EXHIBIT 4.4 PERSONAL Sir William Castell Chief Executive Amersham plc 20 February 2003 Dear Bill I am pleased to confirm that the Remuneration Committee has approved an increase in your salary to L660,000 per annum with effect from 1 April 2003. Additionally, in respect of the 2002 Bonus Scheme, the combination of performance against financial targets and your personal objectives has produced a bonus of L397,200. I am also pleased to confirm your award of share options today with a nominal value of approximately L1,200,000. The performance conditions will be similar to those adopted last year. With best wishes. Yours sincerely RICHARD LAPTHORNE CHAIRMAN