Survivors want police action following yesterday's damning abuse in care report.

The Royal Commission of Inquiry estimates about 200,000 people were neglected and abused in state and faith based institutions between 1950 and 2019.

The Commission's made 138 recommendations - including redress, removing care from state hands, and police investigation.

Abuse survivor Jim Goodwin says there are several reasons police didn't act back then.

"In the early days, the cops weren't resourced to do it, they didn't know how to interview people for sexual offending, they didn't know how to interview survivors - they're much better at it now - and survivors didn't come forward."

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