The BHosp in Halifax used to have civ pattern ambulance at the ready when I first joined the RCN.
The CAF operated ambulances long before that.
As a part-time Pres MSE Op, and full-time licenced paramedic, I used to drive ( driver only ) CAF ambulances from time to time. But, the CAF was not a licenced
ambulance service. At least, not in Ontario. So, i was not a licenced paramedic, while driving a CAF ambulance.
Ie: I could work as a licenced paramedic, at a licenced ambulance service, in Kenora, ON.
Or, any other licenced
ambulance service, in Ontario.
But, my paramedic licence was not valid on the Service Bn. ambulances i drove out of the old Dennison armoury in Toronto, because the CAF is not a licenced ambulance in
Toronto, or anywhere else in the Province of Ontario.
Licenced ambulance services in Ontario,
While under municipal government control, it is subject to provincial legislation and licencing. It is not the only service provider in its area; private-for-profit medical transport services also provide routine, non-emergency transports and coverage for special events, but the statutory emergency medical system is the only provider permitted to service emergency calls.
The CAF has never operated "ambulance services" in the same manner as civilian organizations so the call volume has never been enough to meet licensing requirements.
I was referring to Ontario legislation. No idea what it is out of province.
R.S.O. 1990, CHAPTER A.19
No person other than a paramedic acting in the course of or in relation to his or her duties as a paramedic for an ambulance service shall hold himself or herself out as a paramedic. 2017, c. 25, Sched. 1, s. 6.
That is when the PCP qualified Med Tech appeared in the Reg F. We (at the coal face) knew from the very outset that it was just not sustainable for a variety of reasons. PCP was seen as the one qual that was accepted (mostly) across Canada, allowing our pers to be posted, or employed on DOMOPS without too much difficulty. Reality was very different though, as has been noted above.
Hope that helps. Whatever the provincial licencing legislation is in Nova Scotia, you would know that better than me.