Thank you everyone, especially PDM.
I had previously seen reference to lost speed camera warnings and the possibility of a USB update but when I looked it seemed to be only for MM17.
I even went to lexus-tech.eu and it redirected me to lexus.co.uk. Logged into lexus.co.uk it only offers Over The Air Updates.
Armed with the guide above and the mention that MM17 and MM19 maps are the same, I registered with lexus-tech.eu. Initially in the Free section I couldn't find any MM19 maps...but in the Payable section I found MM17/MM19 maps.
I followed the instructions, struggled a bit with the device ID and Request code...why do they use 0,O,o and I,i,L,l and 1 (that's zero, capital O, small o, the letter I, capital and lower case, the letter L, capital and lower case and the number 1)!
And around 2 hours later it's all done.
Downloading13.2GB, unzipping it and writing it to a USB took a while. The car took around 70 mins.
Thank you very much.