A new report reveals over 230 Victorian health providers have been investigated for alleged sexual misconduct over six years, with massage therapists accounting for the highest number of claims.

The Health Complaints Commissioner's findings highlight persistent issues in self-regulated professions like massage therapy and counselling, where mandatory safety checks are now being called for.Key cases include a massage therapist charged with rape and sexual assault, and a convicted child sex offender posing as a counsellor.

The report underscores the need for national registration, criminal record checks, and improved communication standards to protect vulnerable clients.

While regulatory actions have been taken against 12% of identified providers, advocates argue current self-regulation systems fail to adequately safeguard public safety.

The Australian government has acknowledged the need for expanded health practitioner regulation, with calls for mandatory qualifications and oversight in high-risk professions.