A consultation paper by the Royal Commission on Institutional Responses to Child Sexual Abuse says there are likely to be about 65,000 survivors across Australia who could be entitled to compensation and counselling, of whom 1540 are living in Tasmania.

The paper suggests the possible costs of redress could be $4.378 billion nationally.

Victims advocacy group Broken Rites spokesman Wayne Chamley said it would now be up to governments around the country to make sure a scheme was workable.

"If we are to have a national redress scheme, it means that people are going to have a much better experience than they have had with church-based schemes," Dr Chamley said.

"We are talking about a group of people who have been on the margins all their lives.

"It means they will be able to have psychological and medical treatment. It's a major step forward."

The paper estimates there are 430 eligible claimants from the Tasmanian government as well as 1110 non-government claimants.

Between 2003 and 2013 the Tasmanian government ran a redress scheme for people abused in state care, and made ex-gratia payments totalling $54 million to 1838 people.

The paper says non-government institutions, such as churches, could now be liable for compensation payments worth $69 million to Tasmanians, as well as counselling and administration costs worth millions of dollars.

Last year, the commission heard evidence that a former headmaster and as many as seven ex-teachers abused students at the elite Hutchins School in Hobart during the 1960s.

The commission will hold another round of private sessions in Launceston in the first half of this year.

Justice Peter McClellan, who heads the commission, said that no decision had been made on the nature of a redress scheme.

"We are seeking submissions which will help us to establish our views and provide recommendations which are just, practical and affordable," he said.

The Tasmanian government will consider the options canvassed in the paper before making a response, a spokesman said.