In 1911 Noël began her long association with the Red Cross, establishing a branch in Leslie and endowing it with three ambulances. This led to a larger ambulance corps serving Fife, called the Countess of Rothes Voluntary Aid Detachment. That year she also underwent training herself as a nurse. Despite her busy work for national charities, Noël remained devoted to the welfare of local citizens. Along with holding village Christmas parties in Leslie, she established a club for young girls employed in Falkland factories, funded a clinic in the parish of Kinglassie, and planned parties for the 2nd Battalion of the Highland Light Infantry.