There has been a policy shift towards localism in the UK driving responses and decision-making processes to respond to the impacts of climate change. This shift capitalizes on local expertise and knowledge, empowering communities to take ownership of response strategies, with an increased focus on building resilience to nexus shocks. This comes at a time when the ability of local authorities to lead responses to nexus shocks is decreasing due to lack of capacity, funding and a statutory requirement to better respond to the impacts of climate change. We examine local resilience to nexus shocks and climate impacts as a complex process of collaboration, communication, adaptation, learning from past events and preparing for future shocks. Drawing on examples of resilience to extreme weather events in the UK, this review paper assesses: (1) local responses to nexus shocks in the UK; (2) how and what evidence is used to inform decision-making in response to nexus shocks; and (3) how stakeholders increase local resilience to nexus shocks when faced with gaps in knowledge. We outline possible ways to extrapolate these insights beyond the UK context.