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Grade VII Quality & Safety Clinical Audit QRSM Directorate (08.029 06.036(2026))

TUH

Job Location:

Dublin - Ireland

Yearly Salary: EUR 61219 - 79583

Posted: 22 August 2026 (20 days ago)

Application Deadline: 30 November 2026

Vacancies: 1 Vacancy

Job Summary

Quality & Safety Manager (Clinical Audit) Job Specification

Reference No: 08.029(2026)
Department / Directorate: QRSM Directorate
Reports to: Manager or Deputy

Tallaght University Hospital (TUH) is a model 4 voluntary academic teaching hospital partnered with Trinity College and situated in south west Dublin. With a staff of over 4000 people from 63 different countries it provides both acute and tertiary care to an increasing population of circa 800000 people and is a provider of local regional and national specialties. It is also a National Urology Centre the second largest provider of dialysis services in the country Pelvic and Acetabulum National Centre and a designated Trauma Unit.

The Hospital is part of the newly established HSE Dublin & Midlands Region which serves a population of over 1.2 million across seven counties and operates under the governance of an independent Board of Directors who give their time on a voluntary basis. TUH is also supported by the Adelaide Health Foundation the Meath Foundation and Tallaght University Hospital Foundation.

TUH recognises the role it plays in our community both as an employer and provider of healthcare and is committed to building a sustainable future for our region both now and into the future with a focus on patient outcomes.

The Hospital is ambitious recognising that healthcare delivery is undergoing seismic change and will be different now and into the future largely due to digital and technological advances along with research continuing to discover and test new treatment options. TUH wants to be a leader in determining that future. It is a Hospital without Walls always looking to optimise care both within and beyond in line with the Sláintecare vision of providing the right care in the right place at the right time whilst empowering our patients and staff.

TUH Vision and Values
The vision of the Hospital is People Caring for People to Live Better Lives through excellent health outcomes supported by evidenced based practice positive patient and staff experience in an empowering and caring environment. A culture of innovation and quality improvement in everything we do.

Our TUH CARE values for patients their families our community and staff are:

Collaborate together and with our academic and care partners
Achieve our goals positive outcomes and wellbeing
Respect for patients each other and our environment
Equity for patients and staff

At TUH we view our staff as our most valuable asset and every member of the Team is valued equally. We recognise that a skilled satisfied and motivated workforce is a prerequisite to high quality care.

A full overview of TUH is available on & Safety Manager (Clinical Audit) Job Specification
Reference Number:

Details of the Service:
The Hospital is part of the Dublin Midlands Region and serves the catchment population of 650000 across Tallaght Clondalkin Firhouse Rathfarnham Terenure Templeogue West Wicklow and parts of Kildare. The most recent census revealed that 28% of the population of the state reside within this network area.

There is currently capacity for 472 inpatient and day care beds at Tallaght University Hospital. These figures do not include South Dublin Mental Health services at Tallaght University Hospital which has an additional capacity of 52 public beds. Tallaght University Hospital provides a wide range of secondary and tertiary services across the Medical Surgical Paediatric and Diagnostic spectrum. It is also the regional centre for Orthopaedics Urology and Renal Medicine/Dialysis.

Purpose of the Post:
The Q & S Manager (Clinical Audit) post is a key role with the responsibility for the development co-ordination and implementation of clinical audit systems in line with quality improvement activity ensuring that the Hospital is compliant with HIQA standards supporting the delivery of quality safe patient care.

The Quality and Safety Manager (Clinical Audit) will assist staff in analysing and interpreting healthcare quality data identify good practices for sharing address issues and identify opportunities for improvement across the organisation.

The Quality and Safety Manager (Clinical Audit) will work as an effective member of the Quality & Safety team proactively contributing to the priorities of the Department.

The Quality and Safety Manager will act as deputy to the Q&S Improvement.

Principal Duties and Responsibilities

Clinical Audit

Co-ordinate the planning development and organisation of the Clinical Audit Programme with clinicians ensuring that there is an appropriate and effective governance structure is in place in TUH in line with the local and national guidelines.
Provide specialist advice on all aspects of the audit cycle to clinical teams in order to support them to audit clinical practice against national regional and local standards policies and guidelines.
To oversee the implementation of recommendations from both national and local Clinical Audits and report on progress to the QSRM
Facilitate and support the development of Quality Improvement programmes by departments and individuals. Ensure hospital staff are familiar with overall Quality Improvement methodologies through regular education / training sessions.
Collate and interrogate analyse performance and audit data
Assist local auditors to communicate and disseminate clinical audit results and recommendations for changes in practice and facilitate clinical teams to act on these to enable continuous quality improvement.
Responsible for monitoring and reporting Clinical Audit activity using the Clinical Audit register to the QSRM Meeting on a quarterly basis and annually to the Executive Management Team through an Annual Report.
Ensure that timely and accurate records are kept of all Clinical Audit activity action plans and re-audits.
Provide tuition advice and support to clinical and other staff in relation to the Clinical Audit and survey activities.
To facilitate and co-ordinate audit training programmes for staff in TUH and maintain audit training and audit activity access databases.
Facilitate Hospital-wide dissemination of audit results using appropriate media to include posters publications and presentations.
Contribute to Hospital-wide induction and teaching sessions workshops and conferences.
Maintain and update knowledge of national developments in Clinical Audit and feedback to the hospital via appropriate routes.
The Quality and Safety Manager (Clinical Audit) will assist staff in analysing and interpreting healthcare quality data including morbidity and mortality rates identify good practices for sharing address issues and identify opportunities for improvement through Clinical Audit and other Q&S Activity in line with HSE policy
To identify areas for improvement in the conduct of reviews as required

Quality Improvement

To oversee the implementation of recommendations from both national and local Clinical Audits and Systems Analysis Reviews and report on progress to the Hospital Executive.
Support hospital management and multi-disciplinary teams in the assessment and corresponding quality improvements against hospital priorities and the National Standards for Safer Better Healthcare.
Promote feedback and shared learning throughout the hospital from local and national incidents reviews and patient feedback.
Proactively identify inequities / inefficiencies in service administration and implement solutions to improve service delivery in line with legislation and benchmarking against best practice structures and ensure that the Quality and Safety Executive is kept informed of trends and gaps in service provision.
Participate in Quality & Safety walkarounds to promote effective leadership and compliance with standards.

Data Analysis: Strategic Input

To use data and evidence to monitor service quality and assess against key performance indicators.
The Quality and Safety Manager will assist in analysing and interpreting healthcare quality data identify good practices for sharing implement benchmarking address issues and identify opportunities for improvement across the organisation.
Develop and maintain a network of co-operative relationships at Hospital Region and National level to keep up to date on initiatives and developments in the area of Quality and Safety.
To attend and participate in committee meetings work groups and/or process improvement teams as required.

Managerial Responsibilities:

To deputise for the Q&S Risk &Incident lead in their absence.
To mentor and supervise other members of the Quality and Safety team to include clerical /administrative staff to carry out their responsibilities ensuring appropriate delegation of responsibility and authority.
Keep in touch with workloads of staff members to gauge levels of wellbeing and morale in the team.
Create and maintain a positive working environment among staff members which contributes to maintaining and enhancing effective working relationships.
Act as a resource to hospital staff on issues related to Quality and Safety.
Contribute to Hospital-wide induction and teaching sessions workshops and conferences.
Liaise with the Hospital Executive Management Team Directorate Management teams Hospital Departments and other members of the Quality and Patient Safety Directorate to support self-assessment and accreditation processes.
Engage in the HSE performance achievement process in conjunction with your Line Manager and/or staff as appropriate.
Promote and maintain a Patient focused environment by ensuring service users are treated with dignity and respect.
Promote an ethos and culture of Open Disclosure and act as an Open Disclosure Champion within the organisation.
Seek feedback from service users / families / relevant person(s) to evaluate services and implement change.
Carry out any other duties as appropriate to the post and delegated by the Q&S Risk &Incident Lead GM for QSRM or Dir QSRM.

The above Job Description is not intended to be a complete list of all duties involved and consequently the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office

Eligibility Criteria Qualifications and/ or experience:

Candidates must possess sufficient administrative capacity to discharge the functions of the office and have management ability and experience including:

An academic award in Quality in Healthcare at Level 8 (or higher) on the Quality and Qualifications Ireland (QQI) framework or equivalent
Significant experience of working in an Acute General Hospital in a senior post for a minimum of two years that has involved quality and compliance processes as relevant to this role.
Experience of working with data developing indicators monitoring compliance and providing assurance
Experience of delivering quality improvement projects/initiatives using robust project management/improvement methodologies
Have the requisite knowledge and ability (including a high standard of suitability and management ability) for the proper discharge of the duties of the office
A clinical healthcare degree with clinical experience working in an Acute General Hospital.

Desirable:

Masters in a relevant field
Experience in the Health Sector environment

Reward & Recognition

Remuneration is in accordance with the Department of Health Consolidated Salary Scales grade code 0582. (61219 - 79583 Inc LSI)These particulars are subject to change in line with overall public pay policy. Point on scale allocated is based on relevant HSE Circulars
The appointment is fulltime permanentand pensionable.
The annual leave entitlement is 30 working days per year. The leave year runs from 1st April to the 31st of March each year
Normal working hours are 35 worked over 5days. Your contracted hours of work are liable to change between the hours of 8 am to 8 pm over 7 days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement

Reporting Relationship:

The post holder will report to the Quality Improvement Lead TUH.

Other key working relationships are the Director of QSRM GM for QSRM Quality Safety and Risk Lead Director of Nursing Clinical Leads and Directors in each Directorate and HSCP Leads.

Competencies
Professional Knowledge and Experience
Demonstrates:

Knowledge of developments and current thinking in relation to best practice in clinical audit quality assurance and reliability in healthcare
Knowledge and experience of monitoring compliance or standards or performance or progress in relation to quality safety and risk.
Proven track record of collaborating with internal and external stakeholders to understand their data requirements and develop specifications for solutions.
Experience of transforming statistical data into knowledge and presenting that information in a clear and concise manner
Knowledge and experience of developing and implementing standards policies procedures and guidance as relevant to this role
Excellent IT skills to include including experience of using Excel functions to aid working with multiple data sources conditional programming merging datasets etc.

Managing & Delivery Results (Operational Excellence)
Demonstrates:

A proven ability to prioritise organise and schedule a wide variety of tasks and to manage competing demands and tight deadlines while consistently maintaining high standards and positive working relationships.
The ability to work on a self-directed basis
The ability to improve efficiency within the working environment and the ability to evolve and adapt to a rapid changing environment
A capacity to operate successfully in a challenging environment while adhering to various standards.
Ability to take personal responsibility to initiate activities and drive objectives through to a conclusion
Adequately identifies manages and reports on Quality and Safety matters within area of responsibility

Critical Analysis Problem Solving & Decision Making
Demonstrates:

The ability to evaluate complex information from a variety of sources and make effective decisions
Anticipates problems and recognises when to involve other parties (at the appropriate time and level)
Significant experience in effective operational problem solving utilising an inclusive approach which fosters learning and self-reliance amongst teams
A capacity to develop new proposals and put forward solutions to address problems in a timely manner.
Effective problem solving in complex work environments

Leadership Direction and Team Working Skills
Demonstrates:

Effective leadership in a challenging and busy environment including a track record of innovation / improvements.
Ability to lead organise and motivate teams to the confident delivery of excellent services and service outcomes.
Ability to support supervise develop and empower staff in changing work practises in a challenging environment within existing resources.
Evidence of being a positive agent of change and performance improvement
Flexibility and adaptability to meet the requirements of the role
Ability to work with multi-disciplinary team members and other stakeholders to facilitate high performance developing and achieving clear and realistic objectives
An ability to influence and negotiate effectively in furthering the objectives of the role.

Communication & Interpersonal Skills
Demonstrates:

Excellent interpersonal and communications skills to facilitate work with a wide range of stakeholders
The ability to present information clearly concisely and confidently when speaking and in writing tailoring to meet the needs of the audience
Excellent presentation skills.
Excellent written communication skills including the ability to produce professional reports.
Strong negotiation / influencing skills

Leading a Quality Service
Demonstrates:

An ability to pay close and accurate attention to detail in personal work and to create a culture where high standards are valuedDetails of the Service:
The Hospital is part of the Dublin Midlands Region and serves the catchment population of 650000 across Tallaght Clondalkin Firhouse Rathfarnham Terenure Templeogue West Wicklow and parts of Kildare. The most recent census revealed that 28% of the population of the state reside within this network area.

There is currently capacity for 472 inpatient and day care beds at Tallaght University Hospital. These figures do not include South Dublin Mental Health services at Tallaght University Hospital which has an additional capacity of 52 public beds. Tallaght University Hospital provides a wide range of secondary and tertiary services across the Medical Surgical Paediatric and Diagnostic spectrum. It is also the regional centre for Orthopaedics Urology and Renal Medicine/Dialysis.

Purpose of the Post:
The Q & S Manager (Clinical Audit) post is a key role with the responsibility for the development co-ordination and implementation of clinical audit systems in line with quality improvement activity ensuring that the Hospital is compliant with HIQA standards supporting the delivery of quality safe patient care.

The Quality and Safety Manager (Clinical Audit) will assist staff in analysing and interpreting healthcare quality data identify good practices for sharing address issues and identify opportunities for improvement across the organisation.

The Quality and Safety Manager (Clinical Audit) will work as an effective member of the Quality & Safety team proactively contributing to the priorities of the Department.

The Quality and Safety Manager will act as deputy to the Q&S Improvement.

Principal Duties and Responsibilities

Clinical Audit
Co-ordinate the planning development and organisation of the Clinical Audit Programme with clinicians ensuring that there is an appropriate and effective governance structure is in place in TUH in line with the local and national guidelines.
Provide specialist advice on all aspects of the audit cycle to clinical teams in order to support them to audit clinical practice against national regional and local standards policies and guidelines.
To oversee the implementation of recommendations from both national and local Clinical Audits and report on progress to the QSRM
Facilitate and support the development of Quality Improvement programmes by departments and individuals. Ensure hospital staff are familiar with overall Quality Improvement methodologies through regular education / training sessions.
Collate and interrogate analyse performance and audit data
Assist local auditors to communicate and disseminate clinical audit results and recommendations for changes in practice and facilitate clinical teams to act on these to enable continuous quality improvement.
Responsible for monitoring and reporting Clinical Audit activity using the Clinical Audit register to the QSRM Meeting on a quarterly basis and annually to the Executive Management Team through an Annual Report.
Ensure that timely and accurate records are kept of all Clinical Audit activity action plans and re-audits.
Provide tuition advice and support to clinical and other staff in relation to the Clinical Audit and survey activities.
To facilitate and co-ordinate audit training programmes for staff in TUH and maintain audit training and audit activity access databases.
Facilitate Hospital-wide dissemination of audit results using appropriate media to include posters publications and presentations.
Contribute to Hospital-wide induction and teaching sessions workshops and conferences.
Maintain and update knowledge of national developments in Clinical Audit and feedback to the hospital via appropriate routes.
The Quality and Safety Manager (Clinical Audit) will assist staff in analysing and interpreting healthcare quality data including morbidity and mortality rates identify good practices for sharing address issues and identify opportunities for improvement through Clinical Audit and other Q&S Activity in line with HSE policy
To identify areas for improvement in the conduct of reviews as required
Quality Improvement
To oversee the implementation of recommendations from both national and local Clinical Audits and Systems Analysis Reviews and report on progress to the Hospital Executive.
Support hospital management and multi-disciplinary teams in the assessment and corresponding quality improvements against hospital priorities and the National Standards for Safer Better Healthcare.
Promote feedback and shared learning throughout the hospital from local and national incidents reviews and patient feedback.
Proactively identify inequities / inefficiencies in service administration and implement solutions to improve service delivery in line with legislation and benchmarking against best practice structures and ensure that the Quality and Safety Executive is kept informed of trends and gaps in service provision.
Participate in Quality & Safety walkarounds to promote effective leadership and compliance with standards.
Data Analysis: Strategic Input
To use data and evidence to monitor service quality and assess against key performance indicators.
The Quality and Safety Manager will assist in analysing and interpreting healthcare quality data identify good practices for sharing implement benchmarking address issues and identify opportunities for improvement across the organisation.
Develop and maintain a network of co-operative relationships at Hospital Region and National level to keep up to date on initiatives and developments in the area of Quality and Safety.
To attend and participate in committee meetings work groups and/or process improvement teams as required.
Managerial Responsibilities:
To deputise for the Q&S Risk &Incident lead in their absence.
To mentor and supervise other members of the Quality and Safety team to include clerical /administrative staff to carry out their responsibilities ensuring appropriate delegation of responsibility and authority.
Keep in touch with workloads of staff members to gauge levels of wellbeing and morale in the team.
Create and maintain a positive working environment among staff members which contributes to maintaining and enhancing effective working relationships.
Act as a resource to hospital staff on issues related to Quality and Safety.
Contribute to Hospital-wide induction and teaching sessions workshops and conferences.
Liaise with the Hospital Executive Management Team Directorate Management teams Hospital Departments and other members of the Quality and Patient Safety Directorate to support self-assessment and accreditation processes.
Engage in the HSE performance achievement process in conjunction with your Line Manager and/or staff as appropriate.
Promote and maintain a Patient focused environment by ensuring service users are treated with dignity and respect.
Promote an ethos and culture of Open Disclosure and act as an Open Disclosure Champion within the organisation.
Seek feedback from service users / families / relevant person(s) to evaluate services and implement change.
Carry out any other duties as appropriate to the post and delegated by the Q&S Risk &Incident Lead GM for QSRM or Dir QSRM.
The above Job Description is not intended to be a complete list of all duties involved and consequently the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office

Competencies
Professional Knowledge and Experience
Demonstrates:
Knowledge of developments and current thinking in relation to best practice in clinical audit quality assurance and reliability in healthcare
Knowledge and experience of monitoring compliance or standards or performance or progress in relation to quality safety and risk.
Proven track record of collaborating with internal and external stakeholders to understand their data requirements and develop specifications for solutions.
Experience of transforming statistical data into knowledge and presenting that information in a clear and concise manner
Knowledge and experience of developing and implementing standards policies procedures and guidance as relevant to this role
Excellent IT skills to include including experience of using Excel functions to aid working with multiple data sources conditional programming merging datasets etc.
Managing & Delivery Results (Operational Excellence)
Demonstrates:
A proven ability to prioritise organise and schedule a wide variety of tasks and to manage competing demands and tight deadlines while consistently maintaining high standards and positive working relationships.
The ability to work on a self-directed basis
The ability to improve efficiency within the working environment and the ability to evolve and adapt to a rapid changing environment
A capacity to operate successfully in a challenging environment while adhering to various standards.
Ability to take personal responsibility to initiate activities and drive objectives through to a conclusion
Adequately identifies manages and reports on Quality and Safety matters within area of responsibility
Critical Analysis Problem Solving & Decision Making
Demonstrates:
The ability to evaluate complex information from a variety of sources and make effective decisions
Anticipates problems and recognises when to involve other parties (at the appropriate time and level)
Significant experience in effective operational problem solving utilising an inclusive approach which fosters learning and self-reliance amongst teams
A capacity to develop new proposals and put forward solutions to address problems in a timely manner.
Effective problem solving in complex work environments
Leadership Direction and Team Working Skills
Demonstrates:
Effective leadership in a challenging and busy environment including a track record of innovation / improvements.
Ability to lead organise and motivate teams to the confident delivery of excellent services and service outcomes.
Ability to support supervise develop and empower staff in changing work practises in a challenging environment within existing resources.
Evidence of being a positive agent of change and performance improvement
Flexibility and adaptability to meet the requirements of the role
Ability to work with multi-disciplinary team members and other stakeholders to facilitate high performance developing and achieving clear and realistic objectives
An ability to influence and negotiate effectively in furthering the objectives of the role.
Communication & Interpersonal Skills
Demonstrates:
Excellent interpersonal and communications skills to facilitate work with a wide range of stakeholders
The ability to present information clearly concisely and confidently when speaking and in writing tailoring to meet the needs of the audience
Excellent presentation skills.
Excellent written communication skills including the ability to produce professional reports.
Strong negotiation / influencing skills
Leading a Quality Service
Demonstrates:
An ability to pay close and accurate attention to detail in personal work and to create a culture where high standards are valued and respected
An ability to cope with competing demands without a diminution in performance
Places strong emphasis on achieving high standards of excellence
A client user and customer focus in the delivery of services
A core belief in and passion for the sustainable delivery of high-quality customer focused services
Informal Enquiriesfor this position may be made to: Ms Doreen Powell General Manager for Quality Safety and Risk Management on Tel:or Prof Catherine Wall Director for Quality Safety and Risk on Tel; Closing Date:Before close of business on: 10th September 2026
Application process
Applications must be submitted on-line at by completing the application form and attaching your CV. Candidates should be aware that when applying for a post through the On-Line Application System (Candidate Manager) they will receive an automated replying acknowledging receipt of their application. Should you for any reason not receive this automated acknowledgement you should notify the Human Resources Department before the closing date otherwise your application will not be considered.

All candidates should note that in order to maintain a timely process the closing date and time for receipt of applications will be strictly adhered to.

TUH is an equal opportunities employer and is committed to promoting an environment free from discrimination in accordance with the Employment Equality Acts 1998 and 2004. The Hospital values diversity and recognises the benefits of having a workforce that reflects the community we serve. We are committed to equality of access to positions within the Hospital. All recruitment activity and documentation will encourage applications from all potential candidates without discrimination.

TUH Core Competencies:

Core Area	Competency	Level
Managing the service	Quality & Safety of Service	4
Managing the service	Delivery of Results	4
Managing Change	Problem Solving & Decision Making	4
Managing Change	Communications & Influencing	4
Managing Yourself	Team player	4
Managing Yourself	Planning and Organising	4
Managing People	People Management	4
Managing People	Leadership	4

Please go to details of the core competencies

Required Experience:

Director

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Grade VII Quality & Safety Clinical Audit QRSM Directorate (08.029 06.036(2026))

Dublin - Ireland

Job Summary

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