A high-level, monthly summary of key information about the trust.

Highlights from the commentary section include:

  • In May, the NAV per share total return was +4.6%, the share price total return was +6.0% and the return of the MSCI World Health Care Index on a net total return, sterling adjusted basis (Company’s Benchmark) was +2.8%;

  • The top contributor in the month was Eli Lilly. Investors had a modicum of concerns manifested in the share price by 29 April 2026 , including the imminent Q1 report, the middling launch of Foundayo (orfoglipron), and the booming launch of the Wegovy pill (from Novo Nordisk), all of which was exacerbated by a negative sell-side report of 17 March 2026 calling into question the true size of the obesity market. The company responded to these challenges with a resounding Q1 print well ahead of expectations and raising FY guidance materially;

  • The largest detractor of import was Boston Scientific. Management’s guidance on Watchman - a minimally invasive, one-time heart implant designed to reduce the risk of stroke in patients with atrial fibrillation (AFib) - further softened intra-quarter with the company now expected to generate flat revenues in US markets for this product, compared to a step up in growth expected throughout the year. The stock fell and established yet another 52-week low at month-end.

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