Ok so in the interests of airing my dirty code in public here what i came up with.
Note :  this is a hack designed to be used once and then thrown away.
This Method takes in a datarowview containing 1 row of data from the access table.  The Images are wrapped in OLE serialization,  im not entirely familiar with how this works but its how Microsoft apps allow any object to be embedded into something else. (eg images into Excel Cells).  I needed to remove the serialization junk around the image so i loaded the entire field as a Byte array and searched through it for 3 concurrent entries (FF D8 FF) which represent the beginning of the image data within the field.
    Private Function GetImageFromRow(ByRef row As DataRowView, ByVal columnName As String) As Bitmap
    Dim oImage As Bitmap = New Bitmap("c:\default.jpg")
    Try
        If Not IsDBNull(row(columnName)) Then
            If row(columnName) IsNot Nothing Then
                Dim mStream As New System.IO.MemoryStream(CType(row(columnName), Byte()))
                If mStream.Length > 0 Then
                    Dim b(Convert.ToInt32(mStream.Length - 1)) As Byte
                    mStream.Read(b, 0, Convert.ToInt32(mStream.Length - 1))
                    Dim position As Integer = 0
                    For index As Integer = 0 To b.Length - 3
                        If b(index) = &HFF And b(index + 1) = &HD8 And b(index + 2) = &HFF Then
                            position = index
                            Exit For
                        End If
                    Next
                    If position > 0 Then
                        Dim jpgStream As New System.IO.MemoryStream(b, position, b.Length - position)
                        oImage = New Bitmap(jpgStream)
                    End If
                End If
            End If
        End If
    Catch ex As Exception
        Throw New ApplicationException(ex.Message, ex)
    End Try
    Return oImage
End Function
Then its a matter of pulling out this data into a bitmap.  So for each row in the access table i extract the bitmap and then update the corresponding MySQL entry.
It worked fine but im guessing i could have removed the serialisation stuff in a better way, perhaps theres an API to do it.