Thank you all. No pipe in the gap behind the tile. The house was built circa 25 years ago and I don't think there is a pipe behind any of the vent covers. Looks like vent cover inside, gap in brickwork, outside vent cover.
We have a small hole in the tile now and we can see the outside vent. We are going to make the tile hole bigger, around the 4" as mentioned above. Put on an internal vent cover and see how that works.
Seem to be working ok in other bathrooms in the house.
We appreciate all the replies.