<p>Visual studio is pretty good but doesn't create stored procedures automatically.  Iron Speed designer does supposedly.  But is it any good?</p>

I have used it for convenience for a very small project. It did what I wanted and saved me a couple of days work.
The main problem I found was when it came to customising or extending the generated project. You have to spend quite a bit of time trying to understand Ironspeed's way of doing things which, I'll admit, is not my way.
I'd use it again for a small project if I knew in advance I wouldn't have to customise it much after.