COMPLETE CARE product launch there in the fourth quarter. Outside the US our foams portfolio performed well, including tender wins in the Middle East.
Advanced Wound Bioactives underlying revenue growth was 12.2% (reported growth 12.5%), with double-digit growth from SANTYL◊. On 31 October 2025, the US Centers for Medicare & Medicaid Services (CMS) issued the final update to Medicare reimbursement for skin substitutes in the physician office setting, which was broadly in line with the initial proposed rate. We continue to anticipate that this will be a headwind to Advanced Wound Management sales and have a 25 to 50bps negative impact on Group trading profit margin in 2026. However, there are still some unknowns, including how it will impact clinical practice and physician behaviour, which will only become clear after implementation.
Advanced Wound Devices underlying revenue growth was 6.7% (reported growth 8.8%), with strong growth from our PICO◊ Single-Use NPWT System, which is benefitting from targeted initiatives in the surgical setting in the US, and from our LEAF◊ Patient Monitoring System for pressure injury prevention.
Share Buyback Completed
The share buyback to return $500 million to shareholders, announced within our second quarter and half year results, was completed on 7 October 2025.
Full Year 2025 Outlook
We are on-track to meet our full year target of another year of strong revenue growth and a significant step-up in trading profit margin, notwithstanding the uncertainties around the imposition of tariffs.
We expect underlying revenue growth to be around 5% (around 5.7% based on exchange rates prevailing on 31 October 2025).
Full year trading profit margin is expected to be in the range of 19.0% to 20.0%, a significant step-up year-on-year (2024: 18.1%).
In addition, we are raising our guidance for free cash flow to around $750 million, driven by good working capital discipline, particularly in Orthopaedics, and operational efficiency over the life of the 12-Point Plan. This was previously guided to be more than $600 million.
The impact of tariffs for 2025 remains a net headwind of around $15 to $20 million, as previously stated, and will compound further in 2026. We will continue to work to mitigate the impact.
We continue to expect to drive further margin expansion beyond 2025 through continued momentum and efficiency gains.
Capital Markets Days
We are hosting Capital Markets Days for institutional investors and financial analysts in London and New York on Monday 8 and Thursday 11 December 2025 respectively.
The London event will introduce Smith+Nephew’s new strategy following the conclusion of the 12-Point Plan, including mid-term priorities and financial goals.
The New York event will provide greater detail on Smith+Nephew’s innovative portfolio that will drive the next phase of growth. The event will include insight from the following Smith+Nephew customers and Key Opinion Leaders:
| ● | Ravi Bashyal, MD, FAAOS, Director of Outpatient Hip and Knee Replacement Surgery at NorthShore University in Chicago. Dr Bashyal specialises in robotic minimally invasive hip and knee replacement and was an early adopter of PICO to manage the risk of surgical |