
## **Health Care 4 All International** 

## **- Board of Trustees Annual Report 2024 2025** 

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 Friday19th September 2025. 

## **Aims:** 

## **The aims of Health Care 4 All remain the same as before** 

## _**INTRODUCTION:**_ 

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 2024 2025**_ 

## **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 and two male Resident Medical Officers and eight Community Medical Assistants. It is a walk in service at the Centre open for all at all times. 

- **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 with 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 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. The Community Coordination Committee (local representatives from villages) take 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 2024-25. With the inclusion of several new members (all volunteers) representing increasing number of villages, this committee is due for a re-shuffle to increase its participation and involvement in the administration. This is a task to be undertaken in the coming months, focussing primarily 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 continue to gradually increase their involvement in monitoring, audit and management issues. 

**Governance:** The Governance structure in 2024-25 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. 

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. 

The BoT UK has recommended to appoint a part time salaried medical director with the task of streamlining the services, onsite monitoring staff and clinical performance, reduce expenses and demonstrate savings. This recommendation will be implemented in the coming year subject to finding a suitable candidate for the job. 

## **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 separately. 

- 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:** Mr. Dilshad Khan. CQSW. MBA. MIHSM. JP Ex-Director Equality & Diversity Bradford Teaching Hospital Trust. 

   - 4 **Trustee:** Mr Mohammad Ajeeb. CBE Ex Chairman City Primary Care Trust Bradford. Ex Lord Mayor Bradford 

   - 5 **Trustee:** Mr. Asif Saleem Managing Director Nafees Bakers Ltd Bradford. 

   - 6 **Trustee & Treasurer:** Mr Arif Khan: Member AAT & AAIA Accountancy. BPP University law School Leeds   Director Arif Khan accountants 

   - 7 **Trustee:** Mr. Younis Choudhry. Local businessman and MD Regal Food Industries Bradford 

   - 8 **Trustee:** Mr. Luqman Rashid. Professional Financial Advisor at Hillcrest Wealth Management partner practice of St. James’s Place Wealth Management. 

   - 9 **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 always 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 for 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 continuing unconditional and relentless support and guidance during the difficult times of the project. 


## **Dr. Tariq Shah Chairman For Board of Trustees Health Care 4 All International** 

**Record of Patient Services and Financial Audit from our project in Chakswari AJK follows below in Tables 1 and 2 (pages 8 to 14)** 

6 



## **Table 1. Patient record July 2024-June 2025** 

## **2024-2025** 

|||**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|**2024-2025**|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|**Total**<br>**ents seen**|||**Male Pts**|**Female Pts**||**Under**<br>**Age 16**||**OPD**|**Out-**<br>**Reach**|**Free**<br>**Patients.**|||**Detained**<br>**In-Patient**||**Subsidized**|**Donor Pts.**|
|10263|||4506|5757||2276||9547|701|3862|||1678||2719|3661|
|**Antena**||**tal Care**|||||||||||||||
||||||||||||||||||
|**4**||**5**||**All Amounts below are**<br>**in PKR in first row and**<br>**Pound Sterling in the**<br>**second**|||||||||||||
|**edicines**<br>**Free**|||**Lab. Free**|**Lab.**<br>**Subsidy**|**Consultation**<br>**Free**||**Total**<br>**Subsidy**||**Ambulance**<br>**Free**||**Ambulance**<br>**Subsidy**|||**Detained**<br>**In-Patients**<br>**Free**|||
|034,044|||795,600|-|1,158,600||307,050||21,000||32,750|||762,600|||
|8,619|||2,260|-|3,291||872||60|||93||2,166|||
||||||||||||||||||



7 



Table 2 HC4AI Account Audit 2024-2025
I￿r££NATIONAL
JUN£ 30. 2025
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%crtor &IO,'l. Is]#mabsd.
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24Z4
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2024
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29,764.47
769.796
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21.17<44
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7.6￿￿1
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iJ90,094
21,901..iO
10.43632
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TREASL,

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STATENIEIY OF OPEK4TION%
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2•24
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&974.N
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559.10
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H¢*lth c#￿ 4 AU Inter￿tIo￿l
TATL1IE￿7 OF CASH FLOM'S
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2015
2•24
2•25
P47Md*
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775.734
13.11295
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15MIA9k
1715511.51
45.615_40
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24.WJ.914
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71 J&?.03
45.615AO
BBnk Av4ilabk
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74J5737
59.498a5
Q•tsA
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561.1:
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1.429.95
191.WJ4
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416.
1.17433
$¢9.10
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133J59
9.QBJIP
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3J49.223
9hM.99
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791,94
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& lffl*mc7 Exy
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TOTAL P.4YMKYrs
61.569 £8
7fith0
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970.681
TRFASIIRER
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4.440.£58
97L681
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NOTLS TO THE FINANCIAL 5TATLMEN15
FOR THE YEAR ENDED 30 JUYI E 2025
FIXED A&SF.TS
Bo•kV•tst
Forth*
JfvJ•Tr2S
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883.696
883ffi96
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414.063
46.963
461.026
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& InsmTrcnt
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11.065.031
5J16.618
574A41
5J91.459
5.1 J j.5?*
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631.136
10
245.661
3&548
346.9•7
¥S.953
841J62
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FIXED ASSETS
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13

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￿
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14

CHARITY COMMISSION
FOR ENGLAND AND WALES
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roport on the accounts
SectioiiA
Indei)eiideiit Exaininer's Report
riiÉity NBm*
m•mb•r• of
Heafth Care 4 all Intematlonal
On Acc￿nIS forth• yur
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314t January 2025
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(11 •ny)
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I report to the tru8t88s on my examlnalon of the acajunts of tho abo¥
chadty (Ih• Tru8fi for t￿ year ènded
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ba•18 of rnport of the accounts In ac¢oThlance *lth the requlrements of the ChartWe8 A
2011 cth8 Acr).
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under 88cUon 145 of tho 2011 Act and In ¢xrrylno out my exarnln8tton, I
hove fo11th￿d the appllcabl8 Dlredon• g1￿ by the Charty Comml881on
under 8ecdon 145(5Xb) of tha Act.
I have ￿mplOted my examlnalon. l ¢onfimi that no materlal matters have
come to my attention (Other than Ihat d18do6ed b8low') In connectlon *lth
th8 8xamIna￿On whlch me cause lo belleve that In. any matsrfal
rn8pect:
ocr￿untIng records ￿re not kept In accordanL¥J wlth 8ectlon 130 of
theArtor
the accounts do not accorrl wlth th• accountlrKJ r8cord8
I haw no Con￿18 arKI have come no otsr m•tter8 In wrTh¢lon
th tre examlnatkjn to whlch attenllon $hould be drawn In order to 8n8b
proper understandlng of the a¢o¥)unts to bo reach8d.
' Plea80 deleta the word• In t￿ brackets Mthey do nof ath.
0910912025
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examlnerfs 8tatom•nt
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MR K HUSSAIN
R•lovant prof•••l¢Jnal
quallllcatlon(•) or body
(If any):
FAIA. FMAAT
Addr•M:
21 DUCKWORTH LANE
BRADFORD
BD9 SER
Octolxbr 2018

on￿ compl&tg K the ex8mlnor needs to hlghllgm matters of ￿n(￿n (Be8 CC32.
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eyamlner8).
Glv• h•r• brhf dotallo of NONE
•ny h•ms that tho
amln•rwl•h•• to
IER
Octob•r 2018

Care
11 Int*nAflon
1187677
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fvnd•
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fund•
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1117
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CHARITY COMMISSION
FOR ENGLAND AND WALES
Independent examlnerfs
report on the accounts
Section A
Independent Examiners Report
Rwrt to th trust•••l '
m•M￿rn of
Health Car• 4 all Intemalloml
On a¢¢ount8 for th• y•ar
•nded
31* J•nuary2025
Charlty no
(If any)
1187877
S•1 out on pag
I report to th8 truBtee8 on my ex8mlnatlon of the aC￿unts of ￿ above
charfty {Ihe Tru8V) for the year ended
Rupon•lbllltlM and AB thé tharfty truBtee6 of tha Tnmt, YOU 8r6 responBlbb for the preparatlon
•18 of r•port of the accounts In accordance with the raqulrements of the Charflles Act
2011 nhe W.
I rèport in r•8peGt of my eX￿InatIOn of the Tru8t'B accourrt8 carrlod out
under secuon 145 of the 2011 Act and In carrylng out my examlnatbn, I
h•ve foll1)￿￿d the appllcabh Dlrectlon8 glvan by the Ch8rtty Commlsslon
urKler saclon 145(5Xb) of the Act.
I have completod my examlnatlon. l ¢orfflrni that no materlal matters have
ome to my attenlion (Othèr than thot d18cIo8ed below.) In txfftnectlon vlth
the examln8tion whloh glw8 me cause to belleve that In. Any materfal
roBpect:
8ccountlng record8 were not kept In aceordance wlth 8ectlon 130 of
the Act or
the acco￿￿ do not accord ¥%lth the accounUTrJ records
I have no concerrrd and havo come across no other matter8 In conne¢lk)n
wilh the ex8mlnatlon to whlch attontk)n 8hould be dra4￿ In order to enab
proper underst8rKllng of the a¢(x>unts to b8 reached.
' Ple888 deletg tho words In the Ixacket8 If they do not 8ppty.
Indopondont
•xamln•V8 8tatoment
Slgnod:
0910912025
N•mo:
MR K HUSSAIN
R•l•vant profomlonal
qualificatlon(8) or body
(If •ny):
FAIA, FMAAT
Addr•M:
21 DUCKWORTH LANE
BRADFORD
BD9 SER
Octob•r 2018

Sectioii B
Disclosure
on￿ complete ￿ the examlner naeds to hlghlight matterB of conixm (8e8 CC32.
Indepandent ayamlnatlon of charlty accounts: dlrectlon8 and guldance for
AaminerB).
NONE
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any It•m8 that th•
mlner WISh￿ to
dl8¢1oM.
IER
Octobor 2018

148Ton
Receipts and pa ments accounts
CC16a
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Section B Stateinent of assets c?nd liabilities clt tlie end of the period
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DR SYEDTIAIQ KAZIM SHIII
CCXX R2 alU￿ntI (SSI