## **Health Care 4 All International** ## **- Trustees Annual Report for Period 2023 2024** The Chairman and Board of Trustees of Health Care 4 All International present their annual report and audited accounts for the period 2023-2024, and confirm they comply with the requirements of the Charities Act 2011, the trust deed and the Charities SORP (FRS 102). - This report was agreed and accepted at the HC4AI AGM on Thursday 29 September 2024. ## **Aims:** **The aims of Health Care 4 All remain the same as before** _**AIM; Providing Good Quality, Easily Accessible and Cost-Effective Primary Health Care to Rural and Remote Communities using Hybrid system of Conventional and Telemedicine.**_ We aim to provide good quality, cost effective and easily accessible healthcare to the rural and remote communities who either have none or have very difficult access to healthcare. The aim is achieved by using a combination of conventional medical practice through a well-equipped **Community Health & Tele-Medicine Centre** and a modified and unique Telemedicine system we developed and call it the **Novel Hybrid System of Telemedicine (NHST).** Formed in 2014 Health Care 4 All International (HC4AI) is a ‘not for profit’ charity organization registered with the charity commission UK and interior ministry and PCP in Pakistan as well as with the Kashmir Council and Societies. It is a small organization that has no corporate backing and is funded solely by personal funding and individual supporters. Our services, including consultation, treatment, medicines, and transport are all completely free to all deserving patients in the rural and remote communities we serve. **HC4AI was registered as a charity on 8[th] September 2014 (REGISTERED CHARITY NO. UK 1158474). On 31[st] January 2020 the status of the charity was changed to Charity Incorporated Organization (CIO) with the registered charity number 1187677** **For Background of the organization and Services offered see previous reports or visit our website: www.healthcare4all.org.uk** 1 ## _**- Our Achievements and Experience during 2023 2024**_ ## **HC4AI Activities are elucidated under the following headings:** - Services through our Community Health and Telemedicine Centre (CHTMC) - Health Awareness and Disease Prevention Programme - Academic Activities - Management, Administration - Governance - Audit ## **CHTMC:** This Centre is located on the main road connecting Mirpur to Dudial and Kotli and hence provides access to many populations scattered in several villages and small isolated and remote dwellings. It functions as a central nidus for all our activities. Through this centre we continue to provide services which are updated and improved year upon year. Following is brief report about our services during 2023-2024: - **Primary Health Care** through outpatient clinics and services. As always these are open 24/7, 365days of the year and are operated by our qualified Doctors (One female with Obs. & Gyn. Qualifications and two male Resident Medical Officers) and eight Community Medical Assistants. It is walk in service open for all. - **Specialist Care:** We have engaged five specialists from nearby city hospitals who visit the CHTMC on a weekly basis to do clinics. Currently the Centre is visited by a Medical Officer, Paediatrician, Cardiologist, Medical Specialist & Diabetologist and a Rheumatologist. - **Emergency Services** : We continue to provide both medical and surgical emergency care with appropriate treatment options, including transfer to nearest secondary care facility if required. As other services this continues to show increasing use, mainly because of our proximity to a busy main road, hilly terrain of our catchment area and no quick access to any other medical centre with 24hour emergency service. - **Telemedicine** : From our inception we introduced our own designed Novel Hybrid System this continues to provide service in patients homes coordinated through the CHTMC. The use of the service remains stable for acute illnesses and longterm home care. - **Laboratory Services** : Our well-equipped laboratory at the Centre, continues to provide most of the essential biochemistry and haematology investigations, with increasing number of requests including specimen collection from patients homes and outside referrals. - **Pharmacy:** The inventory of this licensed pharmacy has further expanded and continues to remain open all hours throughout the year. - **Day Care and Observation Ward:** Four In-patient care beds with patient monitoring and resuscitation facilities, now equipped with continuous patient 2 monitoring. These are used for short term observation and treatment and for patients awaiting for transfer. - **Minor Operation and Procedure room:** This service is increasingly used. We have now improved operating lights and new instrument sterilizing and cleaning facility. - **Antenatal, maternal, and childcare:** This continues to be a major part of our activity. We continue to register pregnant ladies on our Electronic Medical Records (EMR). As in the previous years they are followed up regularly throughout their pregnancy with necessary lab tests and Ultrasound scans. Information and assistance after delivery for both mother and baby are provided. All antenatal records are maintained on EMR with internationally accepted antenatal cards. If a complication is anticipated in delivery during the antenatal check the patient is, then referred to our designated secondary care hospitals for follow-up and delivery. For details of patient record of 2023-2024 see table 1 appended at the end ## **Health Awareness and Disease Prevention:** ‘Prevention is better than cure’ remains our guiding principle. Because of COVID-19 restrictions these activities were significantly curtailed till 2022 when normal services were resumed. This year has seen the Community Coordination Committee (local representatives from villages) taking very active part in organizing the **Community and Women Health Awareness** seminars/meetings. ## **Academic Activities** : Continues as in previous years. To keep our staff updated in current clinical practice we have weekly educational meetings which is obligatory for all clinical staff. These meetings include Topical presentations and discussion, journal club, case presentations and updates on emergency care and resuscitation. All CMA’s keep a log of CME (Continuing Medical Education) credits that is used for their annual appraisals. ## **Management, Administration:** There has not been any significant change in the management and administration structure and personnel since its revamp four years ago and introduction of Hospital Management System with Electronic Health Records. **Community Coordination Committee (CCC):** The CCC was restructured at the end of 2021 and continues in 2023-24 with the inclusion of several new members (all volunteers) representing increasing number of villages. This committee has been increasingly active with main agenda of promoting HC4AI services in their villages, registering of people on HC4AI database, identifying and recommending deserving households as eligible for free treatment with issuance of HC4AI free treatment family cards, arranging Health Awareness seminars in their villages and meeting up with the management on monthly basis to discuss local issues and requirements. We intend to increase their involvement in monitoring, audit and management issues gradually after further discussions with the committee soon. **Governance:** The Governance structure in 2023-24 has remained the same as previous. 3 HC4AI UK Board of Trustees remains the overall guardian of the charity and provides strategic directions to the HC4AI AJK Board and management which continues as the operational arm of the organization. Dr A Q Akhter (SVP of AJK Board and ex-DG Health) continues as the Medical Director (MD), an honorary post. He continues to oversee all the operational matters and reports to the HC4AI Chair and BoT AJK. The three new directorates which were created to manage the operations remain in place and are functioning smoothly 1. Management including accounts; headed by the project manager (PM) 2. Clinical; headed by Clinical Director (CD) the senior clinician 3. Community: Coordination Committee (CCC) comprised of community representatives Roles and duties and of each are described in our governing documents. ## **Audit:** All patients, services, assets, and financial data is recorded on our electronic database **:** Details of financial audit for AJK are appended with this report, and for UK seperately. - Data of all patient activities and services provided are recorded and audited monthly by the chairman. And HC4AI management - Data of all staff activity is recorded and checked monthly by the chairman and HC4AI management - Comprehensive details of all services, donations (income) and expenses are audited monthly by the chairman and by our volunteer accountant in UK (Ms Lynne Roberts). - Audit of the pharmacy, stores and the inventory are undertaken six monthly and randomly checked by a qualified accounting firm in Mirpur AJK funded by our supporter Mr Rafay Saleem. - Yearly financial audit in AJK is carried out by our appointed accounting firm in Mirpur who are on our payroll and in UK voluntarily by own Treasurer & Trustee, Mr Arif Khan (Arif Khan & Sons LTD). Both the accounts are then verified by registered auditors. - All financial accounts are submitted yearly to the Charity Commission UK. 4 **Board of Trustees UK** At the last BoT meeting two new trustees were appointed and one trustee has retired: - 1 **Chairman:** Mr. Syed Tariq Kazim Shah: MBBS. MRCS. LRCP. MMEd. FRCS. Consultant Urological Surgeon (Rtd.) Bradford Teaching Hospitals NHS Trust and The Yorkshire Clinic, Bradford. West Yorkshire UK - 2 **Vice Chair:** Dr (Mrs) Tasneem A Tariq. FRCOG Consultant Obstetrician Gynaecologist (Rtd.) Mid Yorkshire NHS Trust Hospitals. - 3 **Trustee:** Dr Akram Khan. MBBS. MRCGP. GP (Rtd.) Ex-Clinical Chair Bradford City Clinical Commissioning Group. Principal, Avicenna Med Practice Bluebell Building, Barkerend Health Clinic, Barkerend Road Bradford BD3 9QH UK - 4 **Trustee:** Mr. Dilshad Khan. CQSW. MBA. MIHSM. JP Ex-Director Equality & Diversity Bradford Teaching Hospital Trust. - 5 **Trustee:** Mr Mohammad Ajeeb. CBE Ex Chairman City Primary Care Trust Bradford. Ex Lord Mayor Bradford - 6 **Trustee:** Mr. Asif Saleem Managing Director Nafees Bakers Ltd Bradford. - 7 **Trustee & Treasurer:** Mr Arif Khan: Member AAT & AAIA Accountancy. BPP University law School Leeds Director Arif Khan accountants - 8 **Trustee:** Mr. Younis Choudhry. Local businessman and MD Regal Food Industries Bradford - 9 **Trustee:** Mr. Luqman Rashid. Professional Financial Advisor at Hillcrest Wealth Management partner practice of St. James’s Place Wealth Management. - 10 **Trustee:** Mohammad Haroon. Philanthropist, writer, and retired trustee of Uspar Trust - 11 **Trustee & Secretary of the Board:** Ms Kosar Hussain. Solicitor 5 ## **Thank You** HC4AI is extremely grateful to the large number of our supporters, well-wishers, and benefactors. We have no doubt that without their help this project would never have the success it has achieved. I am specially obligated to the several individuals for their support and guidance, their contributions with names are detailed in previous reports. Several individuals wish to remain anonymous we respect their wishes: ## **Special Thank You** As previous a huge thank you to all the members of the **HC4AI Board of Trustees UK (Strategic Board) and HC4AI Board of Trustees AJK (Operational Board)** for their time and complete support in guiding the policies and operations of the project. Thanks go to Mr Rafay Saleem and Mr Steve Davidson for invaluable support and help And Dr A Quddus for providing the medical lead as Clinical Director of the project To Ms Lynne Roberts for reviewing monthly account and activity sheet from our project To Arif Khan for preparing our yearly accounts and audit Members of Community Coordination committee for providing the essential missing link with the charity and the beneficiary community My final thank you goes to my wife **Dr** ( **Mrs) Tasneem Aslam Tariq** for her patience, unconditional and relentless support and guidance and for her endurance during the difficult times of the project. She remains a member of the BoT UK ## **Dr. Tariq Shah Chairman For Board of Trustees Health Care 4 All International** 6 ## **Table 1. Patient record July 2023-June 2024** ## **2023-2024** ||||**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**|**2023-2024**| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| |**Total**
**tients see**|||**n**|**Male Pts**|**Female Pts**||**Under**
**Age 16**||**OPD**|**Out-**
**Reach**|**Free**
**Patients.**|||**Detained**
**In-Patient**||**Subsidized**|| ||12452|||5060|7392||3167||12367|85|2674|||1678|||5143| ||**Anten**||**atal Care**||||||||||||||| ||||||||||||||||||| ||||**138**||**All Amounts below are**
**in PKR in first row and**
**Pound Sterling in the**
**second**||||||||||||| |**Medicine**
**Free**|||**s**|**Lab. Free**|**Lab.**
**Subsidy**|**Consultati**
**on Free**||**Total**
**Subsidy**||**Ambulance**
**Free**||**Ambulance**
**Subsidy**|||**Detained**
**In-Patients**
**Free**||| |,060,573||||211,042|186,965|802,200||549,450||83,000||54,280|||503,400||| |10,035||||692|613|2,630||1,801||272|||178||1,650||| ||||||||||||||||||| 7 Table 2. HC4AI AJK Account Audit 2023-2024 M/S H￿LTll CARE 4 ALL rERNATIONAL AUDrrED FINANCIALSfATEM£￿rS FOR THEY£AR ENDED JUNE 30. 2024 BY: AzeernullAh & Co Chanered Account•nt• Addr*•*: om¢e No 01. l¥ Floor, Pioi No. 80. Sireet 34. Cenlrn. Secior CJ- IIYI, l$lamiW. mull w•￿It1.. CMt*d: 051.2311531 Chartered Accountants INDF.PENDEKf AUDITOR'S REPORT TO THE MANACEMF.NT OF Mh HEALTH CARE 4 ALL INTERNATIONAL W¢ awliké the f¥weid of •k,Wi IIEALTII CARE 4 ALL INfERNATIONAL" *thKlJ of th¢ of PoMi1￿ of Cath Fbm •1 a J#•• A I￿4 *A4th tht fwm41 pwi Awdltsr'i R¢yAdbllil>'. ill 1ST C•Nir•. l•¢iw a. i•ii. i*l•th• Chartered Accountants h¢r M*tier. IIKALTII CARE 4 AI.1. IPalliNATIthYAL" Ih thp I%I.AMAIIAD 1kn￿. (ktsknr 30. 21Y24 AZF. CHARTE ULIAH & CO D ACC(XJNTANTS ". Ax¢•l* ACA) io Ilelllih Cart 4 All Inl¢rnAtionAI .8TA T£ft41ENT OF Trlf4A T4CIAL POSITIOY AsATJuNE30.2￿4 102) 2014 Rvpe (ierml Aesent 10.231.971 14.1 17.941 19.764 47 46.179 769.7 JJ.Jo? 2.2)7 71 174 11 ts)1.774 32.WJ2.15 46.3Y A51ei* ?.411.6kl ?.M7.910 21J66 25.7)6 1.527J4l ?A*J 4.997 Ad)wyJ. PRr•} 970.61 4.77J.734 15.621 J.590.¢P)4 6.J03.275 10.4M 20,6IB I l.fKJ% 774 J2.( 46J54 THYASURF.R IDLYr IlrAlili 4 All IniornAiion*l STATF.AIEYT OT OPERATIONS 2024 Ryr 7.74é,Irxi 720.)O> 7.725.091 2,407,243 74ty4Jil 22.437 Toi*l 2?6.255 013.W7 4tQ.179 .129.DJi 23.￿￿ i.Dio.o¢J 4.961.31Q 7.611159 211130 12.132 l.J¢2 2& 24.291 F.￿p￿￿E 9J7.2 4JJ2.26S l.M.4J3 3J2J 1.429 96) 1.7t12 923 VrlKks K¢pair& 73.7 17.15l.46 4411 t41rd* S￿rts*1￿1 Li ¢* F.wTh5¢ Bu gJiJty) 17.5 365.210 25. 73 57 26 Mttt ofFk¢ F.xpei 3N.430 35. ILk).f 21.rxyj 173 241 AwJrtTr¢e F.xptn* 25m) 1.7192fK> 4.•72 ol*1 19.570. 20.tsIJJJ lJJ7i• 12 %TATf iii li nTr CA$II FOH TIIfr. YTr.AJI F.*Df.D)•Jvf*F. 2•14 14 2•1J .ns.734 IJNJ*5 4&JlS 15fv41.6 4XOIJ iuj TOIAI. Rf.CElm 15.691.491 10.•1é.516 JJ.7 ID.46J.4JI RJJJJ J5y IM57 714.1 is. 622. PMir4 • i*.))o j.wy 2MJJS 62SfyJ6 410.17¥ g WM.S6S J>thi 1.61?JSS Wdfxr ¥.J43 JIM TrtiflW I.¥￿*¢6 Fr¢r 2.¥994)5 lJ.Tr6 5,J41.U4 75.7•) 18S.lJJO L419 16.7 .lJ2 Jb)Jto %) 21 Mttc OtIKe ]W.4]0 JJ.(th) iu)I i?co4 7 191)) Sly I4.￿731 4? 61175 56.6?? TOYALPAI'AILtr4TS OK912 1 47157)4 21n IREASUIIF.R 13 Iletslih c.nrc 4 All Inlei'nthti()niil TF.S TI) 'I'llTr: b INAYI Clill..%TA'fi.:hib:N'f+• Tr(bii'l'lll.: )'Tr:.Ili >,Dil)l.:l) .111.IIINb: 2024 1.1 regisiered under Ibe S(*%￿Y R¢Bisif•iion ACL 1860 as i Pr()tii OrgAiiiÈaiion (NPOI b>. lh¢ nAm¢ of IIEALTII CARE 4 ALL INTF.RNATIO%AL ¥11siered orr¥ce thfihe s￿Iety 15 1liuii¢d at Siiie ofAz4d J2mmu & Kishmir. 1.2 The prirKiwl obj¢dii'¢ of Iht (wniulion is to PFovide hfslih ¢ar4 fucililAiion b) of T¢le Medicine and Tel¢ Healtli ieehnolo8y ihrough n nets%'ork' ofcommunit). Ht•hh M'rx*tw (CHWI io rtsmote nLrnI comTr5Uliilte5 in ArAd Jammu & Kishmir IAJ&K) and Pakill•tt ¥4ho Ihenvi% do have ea$y any ts¢£ess 10 hcllth emphasis on ih#ttrn41 And child heblth and prevenii4Mi of diseose5. In 2014, Iht operniions %Yere si•rt¢d from villa￿9 of Niav4* Rur*h Ihrou¥h lh¢ moniioring ¢¢ni¢r ai R¥mh Well4Tt Ho$pitJl 5eMng &pproximiiel)' l(Ki 10 150 Ihousaijd populaiioo. In !01?. Iho moniioring crnttr1￿Se Unil ai Chiksmwi stsr*d 0sKrniioiis. This unli scrv¢s 10 Ihe popu￿tIon of •pprnximaiely 70 to INJ and b￿l￿deS dottns of 5mBII Trmoit villi8f¥. 2- Sumffi*ry of.SliThlfi¢A•t Ae¢o¥Yiin# PfAl¢le* These Fitt)IkciiI sinieintibis have betii prcpartd uiidef lh¢ hiswri¢#l CO￿ coTh7knito￿ eic ror measurtnKnl of ctrtaiii fJwrKi•l instnbiment Ai lair vJlu¢. 2.1. TT•dr And oiher PAyibl LiAbililies for tsjde ind ￿h¢r amounts PAyAbl¢ ¢Arried 41 ¢o$t ivhKh is the fair I'al¥Jt lif t1￿ ¢0115idernlion 10 k yld in lh¢ future for 8wJ5 5trvices T¢¢¢1￿ ￿hether ￿ nLM billed lo iht Or8aiii281ioii. 2& Flxed Asytts Fixcd A$sets slBt¢d ai ¢osi 1¢$$ x¢umull￿ ¢J¢prtcialioo Di th¢ rfjie indi￿1¢￿ in N4MC N'o. 5. tkpreciifi¢)n 16 chT8ed Ihro¥8h Jppli¢iiion of redueing balance mrth¢MI. Full is chirged in Ilit year o( a¢qui$iiion of All aSSd and no depr¢¢iii*fffi 1$ ¢hJrg¢d in lear of di$w)sal. M&jor r¢i*w&ls aivj Improvcmtnl orc cap¥thliT¢d. 1.4- Tixalio Tlie thx ¢hry¢d Under clause 36 of SttliM 2 of the InconK TLX (hdinAn¢e 7￿*1. ￿ iakinb iDio Kcount Ihe cutrtnt In¢om¢ TAX IAWS and r¢¢owii2e Athj.. dww¥ Ikjtar 4.232J6> 4.961310 12JOJ 15 I Itulih Cnre 4 .111 Inlernuliiinthl Truk TIIF. I'tr•ilR ¥,NI)Tr.1) 30 JIINb. 21124 Id¥l.2J )•-j¥￿434 Dyiloln 11.1.696 10 414.1)6l 4b4lJJ.I 4.141 644.141 10 -Wg.0.17 34.-17¢1 .111.207 41)1.4 110.1)7 C"INiipuier*. C"i'ri'. IIPS & loi¢rnei 1.4X)3.00g 16.013 1,641 171 251.0)a Sd•r S)%Een fvltdic41 htschincrl J73.i¥y) .17J.NO 10 136,7?J !J.6*1 Trl ?,fAY &. 9.90*.491 -163.671 10 )06.164 4.766.661 %4lJ.yqU 4.ty49.151 (hlKI 455¢1S 10 ?04.110 40.131 741,661 167,475 487.YOI 17.114.9 •J7J04 9.7fy7J7J 7.41a •.lJ 16&7qJll 622MA ?Jl4.024 FIN'F.I) ASSF.IS VDuAdi Ctssi P•rt*¢*l•r* Ilatt troYih* I-J￿￿13 ? 568.11 1.174.54 7?71.10 l)¢l¢liD• IJ¥l-lJ 14 7.569 1.875 7.•7 Furnitu￿ & FixLUrt VehKk C￿lp￿re15. CCTI,, LPS & Initrnii rs Mtdieal Nlxhimtry & In51NmenlS (Ahtt Assths 169.i5 4.364J9 970 436 5,13.1.74 1.014.JQ 4.C33.60 J97.41 4.714 750 1.084 69 21.716Jl 1.057.20 -361.12 13,156.59 -195.44 i.J 15.456 714 io 1.061 4L441 LU69 2.716 304¥*-2J )W7 JJ 16 CHARITY COMMISSION FOR ENGLAND AND WALES Independent examlner's report on tho accounts Section A Independent Examiner's Report R•port to tho tru8t•o81 m•mb•rn of Charty Name Health Care 4 all Internatlon81 On accourts for th• y•ar •nd•d 31* January 2024 Gharlty no (If any) 1158474 S•t out on paq I report to the tru8te88 on my examFnatlon of thg accounts of ts ab Charity fthe TN8f) for tho year ended RMpon8lblllUo8 and A8 ts charfty tru8te86 of the Truic you are responslble for tha preparation bMi• of roport of the accounts In ec(xJrdance viith the r•qulrements of th6 Chorftles Act 2011 I report In r88pect of my exarninatlon of th• Trurf8 occount8 carfed oul under aectbn 145 of the 2011 Act and In carTrrfng out my examlnatlon, I hav8 followed the appll¢able DlreGtSon8 glven by tha Charty Comrnls8lon under sectlon 145(5Xb) of the A￿. I hav• completed my examln8tlon. I txrrflmi that no materfal rnattern have come to my attentlon (other than that dlsclosed balow.) In connection with tha axamlnotlon whlch glve8 mo cause to belleve that In, any m8twtsl re8pect accounuryd records w•re not kept In accordance vlth 8e¢U¢Jn 130 of the Act or the accounts do not accord th8 aCc￿ntIng re￿rdS Indopondont examlnaVs statemont I h8ve no wncems and have come acn)$8 no other matters In connecuon wlth the examlnatlon to whlch attentton 8hould be drawn In order to enable a propor understandlNJ of the accounts to be reached. ' Pl•as• delete the bfrfjrd8 In the br8d(gt8 ff thay do not appty. Dat•: 1W1112024 Narn•: MR K HUSSAIN R•l•vant profoMloMI qualfficatlon(s) or boty (If any): FAI& FMAAT AddrM•: 21 DUCKWOFfTri LANE BRADFORD BD9 SER IER Octob•r 2018 Section B Disclosure Only complete If the examiner needs to highlight matters of concem (899 CC32, Inde￿ndent mmlnatron of oharlty a¢ownts.' directlon8 and guidan￿ for 6XaM￿r$). NONE Glvo h•r• bri•f d•lall• of any It•m• that th• •xamln•r wl•hM to dl•cloM. Octobor 2018 Recelpts and pa ments accounts 81101r2024 CC16a 4AIL For th• p•rlod frorn 01*D2120?3 5cctioii A Rcccipts aiid paynierits Unr•otrl¢t4d End0wm￿t fund• A1 Ro￿lpts 473 192A28 2•741 (M• I￿.￿28 192,428 220,745, Fund P￿91n9 Ewnt Dan•d￿ta 1.024 37• 4b In•fftr Sub to OA41 ur¢hM••. Subth Q441 170,1 AO Tm•f•rn b•twwn thnd• A8 Cmh fund• la•t •nd 1•9,9 185.9 I7￿100 CCM R1 (S81 IW11r2024 Sectioii B Statcimcnt of assets and liil)ilities ¢lt the eiid of the pcyiod Unrn•trlct•d fund• End(Avm•nt fund• C•t•gorf•• Totsl ¢a•h funds fund• fund• nth D•taS11 D•t•ll• Fwdt•**l¢h B4 *A••ts r•taln•d for th• h•rfty'• own D•tsll• 85 Uabllllla• S*rvJ byone LYt4w> triot￿ on of IN•t ptht Nejne DR SIED r￿a KUM SHAH 1911112￿4 CCXX R2 •Or￿nts ISS) 11W11f1024