I reinstalled the latest version of the realtek drivers (via the .zip download instead of the .exe), this time it seemed to work.
For me it only works if I've got vista set to analogue output (i.e. my 2 speaker setup), then I get digital output (but only stereo). If I switch to digital output with 5.1 speaker, then my analogue connection doesn't get any sound. Which is not the same as in XP, where the digital had 5.1 sound and the analogue had stero.
Is that what everybody else gets as well?