I am located in Canada and use a lot of historical data which is in NAD83 original. NAD83 original was found to be flawed, and in Canada was updated to NAD83(CSRS). I find QGIS projects CSRS quite accurately, but NAD83 is always an issue when using with data in other CRS. I use NRCan's NTv2 tool to transform my NAD83 original data into CSRS right now and that works well, but it takes time and it would be great to be able to do this right in QGIS automatically.
I know you can integrate a NTv2 transformation into QGIS, but I am not sure how to apply it to my particular situation. Where I am confused is that NAD83 original (in particular UTM zone 21 EPSG: 26921) is already in QGIS, so I dont understand how to use the custom projection feature in this use case.