Elizabeth Sigmund

Elizabeth Sigmund

Occupational Therapist & Care Expert


BSc (Hons) Occupational Therapy, DipCOT


  • Elderly Care - including Dementia
  • General Medicine
  • Stoma Care
  • Neurology
  • Orthopaedics
  • Hands


I qualified as an Occupational Therapist in 1990. During my career I have worked mainly in the NHS in a variety of acute hospital, rehabilitation and community settings. Since 2015 I have also worked in the private sector.

I have expertise in working with clients who have a wide range of acute and longer term physical conditions including a variety of medical and surgical conditions. My experience includes working with clients with progressive and life-limiting conditions and with those in the palliative or terminal stages of an illness. I have particular expertise in working with older people with complex presentations due to multiple conditions that often include dementia or other cognitive impairment and may also include complex social situations that impact on an individual's level of function, safety and independence in everyday activities. I am experienced in carrying out assessments to identify rehabilitation, care and equipment needs whether in planning for hospital discharge, or in community based assessment.

In my current NHS role, I work three days a week in the Occupational Therapy Hand Clinic service. The clinics focus mainly on assessment and treatment of hand function; conditions commonly referred include rheumatoid arthritis, osteoarthritis, Carpal Tunnel Syndrome, trigger finger/thumb, minor trauma related issues, post-operative rehabilitation and a variety of non-specific difficulties with hand function. Interventions include static splinting as well as a broader lifestyle management approach such as providing ergonomic advice and teaching joint protection techniques and an evidence-based exercise programme for rheumatoid arthritis of the hand.

Within my private sector roles I provide assessments and rehabilitation for clients with a variety of needs. I am involved in work for local authorities, charities and individual clients, carrying out assessments for equipment and minor adaptations to clients' homes, hand therapy and general rehabilitation programmes. In 2020, I was appointed as an Occupational Therapy assessor for a major national assistance dog charity and attended a two-day training programme for this role.

I am a member of the British Association of Hand Therapists (BAHT) and completed the BAHT Level 1 course in May 2017. I regularly access on-line or work-based training sessions and carry out self-directed study relevant to my clinical role. I attended the Versus Arthritis Core Skills in Musculoskeletal Care training course in 2019, having previously completed the eLearning modular course. During the Covid19 situation I have had the opportunity to refresh my skills with in-patient assessment and discharge planning through being redeployed for two to three months to a community hospital ward based role. I also increased my skills in use of remote assessment methodologies and explored options to deliver treatment and rehabilitation programmes remotely.

I accept instructions from both Claimant and Defendant Solicitors and Insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under the Civil Procedures Rules (CPR) pertaining to Expert Witnesses.

Professional Education
2005 BSc Hons Occupational Therapy, Glasgow Caledonian University
1990 Diploma of the College of Occupational Therapists, Newcastle upon Tyne Polytechnic