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Business segment information - Trading profit by business segment (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Disclosure of operating segments [line items]      
Corporate costs $ (60) $ (52) $ (47)
Acquisition and disposal related items (32) (94) (60)
Restructuring and rationalisation expenses (47) (123) (220)
Amortisation and impairment of acquired intangibles (176) (187) (207)
Legal and other (162) 12 (58)
Operating profit 794 657 425
Interest income 28 24 34
Interest expense (140) (145) (132)
Other finance costs (16) (28) (7)
Share of results of associates 113 (10) (30)
Profit before taxation 779 498 290
Incremental excess and obsolescence charge within legal and other items 159 0 0
Impairment loss recognised in profit or loss, goodwill 0 65 84
Impairment of intangible assets 10 16 37
BHR      
Disclosure of operating segments [line items]      
Impairment loss recognised in profit or loss   68  
Impairment loss recognised in profit or loss, goodwill 63 63  
Excess and obsolete inventory      
Disclosure of operating segments [line items]      
Incremental excess and obsolescence charge within legal and other items 159 0 0
Metal-on-metal hip claims      
Disclosure of operating segments [line items]      
Decrease in expense from reversal of provisions 9 28 8
Expense from additional provisions 10    
Reportable segments      
Disclosure of operating segments [line items]      
Operating profit 1,271 1,101 1,017
Orthopaedics      
Disclosure of operating segments [line items]      
Operating profit 363 265 251
Sports Medicine & ENT      
Disclosure of operating segments [line items]      
Operating profit 461 437 394
Advanced Wound Management      
Disclosure of operating segments [line items]      
Operating profit $ 447 $ 399 372
Engage      
Disclosure of operating segments [line items]      
Impairment loss recognised in profit or loss     109
Impairment loss recognised in profit or loss, goodwill     84
Impairment of intangible assets     37
Write-off of inventory     21
Gains (losses) on revaluation of contingent consideration     $ 33