What hole size does this fit? Thanks!

If you have an "Ideal Standard" Cistern , it will fit. Most cisterns require a wider bore.

How do i remove the small screw, its all rusted over

No easy answer, I've had them sheer off when too much force is applied. You might try a liberal spray of WD40 but give it time to soak in and give it quite a few decent taps to encourage the WD40 to trickle in between the threads. Also try some WD40 on the shaft of the lever to encourage movement. You may be able to slide it off. I'm afraid elbow grease and persistence is the most likely requirenent though.

To fit this do you need to turn off the water

There should be a valve on the toilet water inlet pipe that you can turn off with a screwdriver. Then flush the toilet which will empty the water in the cistern. Then you can change the handle without any water issues

what size is the handle i needit to be less than 4 inchs

The overall length of the handle is around 100mm circa 4 inches

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Cistern Lever for Ideal Standard Cisterns

Product ID: 50823413

⚙️3/8" BSP thread size – perfect fit

🛠️Easy installation – no hassle setup

🛡️Corrosion resistant – built to last

$70

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Description

🚿 Upgrade your flush game with precision and style!

LIGHTWEIGHT YET ROBUST - At just 181g, it’s easy to handle without compromising on strength or reliability.
EFFORTLESS INSTALLATION - Get your bathroom upgrade done in minutes with a user-friendly, no-fuss setup.
SLEEK MINIMALIST DESIGN - Clean white finish complements modern bathroom aesthetics with subtle sophistication.
DURABILITY YOU CAN TRUST - Crafted from corrosion-resistant materials to maintain pristine function and look over time.
PRECISION FIT FOR IDEAL STANDARD - Designed specifically with a smaller 3/8" BSP thread to seamlessly match Ideal Standard cisterns.

The Home Store Cistern Lever P11A is a corrosion-resistant, easy-to-install lever designed specifically for Ideal Standard cisterns featuring a smaller 3/8" BSP thread size. Its compact dimensions and lightweight build ensure a perfect fit and long-lasting performance, making it an essential upgrade for modern bathrooms.

Specifications

Brand	The Home Store Cistern Lever
Model Number	P11A
Colour	White
Product Dimensions	10.01 x 9.6 x 0.99 cm; 181.44 g
Special Features	Corrosion Resistant, Easy to Install
Item Weight	181 g

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$70