Copia di OLD OFFICE.jpg


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!




Veterinary assistant

Tash joined us in the summer of 2020.


She has worked in racing since leaving school about 8 years ago, looking after horses for Annabel Murphy at first, then for Olly Murphy.


Natasha has heaps of experience in general care and management of racehorses. 

Axelle Hassenforder



Associate vet

After graduating from University College Dublin in 2018, Axelle completed a 12-month surgical internship with Hagyard Medical Institute in Lexington, Kentucky, where she assisted in surgery (soft tissue and orthopaedic), took care of the inpatients, ran anaesthesia and helped with the pre-vetting of sale yearlings (radiographs and respiratory endoscopy).

She then moved back to the UK to work with us at Guasco and Associates. Axelle enjoys our racing thoroughbred caseload including lameness examinations and surgical procedures.

Axelle is currently undertaking the ISELP certificate (International Society of Equine Locomotor Pathology).

When not working, Axelle enjoys reading, horse riding, sailing and skiing (when she can get time off!).





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! 



Office dogs


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 www.rossdales.com



Professor James Schumacher DMV, MS, PhD, DACVS https://vetmed.tennessee.edu/

Ian Wright MA VetMB DEO Dipl. ECVS FRCVS www.newmarketequinehospital.com

Professor Derek Knottenbelt OBE, BVM&S, DVM&S, DipECEIM, MRCVS www.equinesarcoid.co.uk

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


Michael Spirito DVM