Elizabeth Sigmund

Elizabeth Sigmund

Occupational Therapist & Care Expert


BSc (Hons) Occupational Therapy, DipCOT, Full Member of Expert Witness Institute (MEWI)


  • Elderly Care
  • General Medicine
  • Bladder & Bowel Care (including Stoma)
  • 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. I retired from the NHS in December 2022. Since 2015 I have also worked in the private sector and continue to do so.

I have expertise in working with clients who have a wide range of acute and longer term physical conditions including a variety of musculoskeletal, medical and surgical conditions. As an occupational therapist, my overall aim is to enable individuals to engage and participate as fully as possible in the roles and activities that allow them to lead an independent and fulfilling life. 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. My experience includes working with individuals to enable them to adapt to life changing circumstances resulting from injury, illness or the effects of ageing that may result in functional deficits in mobility, personal care tasks such as the need to manage a stoma, bladder or bowel management system or difficulties with domestic, employment or leisure tasks. 

In my most recent NHS role, I worked three days a week in the Occupational Therapy Musculoskeletal Hand Clinic service. Conditions commonly referred included a range of inflammatory or rheumatological conditions, general musculoskeletal hand issues, post-operative and post- trauma rehabilitation. I am a member of the British Association of Hand Therapists (BAHT) and completed the BAHT Level 1 course in May 2017. I am currently working to complete Level II accreditation. I regularly access on-line or work-based training sessions and carry out self-directed study relevant to my clinical role. 

Within my private sector roles I provide assessments and rehabilitation for clients with a variety of needs. This may include work for local authorities, charities and individual clients, carrying out assessments for equipment and minor adaptations to clients' homes, workplace assessments, hand therapy and general rehabilitation programmes. During the Covid19 response in 2020, I  had the opportunity to refresh my skills with in-patient assessment and discharge planning through being redeployed 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.