Tom,
Yes, just unscrew to old ones and install the new ones. No, the shock arms may be anywhere in the stroke. After replacing the valves, the shocks will need to be filled and bled. You don't mention which Healey you have, but the Big Healeys are all pretty much the same in this area. I will assume you have a manual to show you how to fill and bleed. By the way, this is not something that should be done to a worn out shock. If they are leaking or loose, you won't really be making an improvement.
Motorbill
From Lola to Land Rover, If it's British and has wheels, it's likely I've bloodied me knuckles thereupon