So here is my (war and peace sized) update.
17-12-22
Adjusted seat to LeMond method (Calculated 76x0.883=67.108 currently the height in use) and checked against 109% (76x1.09=82.83) which was slightly lower. I was unable to to mount, but I think that that was just me being tired and inflexible.
Moved seat all the way back with no more rearward adjustment.
18-12-22
Put RHS pedal to BDC and mounted cycle. Checked heel on pedal at BDC which worked. Able to lock knee at BDC. Still able to touch the floor with toe of left foot, but only just.
20-12-22
Test ride 1
Seat height OK but very uncomfortable. Steering felt wobbly. Pressure in hands moved to index/forefinger area. Unstable but could move hands around tops and hoods.
Tune up 1
Checked seat angle and adjusted to -2.5° . Lowered hoods slightly rotating bars.
Test ride 2
Seat height OK but still uncomfortable although not as bad. Steering felt wobbly again, possibly due to higher seat (higher CoG). Able to move hands to from hoods to drops with difficulty and very wobbly.
Tune up 2
Swapped -18° 90mm stem for -4° 100mm stem. Rotated the bars forward slightly to set the hoods lower.
21-22-22
Able to move hands from hoods to drops but pain/stiffness is lower neck within 300 yards of starting to cycle.
Went to a bike shop to see their bike fitting staff member. I was told that the seat was 20mm too low and too far back, my kneecap was 50mm too far back, the seat nose too far down, the bars were too high on the steerer, and to ignore forums. I was also told my calculations were nonsense. He asked why I was not using clipped or clipless pedals. I replied that I'm still learning to ride properly. He was not impressed. I was not impressed by him spinning QR spindle bolt to remove it from the back wheel. Staff member had a very negative vibe. A 45 mile round trip for unpleasant/bland experience.
I stumbled across BestBikeAdvice (while searching for in person bike fitters near me) and did the online bike fit. It's very informative and interesting asking for seven different physical measurements. It gives advice about how to set up a cycle, dimensions plus what to look for when buying a new bicycle.
BestBikeAdvice fit recommendations were to set the seat height at 66.6cm (slightly lower than I am using, so I left it as is.) from BB centre to seat top, set the seat setback to 3.5cm from seat nose to BB centre, set the seat back away from the bars by 48.2cm including the stem, and to set the bar height to 4.9cm below seat height.
If I am buying a new bicycle then the recommended reach is from 340mm to 390mm and the recommended stack is between 480mm and 540mm.
22-12-22
Adjusted seat height up slightly, levelled the seat properly (as advised) using a spirit level, adjusted seat setback, adjusted handlebar height down, discovered that I was wrong about the reach and drop on the Specialized handlebars (actually 75mm reach and 123mm drop not 100mm reach and 140mm drop), swapped the 100mm stem for the 90mm stem again.
I swapped the Specialized handlebars for the Prime Doyenne aero bars and thought "maybe not?". It's only the fact that I could thread the cables into the bars that made me hesitant about staying with the Specialized handlebars.
24-22-22
I was still undecided to go with the aero bars.
Having made all the recommended changes from BestBikeAdvice to the Aluminum Falcon I had a chance for a test ride before taping the bars and everything felt good and comfortable, apart from the seat. Then the front brake cable stuck due to loose filaments. This helped me with the decision to go with the aero bars and thread the cables. Then I got slightly sidetracked changing the chain and replacing the bottom pulley wheel on the rear derailleur.
25-22-22
Finished threading the cables through the doyenne bars complete with trimming the excess cables, both inner and outer, and capping the cable ends.
26-22-22
Scared myself with the task of taping the handlebars but watched the Park Tools and GCN YouTube videos on handlebar taping before starting. Took the whole process slowly and carefully and didn't end up in tears. Surprised myself that I actually managed to do it first time round.
27-12-22 to 2-1-23
Just testing and adjusting the seat angle to get back to comfortable before adjusting the setback or height to help with the shoulder and neck pain. I've also been doing some exercises to help with my core strength as that is undoubtedly part of the problem.
I am convinced that the spirit level laid on top of the seat from front to back isn't the best idea for levelling as it doesn't take into account the upwards sweep of the back of the seat and therefore places the nose of the seat pointing upwards.