Frank,
If he only cleaned out some dust, then he didnt do a proper job!
He should have at the very minimum, checked the emmissions & adjusted them as required, cleaned out the condense trap etc etc, it will tell you in the manual all the service points!
it seems that some boilers require more adjustments than others each year, certainly if its fairly new it should be serviced (and most importantly, the paperwork filled in - we always leave a print out of the flue gas analysis), or the manufacturers wont honour any warranty (on some of the better boilers the warranty is 5 years...........if serviced annually by a registered engineer).
Having said that though & I shouldnt admit it, I havnt even taken the casing off mine in the last 6 years, and if it packed up tomorrow, I would probably just change it completely.....unless I had some good second hand spares kicking about!!
Very basically, the fan draws in fresh air for combustion, mixes it with the correct amount of gas, and then expells the products of combustion, (called a premix burner) and yes I have had to replace several fans on the worcester condensing boilers, some have actually broken up inside.
Dont confuse this info with the older type of non condensing (fanned flue or otherwise) boiler with an aerated burner.
The modern boilers are very finely tuned & rely on all sorts of electronics to deliver the required efficiencies, and as we all know, the more complicated things are, the less reliable & more expensive to fix / diagnose problems!!!