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Managed to get this working.

Just in case anyone else has this issue i had to set the tablet up a follows - please note this worked for me - W10 x64 Huion 060pro+

Hioun Control Panel

Set First Button to 'change brush'

Tick 'Support Tablet PC' - Without this ticked the Pen worked but it missed pixels and everything feels more responsive it did cause issues when selecting tools - see below.

Windows Pen and Touch Settings

Enable Press and Hold - without this i had issues selecting tools and other items in photoshop - its still not 100% i have to move the pen into the option i want but it works

Pen Buttons - Leave both the boxes unticked.  These were ticked before and this seemed to stop the 'Change Brush' option working in the Huion Control Panel

Hopefully this might help anyone with similar issues to me as i couldn't find any info on it anywhere else.