Are you looking to convert your entire dataset to access and looking for a way to do it in a correct structure, or is this a one time deal to do some analysis?
If you are looking to convert your whole structure to Access you can import this dataset using code as long as you have a well defined structure, you'd just have to use code to rip it apart into it's component pieces rather than relying on the import wizard.
if you're looking for a structure and this is the entirety of your data (in terms of columns) then I would have something like
Code:
tblChurch
CH_ID CH_Name CH_Address ----> other church related fields
1 Not Specified
2 BlahBlah 1313 Mockingbird Lane
tblMinister
MI_ID MI_FirstName MI_LastName ----> minister specific fields
1 E Foster
tblMarriage
M_ID CH_ID FicheRef PageNo EntryNo DateofMarriage MarriageNum MI_ID
1 1 D/P WBY 2/1/7 1 1 3/16/2016 1813 1
tblRole
R_ID R_Desc
1 Bride
2 Groom
3 Witness - Bride
4 Witness - Groom
tblCondition
CO_ID CO_Desc
1 Bachelor
2 Spinster
3 Widower
4 Widow
tblMarriagePeople
MP_ID MP_FirstName MP_LastName R_ID CO_ID
1 James Phelps 2 1
2 Mary Wall 1 2
3 Joseph Carver 4
4 Jacob Dix 3
5 Charles Dix 3
All of this can be programmatically pulled out of the dataset you show I'm just confused because you have a couple of fields that look like they're coming from another database (fk_parishID, fMarriage).