diff --git a/care/facility/api/serializers/patient.py b/care/facility/api/serializers/patient.py
index 9c9863a147..6e9aa27e50 100644
--- a/care/facility/api/serializers/patient.py
+++ b/care/facility/api/serializers/patient.py
@@ -475,7 +475,6 @@ def save(self, **kwargs):
 class PatientNotesSerializer(serializers.ModelSerializer):
     facility = FacilityBasicInfoSerializer(read_only=True)
     created_by_object = UserBaseMinimumSerializer(source="created_by", read_only=True)
-    created_by_local_user = serializers.BooleanField(read_only=True)
     consultation = ExternalIdSerializerField(
         queryset=PatientConsultation.objects.all(),
         required=False,
diff --git a/care/facility/tests/test_patient_api.py b/care/facility/tests/test_patient_api.py
index 315e8b57d6..9272f8fd55 100644
--- a/care/facility/tests/test_patient_api.py
+++ b/care/facility/tests/test_patient_api.py
@@ -98,6 +98,14 @@ def setUpTestData(cls) -> None:
             "doctor2", cls.district, home_facility=cls.facility2, user_type=15
         )
         cls.patient = cls.create_patient(cls.district, cls.facility)
+        cls.consultation = cls.create_consultation(
+            patient_no="IP5678",
+            patient=cls.patient,
+            facility=cls.facility,
+            created_by=cls.user,
+            suggestion="A",
+            admission_date=now(),
+        )
 
     def setUp(self):
         super().setUp()
diff --git a/care/utils/tests/test_utils.py b/care/utils/tests/test_utils.py
index 1f6ceff22e..bf2b560893 100644
--- a/care/utils/tests/test_utils.py
+++ b/care/utils/tests/test_utils.py
@@ -326,7 +326,10 @@ def create_consultation(
             }
         )
         data.update(kwargs)
-        return PatientConsultation.objects.create(**data)
+        consultation = PatientConsultation.objects.create(**data)
+        patient.last_consultation = consultation
+        patient.save()
+        return consultation
 
     @classmethod
     def create_asset_location(cls, facility: Facility, **kwargs) -> AssetLocation: