in immuno-oncology is our focus to potentially bring new hope to people with cancer. first drug to gain approval through the government’s innovative early access to medicines scheme (EAMS), helping those patients, who have limited options, gain early access to medicines that In 2015 MSD’s treatment for advanced melanoma was the do not yet have a licence where there is a clear, unmet medical need. 17 PROVIDING CONTRACEPTIVE CHOICES Around 50% of UK pregnancies, which end in childbirth, are unplanned. Both unplanned pregnancies and terminations can place a physical and psychological impact upon women who find themselves in this situation. Through our portfolio of options and support for patients and healthcare professionals, we seek to play a key role in raising awareness of contraceptive choices available to women to reduce unplanned pregnancy. This includes the development and maintenance of the online Talk Choice website, which provides contraceptive advice. It aims to inform and educate women about the full range of contraceptive options available to them, so they’re able to choose a suitable method that works with their body and lifestyle. www.talkchoice.co.uk MSD’s Women’s Health Mission: to ensure that every woman in the UK has awareness of, and easy access to, the right contraceptive choice for her. 19 20 INNOVATIVE SOLUTIONS FOR SURGERY FIGHTING INFECTION MSD has been investing in anaesthesia since 1968 and more recently introduced The rise in infections that are resistant to antibiotics has become one of the the biggest advance in this area for 30 years – reshaping anaesthesia and world’s most pressing public health problems. highlighting our commitment to providing the best for patients. With the acquisition of Cubist Pharmaceuticals, Inc., MSD has reaffirmed its Muscle relaxation is vital to ensure that a patient remains still during surgery commitment to develop new therapeutics to fight infectious diseases, building to provide the surgeon with the best possible operating conditions. Just as on both companies’ work in this area. important is the reversal of this paralysis at the end of surgery, allowing a patient’s recovery from anaesthesia at the planned time. Antimicrobial research remains an important area of focus, in addition to a combined portfolio of antibiotic and antifungal medicines, vaccines and treatments for HIV and Hepatitis C. We have been at the forefront of the global response to the HIV/AIDs epidemic for around 30 years. Our scientists were among the first to discover and develop medicines for HIV. Today, we continue with our commitment to address the impact of this disease on patients, their families and carers. Our therapies for infectious diseases also include medicines for the treatment of Hepatitis C – affecting around 214,000 individuals in the UK, with many unaware and undiagnosed until chronic symptoms arise. There are over 2.8 million general anaesthetics given to patients in the UK per year and 1.5 million of these are given a muscle relaxant to paralyse them. MSD has a long history of collaborating with other companies in infectious diseases and the company was the first to mass-produce penicillin for the war effort in the 1940s. 21 22 IMMUNITY BOOST The last decade has brought major advances in the management of crippling autoimmune disease such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and inflammatory bowel disease. Thanks to the advent of biologic therapies in the late 1980s, the control of immunological disease, through suppression of inflammation, has helped improve patients’ lives. MSD has biologic products in three therapeutic areas: gastroenterology, rheumatology and dermatology. But we also know that successful disease management goes beyond medicines. We invest extensively in hospital and educational programmes as well as options for people having treatment at home. We are fully dedicated to supporting the immunology community, including collaborating with patient groups on educational programmes to make a difference to patients’ lives. 23 MSD FOR MOTHERS OUR APPROACH TO CORPORATE RESPONSIBILITY Every two minutes, a woman somewhere in the world dies Corporate responsibility at MSD is a commitment to discovering due to complications from pregnancy or childbirth. innovative solutions to the world’s greatest health challenges while If nothing is done, an estimated 3 million women may growing our business in a sustainable way. Each employee in the die over the next 10 years. MSD for Mothers UK is entitled to 40 volunteering hours each year to give back to is a 10-year, US$500 million initiative a recognised cause. Some of our projects include Dementia Friends, focused on creating a world where no Rennie Grove Hospice, the Scouts and Fareshare Foodbank. woman has to die from complications of pregnancy or childbirth Focused on one thing: saving women’s lives RECOGNISING THE WORLD AROUND US Mectizan (ivermectin) Donation Programme has donated Since 1987, the medicine and worked with a network of global OUR APPROACH TO CORPORATE RESPONSIBILITY 24 FOCUSES ON 4 KEY AREAS: ACCESS TO HEALTH We are committed to discovering smart sustainable ways to expand global access to healthcare. partners to eliminate river blindness. As a result, the countries of Colombia and Ecuador have received verification from the World Health Organisation (WHO) that this goal has been achieved. As of ENVIRONMENTAL SUSTAINABILITY We are committed to discovering environmentally sustainable ways to meet the world’s health needs, now and in the future. 2015, Mexico and Guatemala have both finished their post-treatment surveillance period and are waiting for the verification process from the WHO. Eight countries in Africa are hoping to complete EMPLOYEES We are committed to discovering more ways to create a workplace where our employees and business can thrive. final tests for stopping treatment by 2016. We are also working with the World Health Organisation and other partners to control or eliminate 10 of the 17 neglected tropical diseases by 2020. ETHICS & TRANSPARENCY We are committed to discovering better ways to build and strengthen trusted relationships by demonstrating the highest ethical standards and communicating with greater transparency. 25 MAN’S BEST FRIEND AND MORE Animal Health is the UK’s largest provider of animal health products, and the second largest in the world; with products in more than 140 countries. Feathers, fur or fins – MSD Animal Health offers the widest range of veterinary pharmaceuticals, vaccines and health management solutions and services. As the people behind THE SCIENCE OF HEALTHIER ANIMALS, we understand the science of running a business, the science of food safety and supply and the science of keeping people happy by protecting and caring for their pets. We are dedicated to preserving and improving the health, well-being and performance of animals. That’s what makes us the leading animal health company in the UK. MSD Animal Health – THE SCIENCE OF HEALTHIER ANIMALS. For further details, visit the Animal Health website: provider of animal health products in the UK www.msd-animal-health.co.uk Products in more than 140 countries