diff --git a/care/facility/api/viewsets/patient.py b/care/facility/api/viewsets/patient.py
index 0a502dc06a..bb1884db10 100644
--- a/care/facility/api/viewsets/patient.py
+++ b/care/facility/api/viewsets/patient.py
@@ -48,11 +48,14 @@
 )
 from care.facility.models.base import covert_choice_dict
 from care.facility.models.bed import AssetBed
+from care.facility.models.facility import FacilityUser
+from care.facility.models.notification import Notification
 from care.facility.models.patient_base import DISEASE_STATUS_DICT
 from care.users.models import User
 from care.utils.cache.cache_allowed_facilities import get_accessible_facilities
 from care.utils.filters.choicefilter import CareChoiceFilter
 from care.utils.filters.multiselect import MultiSelectFilter
+from care.utils.notification_handler import NotificationGenerator, send_webpush
 from care.utils.queryset.patient import get_patient_notes_queryset
 from config.authentication import (
     CustomBasicAuthentication,
@@ -646,8 +649,31 @@ def perform_create(self, serializer):
             raise ValidationError(
                 {"patient": "Only active patients data can be updated"}
             )
-        return serializer.save(
+
+        message = {
+            "type": "MESSAGE",
+            "facility_id": str(patient.facility.external_id),
+            "patient_id": str(patient.external_id),
+            "status": "updated",
+        }
+
+        facility_users = FacilityUser.objects.filter(facility_id=patient.facility.id)
+        for facility_user in facility_users:
+            if facility_user.user.id != self.request.user.id:
+                send_webpush(username=facility_user.user, message=json.dumps(message))
+
+        instance = serializer.save(
             facility=patient.facility,
             patient=patient,
             created_by=self.request.user,
         )
+
+        NotificationGenerator(
+            event=Notification.Event.PATIENT_NOTE_ADDED,
+            caused_by=self.request.user,
+            caused_object=instance,
+            facility=patient.facility,
+            generate_for_facility=True,
+        ).generate()
+
+        return instance
diff --git a/care/facility/migrations/0383_alter_notification_event.py b/care/facility/migrations/0383_alter_notification_event.py
new file mode 100644
index 0000000000..7d6a0defea
--- /dev/null
+++ b/care/facility/migrations/0383_alter_notification_event.py
@@ -0,0 +1,37 @@
+# Generated by Django 4.2.2 on 2023-09-06 08:56
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0382_assetservice_remove_asset_last_serviced_on_and_more"),
+    ]
+
+    operations = [
+        migrations.AlterField(
+            model_name="notification",
+            name="event",
+            field=models.IntegerField(
+                choices=[
+                    (0, "MESSAGE"),
+                    (20, "PATIENT_CREATED"),
+                    (30, "PATIENT_UPDATED"),
+                    (40, "PATIENT_DELETED"),
+                    (50, "PATIENT_CONSULTATION_CREATED"),
+                    (60, "PATIENT_CONSULTATION_UPDATED"),
+                    (70, "PATIENT_CONSULTATION_DELETED"),
+                    (80, "INVESTIGATION_SESSION_CREATED"),
+                    (90, "INVESTIGATION_UPDATED"),
+                    (100, "PATIENT_FILE_UPLOAD_CREATED"),
+                    (110, "CONSULTATION_FILE_UPLOAD_CREATED"),
+                    (120, "PATIENT_CONSULTATION_UPDATE_CREATED"),
+                    (130, "PATIENT_CONSULTATION_UPDATE_UPDATED"),
+                    (140, "PATIENT_CONSULTATION_ASSIGNMENT"),
+                    (200, "SHIFTING_UPDATED"),
+                    (210, "PATIENT_NOTE_ADDED"),
+                ],
+                default=0,
+            ),
+        ),
+    ]
diff --git a/care/facility/models/notification.py b/care/facility/models/notification.py
index de2b1d59d8..d9f9c4fcf3 100644
--- a/care/facility/models/notification.py
+++ b/care/facility/models/notification.py
@@ -37,6 +37,7 @@ class Event(enum.Enum):
         PATIENT_CONSULTATION_UPDATE_UPDATED = 130
         PATIENT_CONSULTATION_ASSIGNMENT = 140
         SHIFTING_UPDATED = 200
+        PATIENT_NOTE_ADDED = 210
 
     EventChoices = [(e.value, e.name) for e in Event]
 
diff --git a/care/utils/notification_handler.py b/care/utils/notification_handler.py
index 677eb132d4..a921306cf2 100644
--- a/care/utils/notification_handler.py
+++ b/care/utils/notification_handler.py
@@ -8,7 +8,7 @@
 from care.facility.models.daily_round import DailyRound
 from care.facility.models.facility import Facility, FacilityUser
 from care.facility.models.notification import Notification
-from care.facility.models.patient import PatientRegistration
+from care.facility.models.patient import PatientNotes, PatientRegistration
 from care.facility.models.patient_consultation import PatientConsultation
 from care.facility.models.patient_investigation import (
     InvestigationSession,
@@ -309,6 +309,12 @@ def generate_cause_objects(self):
         if isinstance(self.caused_object, ShiftingRequest):
             self.caused_objects["shifting"] = str(self.caused_object.external_id)
 
+        if isinstance(self.caused_object, PatientNotes):
+            self.caused_objects["patient"] = str(self.caused_object.patient.external_id)
+            self.caused_objects["facility"] = str(
+                self.caused_object.facility.external_id
+            )
+
         return True
 
     def generate_system_users(self):