So many blind alleys, so many people suggesting different fixes and so many potentially differing causes
I made some progress yesterday on this - I managed to get a reliable 4.5Mhz output from Q34, after a bit of tweaking of the value of R18.
I now have reception and audio on part of the VHF band, but it flashes the display to indicate 'no PLL lock' below around 143Mhz all the way down to 160Khz.
I vaguely remember when the flashing display problem first happened, going through the entire PLL section, trying to realign it to fix it - maybe not realising it was the 18 / 4.5Mhz output which was failing, rather than poor PLL alignment.
I now need to go through it all again (long job) and realign it again from scratch - wish me luck