<p>We have literally 100's of Access databases floating around the network. Some with light usage and some with quite heavy usage, and some no usage whatsoever. What we would like to do is centralise these databases onto a managed database and retain as much as possible of the reports and forms within them.</p>

<p>The benefits of doing this would be to have some sort of usage tracking, and also the ability to pay more attention to some of the important decentralised data that is stored in these apps.</p>

<p>There is no real constraints on RDBMS (Oracle, MS SQL server) or the stack it would run on (LAMP, ASP.net, Java) and there obviously won't be a silver bullet for this. We would like something that can remove the initial grunt work in an automated fashion.</p>

We upsize (either using the upsize wizard or by hand) users to SQL server. It's usually pretty straight forward. Replace all the access tables with linked tables to the sql server and keep all the forms/reports/macros in access. The investment in access isn't lost and the users can keep going business as usual. You get reliability of sql server and centralized backups. Keep in mind  -  we’ve done this for a few large access databases, not hundreds. I'd do a pilot of a few dozen and see how it works out.
UPDATE:
I just found this, the sql server migration assitant, it might be worth a look:
http://www.microsoft.com/sql/solutions/migration/default.mspx
Update: Yes, some refactoring will be necessary for poorly designed databases. As for how to handle access sprawl? I've run into this at companies with lots of technical users (engineers esp., are the worst for this... and excel sprawl). We did an audit - (after backing up) deleted any databases that hadn't been touched in over a year. "Owners" were assigned based the location &/or data in the database. If the database was in "S:\quality\test_dept" then the quality manager and head test engineer had to take ownership of it or we delete it (again after backing it up).