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Guasco and Associates began trading on 7th August 2017.


The practice was set up by Paolo Guasco, with the aim of providing independent, open, communicative, top-notch equine veterinary care with particular emphasis on sports medicine, performance issues and prevention of injuries. We are committed to providing you with the highest standards in veterinary practice whilst being friendly and approachable.


We have only been in business for a few years but expansion has been rapid and constant.

We were initially based in a very small, 15x15ft office on the outskirts of Alcester. We quickly outgrew our first premises after we literally filled it to the ceiling. We then moved to our beloved office in the heart of the Cotswolds. Over the years, we purchased and set up more and more diagnostic and therapeutic equipment, further improving the quality of our services and the range of procedures and treatments we can offer to your horse. 


We continuously invest in education, continuing professional development, equipment and facilities. 


We are, and will always be, an independent firm, meaning that we are not owned or connected to any corporate or management firm. All advice we give, every procedure we perform, and every treatment we prescribe is in the interests of you and your horse only and not tied to any marketing or business targets.


Years have gone by but our drive is just as strong and our goal still the same: to provide a friendly, top-notch veterinary service and do our best to make sure your horse comes home a bit quicker than the others in the race.

New Lower Slaughter Office




Founding vet

I was born and raised on a beef farm in the north of Italy. I attended vet school in Turin, where, after 5 and a half years of mischief, I somehow graduated in 2008.

Life, luck, right/wrong decisions and connections took me to Lexington, Kentucky, where I was employed as an intern (i.e. slave) for a fixed-term one-year contract at Hagyard Equine Medical Institute. I tried to absorb as much as I could from the outstanding vets there: Spirito, Hunt and Rodgerson showed me in a year more than what I could see and learn anywhere else in a decade and were better mentors than I could have wished for.


Luck and connections this time took me to Fethard, Ireland, where I spent 2 and a half years at the Coolmore Hospital, focusing on surgery and lameness in the racehorse. Ger and John had heaps of experience and streetwise-ness which was well worth soaking up.


Following a further breeding season in Ireland, again purely out of luck and coincidence, I landed in the Cotswolds, where I was immediately adopted by what became my British family (the Albutts of Cleeve Hill), and England started to feel like home.


After a few years as a hired gun, I decided to give myself a chance on my own, and I set up Guasco and Associates in the summer of 2017.


We were immensely lucky to have the support of dear friends from the day we started. We were at first based in the smallest office ever, near Alcester, which was only 15x15ft, and only cost £280 a month including bills. Again, out of fortune and coincidence, I hired Emma in the office from day one, doing the books, orders, invoices, being polite on the phone and dealing with all the other things I’m completely incapable of dealing with. 

We then moved to our new office in the heart of the Cotswolds, where we are now.

When not working... well, that never happens − I'm always working!

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Veterinary Assistant

I grew up in North Wales, doing mainly polocrosse and showjumping,

I moved to Australia when I was 18 to gain experience in the equine industry. I worked in Polo and Racing yards in Perth, Melbourne and New zealand for the last 8 years.

I have recently moved back to the UK permanently and found myself at Guasco and Associates! I wanted to try something new and gain more experience in another side of the equine industry. 

My Dad and I are very fond of the racing industry and have some race horses dotted around the country which we love to be a part of.

I love my dogs, my racehorses, playing lacrosse and a glass of rose on the weekends!

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Veterinary Assistant

I grew up surrounded by horses in West Sussex and left school at age 16 to start working in eventing and then moved on to racing which I worked in for around 10 years. I moved to Warwickshire in 2017 and spent 6 years working for Dan Skelton.

I started with Guasco and Associates in October 2023 and I am enjoying seeing the equestrian industry from this side. My other hobbies include walking and watching a good movie. 




Occasionally, planets and stars align and mystical moments occur. This must have happened when Emma accepted the job to become our Secretary/PA/Manager.

Emma has been with us since day one; she is in charge of virtually everything that happens in the office and is a familiar voice to most of our clients.


Where Emma goes, her very energetic sprocker, Jet, is never far behind! 

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Office dogs

A trio of friendliness.



Veterinary Surgeon

I grew up in the south of Ireland surrounded by animals which directed me into a veterinary career. From a young age I was horse obsessed, from hunting to eventing but primarily racing. I was always dragging some sort of a horse around the place.

I spent 5 great years in Dublin where I made some great friends, had some right criac and learned my trade. I graduated from University College Dublin (the one Dave couldn’t get into) in 2022.

I went straight to Fethard Equine Hospital, Coolmore from university where I spent 13 months working hard rotating through the different services including Surgery, Internal Medicine and Sports Medicine. This exposed me to a massive caseload where I just had to be a sponge absorbing all of the information from some of the leading equine clinicians in the world.

After serving my time in Fethard, I packed my bags to cross the Irish Sea and joined Guasco and Associates. In my free time, I ride out and go racing when I get the chance

Dave O'Sullivan


Associate vet

I grew up on a small stud farm in Ireland. 

My background eventually led me to studying veterinary medicine at the Royal Dick School of Veterinary at the University of Edinburgh.


In 2020, After 5 years of fun, games and a little bit of study, I graduated. I moved back to Ireland and took a job as a road vet at Greenmount Equine Hospital. This role was heavily focused on lameness and poor performance with a bit of everything else mixed in. 


At the end of 2020 I moved to Fethard Equine Hospital, Coolmore and undertook a rotating Internship.  It was a hectic but brilliant year there and I learned so much from Tom, Ger, Fernando and Co.


Upon finishing up at Fethard, I moved back to the UK to work with Guasco and associates! 


Outside of work, I have a keen interest in breeding and producing Irish Sport horses and playing rugby at the weekends! 

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Admin / Veterinary Assistant

I've grown up with horses and worked within showjumping and racing yards for the last eight years amongst a few other things!


After relocating to the Cheltenham area I began bumping into Paolo at various places which led me to applying for a job in the office. I get to work alongside the lovely Emma which is a total treat whilst furthering my knowledge in a different area of the equestrian world! 



Veterinary Intern

Graduated with Distinction from the Royal (Dick) School of Veterinary Studies in Edinburgh.

Having spent all of my time between equine and farm settings, I honed in on a career in equine following several enjoyable but intensive weeks here in my final year of study.

My areas of interest lie in National Hunt injury diagnostics and rehabilitation, and emergency large animal rescue following a practical and research-based project with Professor Patrick Pollock.

I’m very lucky to be surrounded here by such a wealth of experience, skill, and knowledge and I look forward to getting stuck in.

In my spare time, I enjoy getting out and about foraging or partaking in field sports. I enjoy a run around on the squash court and I’d like to keep up rugby or rowing from university. I’m a keen bagpiper, but know better than to play them too often this side of the border.


We are lucky that we can ask for help from these wonderful people when referral to a hospital facility is required. 


Besides being exceptional vets, all of the specialists below are friends and we are delighted to work closely with them. 

Tim Barnett BSc(Hons), BVM&S, MSc, CertAVP, DipECVS, DipEVDC-Eq, MRCVS


Professor James Schumacher DMV, MS, PhD, DACVS

Ian Wright MA VetMB DEO Dipl. ECVS FRCVS

Professor Derek Knottenbelt OBE, BVM&S, DVM&S, DipECEIM, MRCVS

Richard Payne BSc, BVSc, CertES(Orth), DipECVS, MRCVS

Michael Spirito DVM

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