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Exceptional items - Schedule of exceptional cash flows (Details) - USD ($)
$ in Millions
 12 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2022
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities $ 4,105 $ 3,636 [1] $ 5,213 [1]
Thalidomide      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities (17) (16) (22)
Winding down Russian operations      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities (2) (16) (18)
Supply Chain Agility Programme      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities (26) (14) 0
Distribution termination fee      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities (55) 0 0
Donations      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities 0 0 (50)
Total cash payments      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities (188) (46) (90)
Ongoing Litigation In North America      
Disclosure Of Exceptional Items [Line Items]      
Net cash inflow from operating activities $ (88) $ 0 $ 0
[1] (1) See pages 238-240 for an explanation under Accounting information and policies.