isle of man ambulance service isle of man ambulance service the isle of man ambulance service (manx: shirveish charbid-lheihys) is a sub-division of the department of health and social care. the isle of man air ambulance the isle of man has ten ambulances and ten paramedic cars; operating from three bases: douglas (ambulance service hq at noble’s hospital), ramsey (ramsey cottage hospital) and castletown and malew combined fire and ambulance station. there are four operational ambulances on duty during the day, and three overnight, supported by a paramedic duty officer.