It is perfectly normal for the pressure to fluctuate, this is because the water when heated will expand thus raising the pressure and it will fall again when the water cools. It is nothing to worry about. Changing the pressure switch will not stop the pressure going up and down.
As for the combi question you could probably use the old heating pipes but they will need cleansing and flushing also the gas pipe may need to be upgraded to 22mm and more pipes will be needed to be installed aswell for the condesate drain the hot water, cold water and the blow off.