Sara says she is just an educator who knows how to use the system
Neil Shaw Network Content Editor
08:30, 20 Apr 2026Updated 08:52, 20 Apr 2026
‘Sickfluencer’ called cheat for teaching people how to claim benefits
A ‘sickfluencer’ who posts videos online to help people gain disability benefits says she’s accused of “hacking the system” when she’s “just educating people.” Sara Middleton, 47, was first diagnosed with fibromyalgia, a chronic pain disorder, aged 17.
Over the years she has also been diagnosed with spinal issues caused by nerve compression, chronic fatigue syndrome, depression, anxiety and inflammation of the chest known as costochondritis. Sara, a mum-of-one from Chesterfield, Derbyshire, started to gain a following on TikTok after posting a video ‘ranting’ about welfare reform last spring.
Since then, she has become a chronic illness ‘influencer’, including sharing informational videos for eligible people accessing Personal Independence Payments (PIP) from the government. Sara said as a result, she has been accused of helping people “cheat, scam or hack the system” to claim undeserved benefits.
Sara Middleton, 47
But she argues that it’s “not possible to scam the system” because you need to provide medical evidence. Sara says she is just educating people who are genuinely entitled to support on how to communicate their circumstances and needs – and that trolls “don’t understand the system”.
She has a video about the ‘two big mistakes people make that cause them to fail their PIP review’ which has over 229,300 views. And over 96,000 views on a video about what to do when you need to report a change of circumstances, to avoid losing your PIP support.
Sara, a motor finance administrator who also accesses £749 per month in PIP, said: “I never set out to do TikTok, but now I’ve found my tribe on social media. “Unfortunately, there is an awful lot of hate online, especially around benefits like PIP and the Motability scheme.
“People have this idea that you can go to a doctor, tell them you’re a bit sad to get diagnosed with depression, then get PIP and a free BMW. The biggest misconception is that you can help someone cheat the system, all I’m trying to do is educate.
Sara has been diagnosed with spinal issues caused by nerve compression, chronic fatigue syndrome, depression, anxiety and inflammation of the chest as well as fibromyalgia
“PIP is the hardest support to get, and I just try to explain to people how to communicate with the Department for Work and Pensions (DWP) to get benefits they are eligible for. I’m just helping people to stand up for themselves and what they need – their evidence still has to back it up.
“People forget that nobody is exempt from becoming ill – it could be them one day.”
Sara said she is constantly accused of helping people to cheat the system – thanks to a misleading narrative around accessing benefits. Since her first chronic illness diagnosis three decades ago, her pain and struggles have got far worse, and she now uses walking aids.
She said due to nerve damage, sometimes her legs can spontaneously give way – even while crossing the road in front of oncoming traffic – leading to additional anxiety. She said: “Some days I wake up and my husband asks, ‘where are we on the damage meter today?’
“It is hard, but these are the cards that I was dealt, so I have to deal with it. It’s become quite natural to talk about it – I call myself a ‘veteran of chronic illness’.”
Sara Middleton posts videos on how to claim PIP and other benefits
But she said since joining social media and becoming an influencer discussing chronic illness – dubbed a ‘sickfluencer’ – she has discovered the extent of the misunderstanding. She blames the media and politicians for circulating false narratives around people accessing disability benefits.
She said: “Disabled people are just trying to get through things day by day. Then you have politicians suggesting you can come and get a Motability car for tennis elbow, acne or constipation. And people believe it, then they come after us.”
Sara argues all she does online is encourage people to stand up for themselves when dealing with chronic illness. She said she teaches them how to communicate clearly, in order to meet the criteria, in cases where it can be evidenced.
Sara said: “With PIP, you can’t give key phrases, or say ‘if you use this word, you’ll get this’ – because you need the diagnosis letters, consultant reports, assessment outcomes and test results. I teach people how to communicate their circumstances, how to paint the picture when the assessors ask for details of their situation. Unfortunately the general consensus is I’m teaching people how to ‘win PIP’.”
She added: “I want to educate, advocate and empower. I want people to be confident and have a fair shot. But nothing I could tell someone would definitively get them a good reward with PIP – that comes down to their medical evidence.”
