Just a quick update on this. The stock fan really is terrible IMO, so I've followed what a few have done on here.
Namely, strapped a couple of 92mm fans (@ 7v) onto the Accelero S1, removed the stock RAM and VRM heatsink, replaced the stock RAM heatsinks with the Accelero ones, applied AS5 to the VRM heatsink, replacing the chewing gum that was on there already.
GPU Core idle is now 50c, down from 72c with the stock cooler. GPU Core load is 74c, it was 95c with the stock cooler at full whack.
Best news is the VDDC Slave# temps which are down from 140c load to 85c load.
All that at way way way less noise than the stock cooler.
I'm now a happy camper, and with a bit of fiddling I've got a pre-overclocked card for £10 over a stock one that hopefully will now last a year or two. (Yeah, like I ever keep a card that long!!...)
Still, at least now I've got the cooling sorted, I can see how far it will overclock.

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Tooks.
I am thinking of getting the s1rev2 cooler,and doing what you have done,putting on 2 92mm fans,which covers a lot more area than the 120mm fan.
Could you tell me the name of the 92mm fans you have,and what decibeles(dbs) they are?
As i need them to be quiet,as well as getting rid of the heat.
Also do you have them blowing onto the cooler?
thanks.