Okay some pics.

This is obviously enough the underneath of the top slide more or less as supplied by Sieg. The driving flange can be seen against the thrust block and is exactly as I can measure it 3mm wide by 14mm in dia, the lead screw is 9.5mm in dia.

This is the reverse direction thrust block I have made, the through hole fits over the leadscrew and the recess is 3.05mm deep by 16mm in dia, a 14mm dia recess was tight on the flange and the additional 0.05 depth to the recess allows just enough end float to stop it binding.

The block is fixed to the topslide with M4 cap screws and is essentially what Chris was suggesting.

The revised handle arrangement, I plugged the hole up the leadscrew with a bit of studding loctited in. The screw and nut are temporary pending delivery of roll pins.

This is the standard arrangement, the slight addition of space is I think worth having.
I don't doubt that this isn't the only way of solving this, nor can I claim any great cleverness but it does solve the problem whilst retaining all of the desirable features. Looking at this further I'm not sure how Baz's solution would actually work. Yes there is a 10mm loss of travel which I can live with, the gain far outweighs this, at minimal cost and within my very limited skills, so whether it's any good or not is frankly irrelevant since it works.
Regards
Martin