Maximus is advising employers staff with ME need to exercise more

Infamous outsourcing company Maximus is telling employers their staff living with myalgic encephalomyelitis (ME) need to exercise more to “boost energy” and “get more done”.

Amid a shocking and, likely, wilful misrepresentation of the devastating chronic systemic neuroimmune disease, the notorious privatisation giant is promoting dangerous treatment “strategies”, namely, Graded Exercise Therapy (GET) and Cognitive Behavioural Therapy (CBT), that a leading UK health body roundly discredited in 2021.

Maximus peddling ME advice to employers

Maximus, with its decades of hoovering up government contracts to profit from making chronically ill and disabled people’s lives hell, appears to have appointed itself the oracle of:

Creating inclusive workplaces for people with disabilities.

Setting aside the first red flag that it’s clearly not operating from the Social Model of Disability and using community-preferred ‘disabled people’, its history of benefit deaths and harm hardly screams authority on inclusivity. Nevertheless, the ‘Kill Yourself’ scandal benefit assessor has a whole host of advice for employers with disabled staff — because of course it does.

Specifically, it’s providing this in the form of free ‘toolkits’ on particular health conditions and disabilities.

One of these offers information to employers on ME. The first issue to note here is that, instead of ME, it heads its webpage:

Chronic fatigue, fibromyalgia and multiple sclerosis toolkit

So to start with, Maximus is ignoring the community-preferred term. Not only that, but it’s also conflating ‘chronic fatigue’; the symptom, with ‘chronic fatigue syndrome’; the condition.

And naturally, with that strong start, it’s all only further downhill from there.

Exercise yourself better

A sparsely-informative three-page spread tells employers that ME is a:

long-term chronic fluctuating illness affects many parts of the body, including the nervous and immune systems.

It then states that:

The most common symptoms are severe fatigue or exhaustion, problems with memory, concentration and muscle pain.

Predictably, the toolkit fails to even mention the hallmark of ME — post-exertional malaise (ME). This involves a disproportionate worsening of other symptoms after even minimal physical, social, mental, or emotional exertion. And it’s the key reason that Graded Exercise Therapy (GET) is dangerous for people living with ME.

So with this omission, it opens the door to the guide promoting GET and GET-type rebrands (‘activity management’). This is despite the fact that in 2021, the National Institute for Health and Care Excellence (NICE) removed GET as a treatment recommendation in the treatment of ME.

There’s a brief mention of pacing. However, any good work it does highlighting this, it quickly undoes with talk of increasing activity.

A separate page on its website gives further alarming advice to employers around staff with ME. In an A-Z of Disabilities, Maximus tells employers to give “onsite exercise classes” and “discounts on gym memberships”.

This is because, according to the self-appointed ME expert (emphasis ours):

Symptoms may be worsened by over-exercising or too much inactivity

Think yourself better

Of course, no gaslighting guide to cover for employers unprepared to make genuine accommodations for people with ME would be complete without an undercurrent of psychologisation.

Maximus was only too happy to hawk this psychosomatic intimation. In the toolkit, it lists CBT amid its “treatment strategies”. NICE downgraded this ‘think yourself better’ garbage for people living with ME in 2021 as well. For years, psychologising clinicians have used it as a stick to beat ME patients with. The unsubtle implication is always that it’s all in their heads.

The A-Z is no less minimising. It tells employers to “reduce stress by promoting mindfulness” and signposts to Maximus’s own Access to Work Mental Health Support Service.

Parts of the guidance point to “large or unhealthy meals” and “lack of relaxation” as exacerbating symptoms. People with ME will likely have specific dietary requirements due to symptoms and co-occurring conditions. However, the suggestion that it’s their unhealthy lifestyle that’s making their ME worse is insulting. The aim — and effect — is to shift responsibility away from employers and the medical profession who are failing ME patients everywhere.

A brand new toolkit — entirely out-of-date

If all this weren’t bad enough, another toolkit gives practically the same advice to employers over long Covid.

Maximus might be forgiven (though still wrong) for hosting an error-riddled toolkit like this in 2021. But over four years after NICE published its updated guidelines, it’s indefensible that the outsourcing giant is STILL peddling these harmful stereotypes and treatments for people living with ME.

According to source page information, the A-Z webpage is from 29 September 2022. In other words, it published this nearly a year after the NICE guideline changes. And Maximus even updated this again in January 2025.

To make matters worse, in the toolkit’s case, source information dates the toolkit to 2 December 2025. Maximus seems to have even modified the page in early January 2026. So, this is essentially brand new guidance it’s promoting to employers.

Not the first time Maximus has done this

This isn’t the first time Maximus has produced flawed information around ME either. The Canary previously exposed how alongside other outsourcing giants like Serco and Capita, it compiled problematic ME training materials for staff administering Work Capability Assessments (WCA).

It’s another glaring example of why profit-driven private companies should be nowhere near services supporting chronically ill and disabled people inside or outside of work. In this instance, the information is out-of-date and actively dangerous.

What’s patently clear is that it should not be posing as any sort of expert in ME or long Covid. But Maximus’s fallacious advice is very convenient for corporate capitalists and a government hell-bent on coercing chronically ill and disabled people into low-waged, inaccessible, and inappropriate work.

And at the end of the day, misinformation and manipulations like this are nothing you wouldn’t expect from a money-grubbing megacorporation like Maximus.

Featured image provided via the author