The camshaft does not have to go out of course, rocker arms have been out of date for decades?
The “modern” setting of the valve clearance is based on a FIAT patent - strictly speaking on Lampredi, the designer of the ingenious “bialbero” engine. After the patent expired, everyone did it that way.
There are hold-downs that are clamped between the plunger and the NW, then you take out the plates and insert the appropriate ones.