The effects of climate change are tangible. Fast and efficient action is needed. The multiple agendas and the limited room for development require an overall picture, an integrated area-specific approach and adaptive collaboration. The Integrated River Management programme (which began in mid-2018) implements this broader approach. The national and regional authorities are working together on a new vision for 2050. The objective is to devise coordinated solutions for flood risk management, water quality, fresh water, shipping and nature.