Anyway, after I'd fixed that I tried printing as a PDF and found that the stuff that seemed wrong in the word document has moved back up the page in the PDF, which has caused some minor problems but I'm sure is fixable. I suspect that this is mostly me not putting in enough page breaks.
What's a little more worrying is that the document, a 55mb Word file, is coming out as a 64mb PDF, which I suspect means that I'm not doing things properly. The advice I was given on settings is as follows:
When converting your postscript files to PDFs, please use the following settings on Acrobat Distiller:
E-Book
GENERAL
Compatibility: Acrobat 4.0 (PDF1.3)
Object-Level Compression: OFF
Auto-Rotate Pages: Collectively By File
Binding: Left
Resolution: 600dpi
Optimize for Fast Web
8.5x11 page size
IMAGES
Color-
Bicubic Downsampling to 150 ppi for images above 225
Compression: Automatic JPEG
Image Quality: Medium
Grayscale-
Bicubic Downsampling to 150 ppi for images above 225
Compression: Automatic JPEG
Image Quality: Medium
Monochrome-
Bicubic Downsampling to 300 ppi for images above 450
Compression: CCITT Group 4
Anti-Alias to gray: Off
FONTS
Embed all fonts
Subset Embedded Fonts When Percent of Characters Used is Less Than: 100%
Wheb Embedding fails: Warn and Continue
COLOR
Settings File: None
Color management Policies
Convert All Colors to sRGB
Rendering Intent: Default
Working Spaces
RGB: sRGB IEC61966-2.1
CMYK: U.S. Web Coated (SWOP)v2
When transfer functions are found: Apply
ADVANCED
Options-
Allow PostScript file to override Adobe PDF Settings
Convert gradients to smooth shades
Preserver Level 2 copypage semantics
Preserve Overprint Settings
Overprinting default is nonzero overprinting
Document Structuring Conventons-
Process DSC comments
Preserve document information from DSC
Resize page and center artwork for EPS files
How much of this can be set in the Mac's configuration, and how much of it will only work if I use distiller?