Context is problems with shower. Starts warm, then goes cold and repeats. Have also noticed hot top also does this. I think the HW flow rate is too low. I thought at first maybe just crappy mains pressure, but noticed that hot water flow rate much lower than cold and so maybe boiler heat exchanger is clogged or there is some kind of flow restrictor fitter. It is my girlfriend's house. Boiler is Vaillant, a few years old but not ancient. I suspect this is some kind of tap to turn the flow rate down, but I've not seen anything like it and looks old school.
Before I meddle with it thought I'd ask here if that is what it looks like. Also, which bit would I turn - the screw head, the smaller nut, etc ?